PMID: 7581471Jan 1, 1995Paper

Transurethral sphincterotomy in quadriplegic patients: long-term-follow-up

Neurourology and Urodynamics
F NollM Stöhrer

Abstract

Sphincterotomy was the treatment of choice in spinal cord injured patients with reflex bladder activity and detrusor sphincter dyssynergia after World War II. However, nowadays the conversion of a spastic bladder into a low pressure reservoir by medication or operatively has become a more favourable bladder management. Only in quadriplegic patients who are not able to perform self-catheterization, this treatment modality seemed to be an alternative. With twelve o'clock sphincterotomy, urodynamic parameters of the lower urinary tract can be brought to favourable measures (leak-point, residuals). However, the reoperation rate for the maintenance of these urodynamic results is high (57%). Laser sphincterotomy seems to be advantageous in this respect, as it reduces the need for resphincterotomy significantly. Additionally, 14% of the patients needed operations, which made condom fixation possible. Upper tract could only be preserved if sphincterotomy is done early enough. Patients who do not empty completely while in the wheelchair are at risk to develop a hydronephrosis.

References

Apr 1, 1979·The Journal of Urology·H M CarrionV A Politano
Apr 1, 1982·The Journal of Urology·P M Borges, R H Hackler
Aug 1, 1981·The Journal of Urology·E J McGuireR M Weiss

❮ Previous
Next ❯

Citations

Jan 27, 2006·Der Urologe. Ausg. A·J KutzenbergerM Stöhrer
Dec 16, 2006·International Journal of Clinical Practice. Supplement·D Castro-Diaz, J M Taracena Lafuente
Dec 10, 2009·Therapy·Roberto SolerAnthony Atala
Jan 21, 2016·Lower Urinary Tract Symptoms·Chia-Da LinStephen S-D Yang
Aug 26, 2015·European Urology·Jan GroenBertil Blok
May 3, 2018·Neurourology and Urodynamics·Ryosuke TakahashiMasatoshi Eto
Apr 24, 2018·World Journal of Urology·Jean-Jacques WyndaeleNoritoshi Sekido
Feb 6, 2021·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L LepoittevinM A Perrouin-Verbe
May 8, 2002·Archives of Physical Medicine and Rehabilitation·Su-Ju TsaiLiu-Ing Bih

❮ Previous
Next ❯

Related Concepts

Related Feeds

Ataxias (MDS)

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Ataxia

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.