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[Neurogenic bladder caused by spinal cord traction].

J M Garat, F Aragona, E Martinez

    Journal D'Urologie
    |January 1, 1985
    PubMed
    Summary

    Spinal cord traction from lipomas can cause neurogenic bladder in children. Early diagnosis and surgical release of the filum terminale significantly improve bladder function and prevent kidney damage.

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    Area of Science:

    • Neuroscience
    • Urology
    • Pediatric Surgery

    Background:

    • Neurogenic bladder is a complex condition often associated with spinal cord abnormalities.
    • Spinal cord traction syndromes, including those caused by lipomas, can manifest with urologic symptoms as a primary concern.
    • Early identification and intervention are crucial for managing neurogenic bladder and preventing secondary complications.

    Observation:

    • Three pediatric cases presented with neurogenic bladder due to spinal cord traction.
    • Symptoms included bladder retention, upper urinary tract distention, vesicorenal reflux, and renal insufficiency.
    • Associated findings included sacral lipomas, dermoid cysts, and abnormal cutaneous signs.

    Findings:

    • Surgical excision of lipomas and dermoid cysts, along with sectioning of the filum terminale, led to significant improvement.
    • Patients experienced normalized micturition, resolution of incontinence, and improved renal function.
    • Urodynamic and urographic assessments confirmed the positive outcomes, with residual reflux addressed by anti-reflux surgery.

    Implications:

    • Early diagnosis and neurosurgical intervention for spinal cord fixation syndromes are critical for favorable outcomes.
    • Prompt treatment can reverse or halt the progression of urologic dysfunction and renal damage.
    • This highlights the importance of a multidisciplinary approach in managing pediatric neurogenic bladder.

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