Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/10730
Title: Long-term outcomes of external sphincterotomy in a spinal injured population.
Authors: Pan, David;Troy, Andrew J;Rogerson, John;Bolton, Damien M;Brown, Douglas J;Lawrentschuk, Nathan
Affiliation: Department of Urology, Austin Health, Victoria, Australia. dpan1111@yahoo.com.au
Issue Date: 16-Dec-2008
Citation: The Journal of Urology 2008; 181(2): 705-9
Abstract: External sphincterotomy is an accepted option for treating patients with detrusor-sphincter dyssynergia. However, long-term outcome data are limited. We ascertained the outcome of treatment results for this procedure.A database was reviewed for patients undergoing external sphincterotomy at a large tertiary referral spinal injuries center.For 84 primary sphincterotomies the mean duration of successful outcome was 81 months. A second procedure was required in 30 patients and mean duration of success thereafter was 80 months. Recurrent symptomatic episodes of urinary tract infection, recurrent detrusor-sphincter dyssynergia or upper tract dilatation eventually ensued in 57 of 84 patients (68%). Renal failure did not develop in any patients.External sphincterotomy protects the upper renal tracts and provides extended periods of satisfactory bladder emptying. However, it may require ongoing revision and should potentially be regarded as a staged intervention.
Internal ID Number: 19091341
URI: http://ahro.austin.org.au/austinjspui/handle/1/10730
DOI: 10.1016/j.juro.2008.10.004
URL: http://www.ncbi.nlm.nih.gov/pubmed/19091341
Type: Journal Article
Subjects: Adult
Cohort Studies
Cystoscopy.methods
Female
Follow-Up Studies
Humans
Injury Severity Score
Male
Middle Aged
Minimally Invasive Surgical Procedures.methods
Patient Satisfaction
Quality of Life
Registries
Risk Assessment
Spinal Cord Injuries.complications.diagnosis
Time Factors
Treatment Outcome
Urinary Bladder, Neurogenic.etiology.physiopathology.surgery
Urinary Tract Infections.prevention & control
Urodynamics
Urologic Surgical Procedures.methods
Victoria
Young Adult
Appears in Collections:Journal articles

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