A case of undiagnosed tethered cord syndrome aggravated by transurethral prostate resection.
Details
Serval ID
serval:BIB_9DE9852D3579
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
A case of undiagnosed tethered cord syndrome aggravated by transurethral prostate resection.
Journal
Nature Clinical Practice. Urology
ISSN
1743-4270 (Print)
ISSN-L
1743-4270
Publication state
Published
Issued date
2005
Volume
2
Number
4
Pages
199-204; quiz 1 p following 204
Language
english
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
Abstract
BACKGROUND: A 68-year-old man presented with a history of significant urinary urge incontinence, pollakiuria, and weak bladder sensation. He also reported mild fecal incontinence and a hypotrophic and slightly weaker left leg. At 63 years of age he had presented to a urologist for treatment of irritative lower urinary tract symptoms and incontinence. A transurethral resection of the prostate had been performed. After the operation, the symptoms had persisted and the incontinence seriously worsened.
INVESTIGATIONS: Clinical neurologic examination, videourodynamic examination, neurophysiologic examination, and MRI of the spinal cord.
DIAGNOSIS: Neurogenic bladder dysfunction caused by adult tethered cord syndrome with myelon up to S2 level, spina bifida occulta, and lipoma infiltrating the conus medullaris.
MANAGEMENT: Conservative anticholinergic treatment failed, and injection of botulinum-A toxin is planned.
INVESTIGATIONS: Clinical neurologic examination, videourodynamic examination, neurophysiologic examination, and MRI of the spinal cord.
DIAGNOSIS: Neurogenic bladder dysfunction caused by adult tethered cord syndrome with myelon up to S2 level, spina bifida occulta, and lipoma infiltrating the conus medullaris.
MANAGEMENT: Conservative anticholinergic treatment failed, and injection of botulinum-A toxin is planned.
Keywords
Aged, Algorithms, Humans, Male, Neural Tube Defects/complications, Neural Tube Defects/diagnosis, Severity of Illness Index, Transurethral Resection of Prostate/adverse effects, Urinary Bladder, Neurogenic/etiology
Pubmed
Web of science
Create date
05/11/2014 13:12
Last modification date
20/08/2019 16:04
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