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Related Experiment Videos

Detrusor-sphincter dyssynergia.

E J McGuire, S Brady

    The Journal of Urology
    |June 1, 1979
    PubMed
    Summary

    Spinal cord injury patients with detrusor-sphincter dyssynergia managed with intermittent catheterization showed outcomes comparable to those treated with external sphincterotomy. Both approaches effectively managed bladder function and prevented upper urinary tract changes.

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    Area of Science:

    • Urology
    • Neurosurgery
    • Rehabilitation Medicine

    Background:

    • Complete suprasacral spinal cord injuries often lead to detrusor-sphincter dyssynergia.
    • This condition complicates bladder management and can cause upper urinary tract damage.

    Purpose of the Study:

    • To compare the long-term efficacy of intermittent catheterization versus external sphincterotomy in managing bladder function in spinal cord injury patients.
    • To assess the incidence of bacteriuria and upper urinary tract changes in both treatment groups.

    Main Methods:

    • A cohort of 62 patients with complete suprasacral spinal cord injuries and detrusor-sphincter dyssynergia were followed for at least 2 years.
    • Urodynamic evaluations were performed regularly.
    • Fifty percent of patients underwent external sphincterotomy; the rest managed with prolonged intermittent catheterization.

    Main Results:

    • Patients managed with prolonged intermittent catheterization demonstrated outcomes similar to those who underwent external sphincterotomy.
    • No significant differences were observed in the rates of bacteriuria or upper urinary tract changes between the two groups.

    Conclusions:

    • External sphincterotomy and prolonged intermittent catheterization are both effective in achieving balanced bladder function post-spinal cord injury.
    • Intermittent catheterization offers a viable alternative to surgical intervention for managing detrusor-sphincter dyssynergia in this patient population.

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