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Comparative Study
. 1996 Jan;155(1):277-80.

Reappraisal of endoscopic sphincterotomy for post-traumatic neurogenic bladder: a prospective study

E Fontaine  1 , M Hajri, F Rhein, C Fakacs, M A Le Mouel, D Beurton
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  • PMID: 7490855
Comparative Study

Reappraisal of endoscopic sphincterotomy for post-traumatic neurogenic bladder: a prospective study

E Fontaine et al. J Urol. 1996 Jan.

Abstract

Purpose: We assessed the results of endoscopic sphincterotomy in patients with detrusor-sphincter dyssynergia secondary to spinal cord injury.

Materials and methods: A prospective study was done of 92 patients with a mean followup of 20.6 months.

Results: The morbidity rate was 10.9%. Results demonstrated objective (assessed by the decrease in voiding pressure) and subjective (expressed by the patient) improvement in quality of micturition in 83.7% and 73% of the cases, respectively. Subjective autonomic dysreflexia resolved in 93.2% of the cases.

Conclusions: Sphincterotomy is a useful and effective therapeutic method for neurogenic bladder when all available pharmacological treatments and clean intermittent catheterization have failed.

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