LONG-TERM FOLLOW-UP OF SPHINCTEROTOMY IN THE TREATMENT OF AUTONOMIC DYSREFLEXIA

被引：17

作者：

RICOTTONE, AR ^{[1
]}

PRANIKOFF, K ^{[1
]}

STEINMETZ, JR ^{[1
]}

CONSTANTINO, G ^{[1
]}

机构：

[1] SUNY BUFFALO,DEPT UROL,462 GRIDER ST,BUFFALO,NY 14215

来源：

NEUROUROLOGY AND URODYNAMICS | 1995年 / 14卷 / 01期

关键词：

SPHINCTEROTOMY; AUTONOMIC DYSREFLEXIA; SPINAL CORD LESIONS; BLADDER DISTENSION;

D O I：

10.1002/nau.1930140108

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Autonomic dysreflexia (AD) is a syndrome affecting a majority of patients with high spinal cord lesions. An association between AD and detrusor-sphincter dyssynergia (DSD) is often seen. Between 1980 and 1988 we performed 51 transurethral sphincterotomies in 38 patients. Twelve of these patients underwent procedures primarily for the prevention of AD related to bladder distension. This study presents their long-term follow-up. One patient was lost to follow-up secondary to unrelated death; the remaining 11 patients were followed on average 117.5 months (94-154) after the initial operative procedure. Repeat sphincterotomy was required in 9 of 11 patients (82%). Six (66%) of these were performed within 24 months. One patient (11%) required delayed sphincterotomy greater than 100 months from the initial procedure. Overall, sphincterotomy was successful in controlling symptoms of AD in 10 of 11 (91%) patients. No major complications were recorded. Sphincterotomy is a safe and effective treatment for AD associated with DSD, however long-term urologic follow-up and management are necessary. (C) 1995 Wiley-Liss, Inc.

引用

页码：43 / 46

页数：4

共 17 条

[1]

Barton CH, Khonsari F, Vazini ND, Byrne C, Gordon S, Friis R, The effect of modified transuretheral sphincterotomy on autonomic dysreflexia, J Urol, 135, pp. 83-85, (1986)

[2]

Chancellor MB, Karasick S, Sirup S, Abdill CK, Hirsch IH, Staas WE, Transurethral balloon dilation of the external urinary sphincter: Effectiveness in men with detrusor‐external sphincter dyssynergia, Radiology, 187, pp. 557-560, (1993)

[3]

Chancellor MB, Rivas DA, Abdill CK, Karasick S, Ehrlich SM, Staas WE, Prospective comparison of external sphincter balloon dilation and prosthesis placement with external sphincterotomy in spinal cord injured men, Arch Phys Med Rehabil, 75, pp. 297-305, (1994)

[4]

Erickson RP, Autonomic hyperreflexia: Pathophysiology and medical management, Arch Phys Med Rehabil, 61, pp. 431-440, (1980)

[5]

Guttmann L, Whitteridge D, Effects of bladder distension on autonomic mechanisms after spinal cord injuries, Brain, 70, pp. 361-404, (1947)

[6]

Kewalramani LS, Autonomic dysreflexia in traumatic myelopathy, Am J of Phys Med, 59, pp. 1-21, (1980)

[7]

Kurnick NB, Autonomic hyperreflexia and its control in patients with spinal cord lesions, Ann Intern Med, 44, pp. 678-686, (1956)

[8]

Lockhart JL, Vorstman B, Wcinstein D, Politano VA, Sphincterotomy failure in neurogenic bladder disease, J Urol, 135, pp. 86-89, (1986)

[9]

McGuire EJ, Rossier AB, Treatment of acute autonomic dysreflexia, J Urol, 129, pp. 1185-1186, (1983)

[10]

McLnerney PD, Vanner TF, Harris SA, Stephenson TP, Permanent urethral stents for detrusor sphincter dyssynergia, British Journal of Urology, 67, pp. 291-294, (1991)

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