| 論文種別 | 原著(症例報告除く) |
| 言語種別 | 英語 |
| 査読の有無 | その他(不明) |
| 表題 | Usefulness of the Toronto Voiding Symptom Score in the Diagnosis of Occult Tethered Cord Syndrome. |
| 掲載誌名 | 正式名：International journal of urology : official journal of the Japanese Urological Association 略 称：Int J Urol ISSNコード：14422042/09198172 |
| 掲載区分 | 国外 |
| 巻・号・頁 | pp.Online ahead of print |
| 著者・共著者 | Shogo Kato, Shoji Tsuji, Shohei Akagawa, Sohsaku Yamanouchi, Masahiro Nonaka, Tomoaki Matsuzaki, Kazunari Kaneko |
| 発行年月 | 2025/11 |
| 概要 | OBJECTIVES:Occult tethered cord syndrome is a neurological condition characterized by bladder control difficulties owing to spinal cord tethering. It is often missed on routine magnetic resonance imaging as it lacks typical signs. We investigated whether the Toronto Dysfunctional Voiding Symptom Score can screen occult tethered cord syndrome in children with daytime urinary incontinence.METHODS:We retrospectively analyzed 109 children with daytime urinary incontinence. Based on clinical symptoms and specialized magnetic resonance imaging findings, the children were categorized into two groups: 15 children diagnosed with and 94 children without occult tethered cord syndrome. We used the Mann-Whitney U test to compare the Toronto Dysfunctional Voiding Symptom Score between groups. A diagnosis of occult tethered cord syndrome was confirmed with the presence of a thickened filum terminale on prone-position magnetic resonance imaging and non-responsiveness to anticholinergic medication.RESULTS:The median Toronto Dysfunctional Voiding Symptom Score was significantly higher in the group with occult tethered cord syndrome (11.0) versus the control group (9.0). Analysis revealed that a cutoff Toronto Dysfunctional Voiding Symptom Score of 10 yielded sensitivity of 80.0% and specificity of 57.4% in identifying occult tethered cord syndrome. Notably, scores < 10 had a negative predictive value of 94.7%, indicating a low probability of occult tethered cord syndrome.CONCLUSION:Our study findings suggested that the Toronto Dysfunctional Voiding Symptom Score at the first visit can effectively screen occult tethered cord syndrome in children with daytime urinary incontinence. This finding can potentially streamline the diagnostic process and prevent unnecessary medical investigations. |
| DOI | 10.1111/iju.70279 |
| PMID | 41192365 |