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Case Studies | Neuroscience | Volume 15 Issue 6, June 2026 | Pages: 953 - 959 | India
Impact of Surgical Resection on Lower Urinary Tract Function in Patients with Intradural Spinal Tumors: A Prospective Case Series
Abstract: Objective: To assess the impact of surgical intervention on lower urinary tract (LUT) function in patients with intradural spinal tumors by comparing preoperative and postoperative Uroflowmetry and Urodynamic parameters. Materials and Methods: This prospective observational study was conducted at AIIMS Rishikesh from June 2023 to November 2024. Adult patients (≥18 years) with radiologically and clinically diagnosed intradural spinal cord tumors scheduled for surgery were enrolled. Exclusion criteria included pre-existing bladder/prostate pathology, pelvic metastases, or refusal of consent. Each patient underwent preoperative assessment including IPSS scoring, USG KUB, clinical neurological examination, Uroflowmetry, and Urodynamic studies (UDS). Postoperative evaluation was conducted at three months, comprising repeat uroflowmetry, and UDS. Parameters assessed included Qmax, voided volume, post-void residual (PVR), bladder compliance and detrusor activity. Results: A total of 18 patients were analysed; 77.8% were male, and 44.4% were aged 18-30 years. Preoperative urinary complaints included voiding symptoms (38.9%), storage symptoms (22.2%), and no symptoms (38.9%). Post-surgery, a significant increase in Qmax was observed (from 19.81±10.65 to 24.21±11.82 mL/sec, p=0.018). Although PVR reduced (from 154.81±192.53 to 72.31±62.14 mL) and bladder compliance decreased (from 52.02±50.97 to 35.25±11.83 mL/cmH2O), these changes were not statistically significant. Conclusion: Surgical management of intra dural spinal tumors led to significant improvement in bladder emptying, as evidenced by increased Qmax. While other urodynamic parameters showed favourable trends, further long-term studies are warranted to confirm sustained functional recovery. Early identification and management of LUT dysfunction can improve postoperative outcomes and patient quality of life.
Keywords: Bladder dysfunction, Neurosurgery, Intra dural Spinal tumors, Uroflowmetry, Urodynamic studies
How to Cite?: Dr. Nikhil Tak, Dr. Velpula Sreekanth, "Impact of Surgical Resection on Lower Urinary Tract Function in Patients with Intradural Spinal Tumors: A Prospective Case Series", Volume 15 Issue 6, June 2026, International Journal of Science and Research (IJSR), Pages: 953-959, https://www.ijsr.net/getabstract.php?paperid=SR25506170844, DOI: https://dx.doi.org/10.21275/SR25506170844