Anteromedian External Urethral Sphincterotomy: Technique, Rationale and Complications
- 31 March 1977
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Urology
- Vol. 117 (4), 489-493
- https://doi.org/10.1016/s0022-5347(17)58508-0
Abstract
Experiences are presented with bilateral (3 and 9 o''clock incisions) and anteromedian (12 o''clock incision) external urethral sphincterotomy in 84 patients with neuropathic vesicourethral dysfunctions. Hemorrhage and loss of reflexogenic erections were notably absent in 31 patients who underwent anteromedian sphincterotomy. The rationale is discussed for the preference of anteromedian over bilateral sphincterotomy based on postoperative complications. The postoperative, radiologically aided cystosphincterometric and electromyographic studies during micturition indicated the adequacy of the surgical procedures, satisfying the urodynamic criteria, although dyssynergic myoelectric activity of the periurethral striated muscle continued to exist.This publication has 14 references indexed in Scilit:
- Synchronous cystosphincterometry in patients with spinal cord injury Studies with continuous bladder and urethral infusions and physical factors influencing interpretationUrology, 1975
- Transurethral Sphincterotomy: Relationship of Site of Incision to Postoperative Potency and Delayed HemorrhageJournal of Urology, 1975
- Twelve O’clock Sphincterotomy: Technique, Indications, Results (Abbreviated Report)Urologia Internationalis, 1975
- Erectile impotence: Complication of external sphincterotomyUrology, 1974
- Urinary Manometry in Spinal Cord Injury: a Follow‐up Study. Value of Cysto‐Sphincterometrography as an Indication for SphincterotomyBritish Journal of Urology, 1974
- External Sphincterotomy: An Evaluation of 150 Patients with Neurogenic BladderJournal of Urology, 1973
- External Sphincterotomy in Neurogenic Bladder DysfunctionJournal of Urology, 1972
- External Sphincterotomy in Paraplegics: Technique and ResultsJournal of Urology, 1970
- Further Experiences with Division of the External Urethral Sphincter in the ParaplegicJournal of Urology, 1963
- Resection of the External Urethral Sphincter in the Paraplegic—Preliminary ReportJournal of Urology, 1958