Reappraisal of endoscopic sphincterotomy for post-traumatic neurogenic bladder: a prospective study.
OBJECTIVE
We assessed the results of endoscopic sphincterotomy in patients with detrusor-sphincter dyssynergia secondary to spinal cord injury.


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.
D000328:Adult; D016022:Case-Control Studies; D004724:Endoscopy; D005500:Follow-Up Studies; D006429:Hemiplegia / Q000150:complications; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D011446:Prospective Studies; D011782:Quadriplegia / Q000150:complications; D013119:Spinal Cord Injuries / Q000150:complications*; D013997:Time Factors; D014521:Urethra / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D014546:Urinary Catheterization; D014549:Urinary Incontinence / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D014563:Urodynamics / Q000502:physiology