Transurethral sphincterotomy: relationship of site of incision to postoperative potency and delayed hemorrhage.
A series of 33 cases of transurethral sphincterotomy is reviewed, comparing the incidence of postoperative complications between incisions at the 3 and 9 o'clock and those at the 1 and 11 o'clock positions. Postoperative impotence and delayed hemorrhage were more frequently encountered following incisions at the 3 and 9 o'clock positions. It is recommended that patients be warned of the possibility of loss of erections following sphincterotomy and that the 1 and 11 o'clock positions be adopted routinely for this procedure.
D007172:Erectile Dysfunction / Q000209:etiology*; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D008722:Methods; D011183:Postoperative Complications; D012189:Retrospective Studies; D014521:Urethra / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D014555:Urination Disorders / Q000209:etiology