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Technique of external sphincter balloon dilatation
M B Chancellor1, I H Hirsch, P Kiilholma
1Department of Urology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Urology
|October 1, 1992
Summary
Balloon dilatation of the external sphincter offers a new treatment for spinal cord-injured men with bladder emptying issues. This technique successfully enabled bladder emptying in all patients, preventing incontinence.
Area of Science:
- Urology
- Neurology
- Rehabilitation Medicine
Background:
- Detrusor external sphincter dyssynergia (DESD) is a common complication in spinal cord injury (SCI).
- Elevated voiding pressure in SCI patients can lead to incomplete bladder emptying and potential upper tract damage.
Purpose of the Study:
- To describe a novel technique using balloon dilatation of the external sphincter.
- To evaluate the early efficacy of this technique in SCI men with DESD.
Main Methods:
- The study involved 7 men with SCI and DESD.
- A balloon dilatation procedure was performed on the external sphincter.
- Outcomes were assessed based on bladder emptying and incontinence.
Main Results:
- Balloon dilatation was successfully performed in all 7 patients.
- All patients achieved effective bladder emptying using condom catheters post-procedure.
- No instances of dribbling incontinence were reported after dilatation.
Conclusions:
- Balloon dilatation of the external sphincter is a promising minimally invasive technique for managing DESD in SCI.
- This method facilitates bladder emptying and improves continence in affected individuals.