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External sphincterotomy at the 12 o'clock position.

H M Carrion, B T Brown, V A Politano

    The Journal of Urology
    |April 1, 1979
    PubMed
    Summary
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    Transurethral resection of the external sphincter effectively cured 75% of vesicoureteral reflux but showed a 65% success rate for reducing residual urine. Postoperative impotence occurred in 2.8% of men undergoing this sphincter surgery.

    Area of Science:

    • Urology
    • Surgical Procedures

    Background:

    • Transurethral resection of the external sphincter is a surgical technique.
    • External sphincter dysfunction can lead to urinary issues.

    Purpose of the Study:

    • To evaluate the efficacy of transurethral resection of the external sphincter.
    • To assess outcomes including impotence, vesicoureteral reflux cure, and post-voiding residual urine reduction.

    Main Methods:

    • The study involved 60 men undergoing transurethral resection of the external sphincter at the 12 o'clock position.
    • The procedure was performed 61 times.

    Main Results:

    • A 2.8% incidence of postoperative impotence was observed.
    • A 75% cure rate for vesicoureteral reflux was achieved.

    Related Experiment Videos

  • A 65% success rate in decreasing post-voiding residual urine after 6 months was noted.

    • Conclusions:

    • Transurethral resection of the external sphincter demonstrates effectiveness in treating vesicoureteral reflux.
    • The procedure has a moderate success rate in reducing post-voiding residual urine.
    • Potential complications such as impotence should be considered.