A member asked:

Later side afects of low spina bifida occulta? incontinence?

10 doctors weighed in across 4 answers

Very unusual: Most cases of spina bifida occulta are lumbar. Neurologic involvment is generally evident in early childhood, most severely in myelomeningocele, which is a herniation of nerves and dura external to the spine (ie no longer "occult"). In the absence of this lesion, incontinence should be rare. Note the rare association of tethered spinal cord which may cause incontinence later in life.

Answered 7/5/2012

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Spina bifida: If you have no neurologic symptoms from spina bifida now, you are unlikely to have them in the future. Symptomatic spina bifida has very complex urologic manifestations with incontinence, uti, and potentially even renal failure. Most people are symptomatic from birth.

Answered 3/20/2015

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Very few: Spina bifida occulta usually is an incidental finding found on an xray. Rarely does it lead to symptoms. Some people can be symptomatic later in life with an associated "tethered cord syndrome" which can lead to incontinence.

Answered 3/9/2018

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Dr. Betsy Greenleaf answered

Specializes in Gynecology

Possible: Spina bifida and occulta an be associated with urinary dysfunction. Incontinence and/or urinary retention can occur. Recommend further evaluation with urologist, urogynecologist or neuro-urologist. Additional testing can clarify causes such as urodynamic testing.

Answered 8/24/2014

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