Reappraisal of endoscopic sphincterotomy for posttraumatic neurogenic bladder: A prospective study

Purpose: We assessed the results of endoscopic sphincterotomy in patients with detrusorsphincter dyssynergia secondary to spinal cord injury. Materials and Methods: A prospective study was done of 92 patients with a mean follow up 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.