Reappraisal of endoscopic sphincterotomy for posttraumatic neurogenic bladder: A prospective study

被引：33
|
作者：
Fontaine, E [1 ]
Hajri, M [1 ]
Rhein, F [1 ]
Fakacs, C [1 ]
leMouel, NA [1 ]
Beurton, D [1 ]
机构：
[1] NEUROL REHABIL CTR COUBERT,COUBERT,FRANCE
来源：
JOURNAL OF UROLOGY | 1996年 / 155卷 / 01期
关键词：
spinal cord injuries; bladder; neurogenic; urethra; urodynamics;
D O I：
10.1016/S0022-5347(01)66618-7
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Purpose: We assessed the results of endoscopic sphincterotomy in patients with detrusorsphincter dyssynergia secondary to spinal cord injury. Materials and Methods: A prospective study was done of 92 patients with a mean follow up 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.
引用
收藏
页码：277 / 280
页数：4
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