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> They may be asymptomatic or present as nonspecific symptoms such as long-term constipation, urinary dysfunction, lower back pain, or perineal hypoalgesia. These symptoms may be due to direct compression of the herniated meningeal sac, spinal cord tethering, or sacral nerve root compression.   . >  ASM is either asymptomatic or manifested by nonspecific symptoms as a result of pressure  on the viscera such as constipation, urinary problems,  dysmenorrhea, or pain in the lower back or pelvis 
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or high-pressure headache, nausea and vomiting related  to changes in body position [2]. Very  They are generally   - confusion con quistes ovaricos  - approaches  >  Surgical options consist primarily of either a posterior transsacral or an anterior transabdominal approaches. Several reports have stressed the advantages of the posterior transsacral technique, wich offers (citas),