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Title: Long-term outcomes of external sphincterotomy in a spinal injured population.
Austin Authors: Pan, David;Troy, Andrew J ;Rogerson, John;Bolton, Damien M ;Brown, Douglas J;Lawrentschuk, Nathan
Affiliation: Department of Urology, Austin Health, Victoria, Australia
Issue Date: 16-Dec-2008
Publication information: 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.
Gov't Doc #: 19091341
DOI: 10.1016/j.juro.2008.10.004
Journal: The Journal of urology
Type: Journal Article
Subjects: Adult
Cohort Studies
Follow-Up Studies
Injury Severity Score
Middle Aged
Minimally Invasive Surgical Procedures.methods
Patient Satisfaction
Quality of Life
Risk Assessment
Spinal Cord Injuries.complications.diagnosis
Time Factors
Treatment Outcome
Urinary Bladder,
Urinary Tract Infections.prevention & control
Urologic Surgical Procedures.methods
Young Adult
Appears in Collections:Journal articles

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