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Dr. Andrew Rynne
Dr. Andrew Rynne

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Surgery for tethered spinal cord syndrome, have urinary and bowel incontinence, painful ejaculations. Diagnosis needed?

Hi, my name is Kyle. I have tethered spinal cord syndrome. I had the tethered spinal cord release surgery back in 2006. While I did not suffer any leg or back pain; my symptoms include urine incontinence(I can only use a catheter) and bowel incontinence(I have to manually remove). On top of these 2 symptoms I get mild to very painful ejaculations which lead to urinating all over the place. Now I have had this symptom ever since the surgery, and I never did get it checked out, but it has been making me wonder and question what is causing it. Now I'm a younger male who is 26 years old and have never been sexually active so this is not something that has been a complete embarrassment, but something which I believe needs to get diagnosed. Thanks,
Fri, 17 May 2013
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Neurologist 's  Response
Thank you for posting your query.
The problems of urinary incontinence, constipation and painful/poor ejaculations are all inter-linked. This is because the nerve supply for these (sacral nerves) are the same, and are located in the lower part of spinal cord. It is possible that they were mildly damaged by tethered cord or the surgery for correcting it. Please discuss these with your neurosurgeon.
Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
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