Audit of bladder neck resection in spinal cord injured patients

An audit was carried out at Ibn Al-Kuff Spinal Injuries Hospital, Baghdad, Iraq, to try to establish the value of bladder neck resection in the neuropathic bladder of spinal injured patients. Spinal cord injured men who underwent bladder neck resection and/or external sphincterotomy were identified and their bladder management and post-operative outcome was reviewed. Some patients were available for objective assessment with urodynamics. Results of this procedure are discussed. Blind bladder neck resection, ie without prior urodynamic appraisal, was found to be useless in achieving bladder management goals.