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Related Experiment Videos

Sphincterotomy failure

J A Santiago1

  • 1Clement J. Zablocki Veterans Affairs Medical Center, Spinal Cord Injury Service, Milwaukee, WI.

The Journal of the American Paraplegia Society
|July 1, 1993
PubMed
Summary
This summary is machine-generated.

Transurethral sphincterotomy for spinal cord injury patients had a high initial success rate but required reoperation in 36% of cases. Further investigation into bladder neck prostheses may improve long-term outcomes.

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Area of Science:

  • Urology
  • Neurosurgery
  • Rehabilitation Medicine

Background:

  • Spinal cord injury (SCI) frequently leads to lower urinary tract dysfunction.
  • Transurethral sphincterotomy is a common surgical intervention for managing detrusor-sphincter dyssynergia in SCI patients.
  • Long-term efficacy and failure mechanisms of this procedure require further elucidation.

Purpose of the Study:

  • To review the long-term outcomes of transurethral sphincterotomy in a spinal cord injured population.
  • To identify potential causes for late failure of the procedure.
  • To explore novel therapeutic strategies for improving surgical success.

Main Methods:

  • Retrospective analysis of 25 spinal cord injured patients undergoing transurethral sphincterotomy.

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  • Review of operative records and long-term follow-up data.
  • Identification of patients requiring repeat procedures and analysis of failure modes.

    • Main Results:

    • The initial success rate of transurethral sphincterotomy was high.
    • Nine out of 25 patients (36%) required repeat operative procedures.
    • Significant late failures were observed, with potential mechanisms outlined.

    Conclusions:

    • Transurethral sphincterotomy offers initial benefit but has a notable rate of late failure in SCI patients.
    • Investigating alternative or adjunctive treatments, such as bladder neck prostheses, is warranted.
    • Bladder neck prostheses are under active investigation to potentially enhance long-term functional outcomes.