Reappraisal of endoscopic sphincterotomy for post-traumatic neurogenic bladder: a prospective study.

PURPOSE: We assessed the results of endoscopic sphincterotomy in patients with detrusor-sphincter dyssynergia secondary to spinal cord injury.

MATERIALS AND METHODS: A prospective study was done of 92 patients with a mean followup of 20.6 months.

RESULTS: The morbidity rate was 10.9%. Results demonstrated objective (assessed by the decrease in voiding pressure) and subjective (expressed by the patient) improvement in quality of micturition in 83.7% and 73% of the cases, respectively. Subjective autonomic dysreflexia resolved in 93.2% of the cases.

CONCLUSIONS: Sphincterotomy is a useful and effective therapeutic method for neurogenic bladder when all available pharmacological treatments and clean intermittent catheterization have failed.