Long-Term Outcomes of External Sphincterotomy in a Spinal Injured Population

Abstract

Purpose: External sphincterotomy is an accepted option for treating patients with detrusor-sphincter dyssynergia. However, long-term outcome data are limited. We ascertained the outcome of treatment results for this procedure. Materials and Methods: A database was reviewed for patients undergoing external sphincterotomy at a large tertiary referral spinal injuries center. Results: For 84 primary sphincterotomies the mean duration of successful outcome was 81 months. A second procedure was required in 30 patients and mean duration of success thereafter was 80 months. Recurrent symptomatic episodes of urinary tract infection, recurrent detrusor-sphincter dyssynergia or upper tract dilatation e..