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Improved symptoms and lifestyle more than 20 years after untethering surgery for primary tethered cord syndrome.
Neurourol Urodyn. 2011 Sep; 30(7):1333-7.NU

Abstract

AIMS

Evaluation of the long-term effectiveness of untethering surgery on social adaptations to urinary symptoms at the time of the survey.

METHODS

Postoperative analysis of the current activities of daily life implemented as a postal questionnaire survey. Completed questionnaires were returned by 33 of 52 patients with primary tethered cord syndrome (p-TCS) who had undergone untethering surgery more than 20 years ago, including 10 patients with tight filum terminale (TFT) and 23 with cauda equina adhesion syndrome (CEAS).

RESULTS

Long-term follow-up surveys in patients with p-TCS after untethering surgery indicated excellent effects on lower urinary tract symptoms in 9 of 10 patients with TFT, and the progression of symptoms tended to improve or halted in over half of the 23 patients with CEAS. However, one patient with TFT in whom new symptoms of voiding difficulty appeared immediately after surgery and 7 with CEAS showed deterioration of urinary and/or bowel symptoms. Eighteen patients complained of some symptoms caused by lower urinary tract dysfunction after untethering surgery in terms of difficulty in activities of daily life. With the exception of one female p-TCS patient with short stature and low body weight, all data of physical status, as well as educational level, employment, occupational category and marriage statistics were within the normal respective ranges taken from the Japanese census.

CONCLUSIONS

Postoperative long-term follow-up survey in patients with p-TCS indicated significant improvement of urological symptoms. However, 55% of patients had some lower urinary tract dysfunction that affected their activities in daily life.

Authors+Show Affiliations

Department of Urology, Shinshu University Hospital, Asahimachi Matumotoshi, Naganoken, Japan. jun.fukui@nifty.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21626535

Citation

Fukui, Junnosuke, et al. "Improved Symptoms and Lifestyle More Than 20 Years After Untethering Surgery for Primary Tethered Cord Syndrome." Neurourology and Urodynamics, vol. 30, no. 7, 2011, pp. 1333-7.
Fukui J, Ohotsuka K, Asagai Y. Improved symptoms and lifestyle more than 20 years after untethering surgery for primary tethered cord syndrome. Neurourol Urodyn. 2011;30(7):1333-7.
Fukui, J., Ohotsuka, K., & Asagai, Y. (2011). Improved symptoms and lifestyle more than 20 years after untethering surgery for primary tethered cord syndrome. Neurourology and Urodynamics, 30(7), 1333-7. https://doi.org/10.1002/nau.21176
Fukui J, Ohotsuka K, Asagai Y. Improved Symptoms and Lifestyle More Than 20 Years After Untethering Surgery for Primary Tethered Cord Syndrome. Neurourol Urodyn. 2011;30(7):1333-7. PubMed PMID: 21626535.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Improved symptoms and lifestyle more than 20 years after untethering surgery for primary tethered cord syndrome. AU - Fukui,Junnosuke, AU - Ohotsuka,Kuniyoshi, AU - Asagai,Yoshimi, Y1 - 2011/05/27/ PY - 2010/05/22/received PY - 2010/09/07/accepted PY - 2011/6/1/entrez PY - 2011/6/1/pubmed PY - 2012/1/12/medline SP - 1333 EP - 7 JF - Neurourology and urodynamics JO - Neurourol Urodyn VL - 30 IS - 7 N2 - AIMS: Evaluation of the long-term effectiveness of untethering surgery on social adaptations to urinary symptoms at the time of the survey. METHODS: Postoperative analysis of the current activities of daily life implemented as a postal questionnaire survey. Completed questionnaires were returned by 33 of 52 patients with primary tethered cord syndrome (p-TCS) who had undergone untethering surgery more than 20 years ago, including 10 patients with tight filum terminale (TFT) and 23 with cauda equina adhesion syndrome (CEAS). RESULTS: Long-term follow-up surveys in patients with p-TCS after untethering surgery indicated excellent effects on lower urinary tract symptoms in 9 of 10 patients with TFT, and the progression of symptoms tended to improve or halted in over half of the 23 patients with CEAS. However, one patient with TFT in whom new symptoms of voiding difficulty appeared immediately after surgery and 7 with CEAS showed deterioration of urinary and/or bowel symptoms. Eighteen patients complained of some symptoms caused by lower urinary tract dysfunction after untethering surgery in terms of difficulty in activities of daily life. With the exception of one female p-TCS patient with short stature and low body weight, all data of physical status, as well as educational level, employment, occupational category and marriage statistics were within the normal respective ranges taken from the Japanese census. CONCLUSIONS: Postoperative long-term follow-up survey in patients with p-TCS indicated significant improvement of urological symptoms. However, 55% of patients had some lower urinary tract dysfunction that affected their activities in daily life. SN - 1520-6777 UR - https://www.unboundmedicine.com/medline/citation/21626535/Improved_symptoms_and_lifestyle_more_than_20_years_after_untethering_surgery_for_primary_tethered_cord_syndrome_ DB - PRIME DP - Unbound Medicine ER -