Anteromedian external urethral sphincterotomy: technique, rationale and complications

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 have been notably absent in 31 patients wh...

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Bibliographic Details
Published inThe Journal of urology Vol. 117; no. 4; p. 489
Main Authors Yalla, S V, Fam, B A, Gabilondo, F B, Jacobs, S, Di Benedetto, M, Rossier, A B, Gittes, R F
Format Journal Article
LanguageEnglish
Published United States 01.04.1977
Subjects
Electromyography
Erectile Dysfunction - etiology
Evaluation Studies as Topic
Follow-Up Studies
Hemorrhage - etiology
Humans
Male
Methods
Postoperative Complications
Reflex
Urethra - surgery
Urinary Bladder - physiopathology
Urinary Bladder, Neurogenic - diagnostic imaging
Urinary Bladder, Neurogenic - physiopathology
Urinary Bladder, Neurogenic - surgery
Urination
Urography
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Summary: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 have been 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 myolectric activity of the periurethral striated muscle continued to exist.
ISSN:0022-5347
1527-3792
DOI:10.1016/S0022-5347(17)58508-0