Urodynamics findings pre- and post-untethering surgery in children with filum lipoma: A single-institution experience.
bladder
children
neuropathic
tethered cord syndrome
urodynamics
Journal
International journal of urology : official journal of the Japanese Urological Association
ISSN: 1442-2042
Titre abrégé: Int J Urol
Pays: Australia
ID NLM: 9440237
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
received:
14
01
2022
accepted:
27
04
2022
pubmed:
22
5
2022
medline:
5
8
2022
entrez:
21
5
2022
Statut:
ppublish
Résumé
We aimed to investigate the changes in urodynamics and voiding cystourethrogram parameters on pre- and post-untethering surgery in patients aged under 2 years with filum lipoma. Sixty-two patients were enrolled in this study. The changes in urodynamics and voiding cystourethrogram parameters were compared before untethering surgery and 6 months after untethering surgery. These parameters were bladder volume, bladder deformity, vesicoureteral reflux during voiding cystourethrogram, detrusor overactivity, bladder compliance, and post-void residual volume in urodynamics. Bladder volume during voiding cystourethrogram and bladder compliance increased significantly from 89.8 ± 49.5 mL to 114.5 ± 50.5 mL (P = 0.0069) and 10.2 ± 6.2 mL/mmH According to voiding cystourethrogram results, bladder function and urodynamics in patients with filum lipoma significantly improved after untethering surgery. Non-invasive assessment based on measurements of post-void residual should be considered as a postoperative follow-up method.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
884-889Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2022 The Japanese Urological Association.
Références
Morota N, Ihara S, Ogiwara H. New classification of spinal lipomas based on embryonic stage. J. Neurosurg. Pediatr. 2017; 19: 428-39.
Chapman PH. Congenital intraspinal lipomas: anatomic considerations and surgical treatment. Childs Brain 1982; 9: 37-47.
Pang D, Zovickian J, Oviedo A. Long-term outcome of total and near-total resection of spinal cord lipomas and radical reconstruction of the neural placode: part I-surgical technique. Neurosurgery 2009; 65: 511-28.
Arai H, Sato K, Okuda O et al. Surgical experience of 120 patients with lumbosacral lipomas. Acta Neurochir. 2001; 143: 857-64.
Jones PH, Love JG. Tight filum terminale. AMA Arch. Surg. 1956; 73: 556-66.
Tuite GF, Thompson DNP, Austin PF, Bauer SB. Evaluation and management of tethered cord syndrome in occult spinal dysraphism: recommendations from the international children's continence society. Neurourol. Urodyn. 2018; 37: 890-903.
Ailawadhi P, Kale SS, Agrawal D, Mahapatra AK, Kumar R. Primary tethered cord syndrome--clinical and urological manifestations, diagnosis and management: a prospective study. Pediatr. Neurosurg. 2012; 48: 210-5.
Hsieh MH, Perry V, Gupta N, Pearson C, Nguyen HT. The effects of detethering on the urodynamics profile in children with a tethered cord. J. Neurosurg. 2006; 105: 391-5.
Keating MA, Rink RC, Bauer SB et al. Neurourological implications of the changing approach in management of occult spinal lesions. J. Urol. 1988; 140: 1299-301.
Satar N, Bauer SB, Shefner J, Kelly MD, Darbey MM. The effects of delayed diagnosis and treatment in patients with an occult spinal dysraphism. J. Urol. 1995; 154: 754-8.
Valentini LG, Selvaggio G, Erbetta A et al. Occult spinal dysraphism: lessons learned by retrospective analysis of 149 surgical cases about natural history, surgical indications, urodynamic testing, and intraoperative neurophysiological monitoring. Childs Nerv. Syst. 2013; 29: 1657-69.
Bauer SB, Austin PF, Rawashdeh YF et al. International Children's continence Society's recommendations for initial diagnostic evaluation and follow-up in congenital neuropathic bladder and bowel dysfunction in children. Neurourol. Urodyn. 2012; 31: 610-4.
Ogiwara H, Lyszczarz A, Alden TD, Bowman RM, McLone DG, Tomita T. Retethering of transected fatty filum terminales. J. Neurosurg. Pediatr. 2011; 7: 42-6.
Austin PF, Bauer SB, Bower W et al. The standardization of terminology of lower urinary tract function in children and adolescents: update report from the standardization Committee of the International Children's continence society. J. Urol. 2014; 191: 1863-5.e1813.
Ogawa T. Bladder deformities in patients with neurogenic bladder dysfunction. Urol. Int. 1991; 47: 59-62.
Kumar A, Mahapatra AK, Satyarthee GD. Congenital spinal lipomas: role of prophylactic surgery. J. Pediatr. Neurosci. 2012; 7: 85-9.
Pierre-Kahn A, Zerah M, Renier D et al. Congenital lumbosacral lipomas. Childs Nerv. Syst. 1997; 13: 298-334.
Kasliwal MK, Mahapatra AK. Surgery for spinal cord lipomas. Indian J. Pediatr. 2007; 74: 357-62.
Shiroyanagi Y, Suzuki M, Matsuno D, Yamazaki Y. The significance of 99mtechnetium dimercapto-succinic acid renal scan in children with spina bifida during long-term follow-up. J. Urol. 2009; 181: 2262-6.
Sillén U. Bladder function in infants. Scand. J. Urol. Nephrol. Suppl. 2004; 215: 69-74.
Chang SJ, Chiang IN, Hsieh CH, Lin CD, Yang SS. Age- and gender-specific nomograms for single and dual post-void residual urine in healthy children. Neurourol. Urodyn. 2013; 32: 1014-8.
Kurzrock EA, Polse S. Renal deterioration in myelodysplastic children: urodynamic evaluation and clinical correlates. J. Urol. 1998; 159: 1657-61.
Sillén U. Bladder function in healthy neonates and its development during infancy. J. Urol. 2001; 166: 2376-81.
Yamada S, Won DJ, Pezeshkpour G et al. Pathophysiology of tethered cord syndrome and similar complex disorders. Neurosurg. Focus 2007; 23: E6.