Bladder Rehabilitation in Patients with Old Spinal Cord Injuries with Bladder Neck Incision and External Sphincterotomy

Abstract
Patients (75) with neurogenic bladders underwent bladder neck incision and/or external sphincterotomy to establish effective vesical emptying and reverse progressive hydronephrosis. A 2nd operation to achieve these goals was necessary in 11 cases. The over-all success rate of these procedures in improving urinary tract stability was 94%. Complications were infrequent, with hemorrhage and impaired penile erection being the principal problems. Eradication of established urinary tract infection was poor. However, infection-related morbidity was improved.