Kondo A, Kato K, Sakakibara T, Hashizume Y, Ito S
Department of Urology, Nagoya University School of Medicine, Japan.
Urology. 1992 Aug;40(2):143-6. doi: 10.1016/0090-4295(92)90513-v.
An eight-year-old girl has had urge incontinence for the last three years and muscle weakness and pain in the lower extremities for one month. Urodynamic study revealed a bladder instability of severe degree. Tethered cord syndrome caused by a tight filum terminale was identified by metrizamide myelography. An untethering of the filum terminale resolved her symptomatology completely. The urologist should be aware of this syndrome in a patient presenting with incontinence that has persisted for a long time or has recurred.