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Related Experiment Videos

Urological dysfunction in patients with diastematomyelia

L M Pérez1, N Barnes, S A MacDiarmid

  • 1Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710.

The Journal of Urology
|June 1, 1993
PubMed
Summary
This summary is machine-generated.

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Diastematomyelia, a spinal cord disorder, rarely causes significant urinary problems in patients without meningomyelocele. Our study suggests a generally benign urological outlook, but recommends monitoring urinary tract health.

Area of Science:

  • Neurology
  • Urology
  • Pediatric Surgery

Background:

  • Diastematomyelia (spinal cord splitting) is a congenital anomaly with limited documented impact on bladder function.
  • Understanding the urological manifestations of diastematomyelia is crucial for comprehensive patient care.

Purpose of the Study:

  • To investigate the prevalence and nature of voiding dysfunction in patients with diastematomyelia.
  • To assess the urological outcomes following neurosurgical intervention for diastematomyelia.

Main Methods:

  • Retrospective review of 27 patients (4 days to 62 years) treated for diastematomyelia.
  • Urological evaluation, including video urodynamics, was performed in 14 patients.

Main Results:

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  • Most patients (9/14) exhibited minimal urological symptoms.
  • No patient demonstrated a urodynamically confirmed hostile bladder or upper urinary tract damage.
  • Patients with spinal cord fixation due to diastematomyelia, excluding meningomyelocele, showed a favorable urological course.

    • Conclusions:

    • Diastematomyelia, when not associated with meningomyelocele, appears to have a relatively benign impact on urinary tract function.
    • Despite a generally good prognosis, routine upper and lower urinary tract evaluation and follow-up are recommended due to the rarity of reported urological findings.