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Experience with Electromyography of the External Urethral Sphincter in Spinal Cord Injury Patients

1982; Lippincott Williams & Wilkins; Volume: 127; Issue: 2 Linguagem: Inglês

10.1016/s0022-5347(17)53739-8

1527-3792

Tomohiko Koyanagi, Katsuhisa Arikado, Tsuneo Takamatsu, Ichiro Tsuji,

Pelvic floor disorders treatments

No AccessJournal of UrologyUrological Neurology and Urodynamics1 Feb 1982Experience with Electromyography of the External Urethral Sphincter in Spinal Cord Injury Patients Tomohiko Koyanagi, Katsuhisa Arikado, Tsuneo Takamatsu, and Ichiro Tsuji Tomohiko KoyanagiTomohiko Koyanagi More articles by this author , Katsuhisa ArikadoKatsuhisa Arikado More articles by this author , Tsuneo TakamatsuTsuneo Takamatsu More articles by this author , and Ichiro TsujiIchiro Tsuji More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)53739-8AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Simultaneous recordings of electromyography of the external urethral sphincter and bladder pressure during voiding were done for 71 male patients with spinal cord injury. Discordant activities between the anal and the external urethral sphincters were noted in 39 per cent of the patients. The degree of bladder dysfunction was related more to the degree of dyssynergia of the urethral than the anal sphincter. This detrusor-sphincter dyssynergia was found in 67 per cent of our patients regardless of the differences in cystometric patterns and the level of spinal injury. The importance of electromyography of the external urethral sphincter in the diagnosis of neurogenic bladder dysfunction was stressed. The management of detrusor-sphincter dyssynergia is discussed briefly. © 1982 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byKAKIZAKI H, MORIYA K, AMEDA K, SHIBATA T, TANAKA H and KOYANAGI T (2018) Diameter of the External Urethral Sphincter as a Predictor of Detrusor-Sphincter Incoordination in Children: Comparative Study of Voiding CystourethrographyJournal of Urology, VOL. 169, NO. 2, (655-658), Online publication date: 1-Feb-2003.Koyanagi T, Morita H, Takamatsu T, Taniguchi K and Shinno Y (2018) Radical Transurethral Resection of the Prostate in Male Paraplegics Revisited: Further Clinical Experience and Urodynamic Considerations for its EffectivenessJournal of Urology, VOL. 137, NO. 1, (72-76), Online publication date: 1-Jan-1987.Koyanagi T, Takamatsu T and Taniguchi K (2018) Further Characterization of the External Urethral Sphincter in Spinal Cord Injury: Study during Spinal Shock and Evolution of Responsiveness to Alpha-Adrenergic StimulationJournal of Urology, VOL. 131, NO. 6, (1122-1126), Online publication date: 1-Jun-1984.Koyanagi T, Arikado K, Takamatsu T and Tsuji I (2018) Prostatic Replux: A Simple Radiographic Sign in Recognising Dysfunctioned Voiding from External Sphincter DisordersJournal of Urology, VOL. 128, NO. 1, (93-97), Online publication date: 1-Jul-1982.Koyanagi T, Arikado K, Takamatsu T and Tsuji I (2018) Relevance of Sympathetic Dyssynergia in the Region of External Urethral Sphincter: Possible Mechanism of Voiding Dysfunction in the Absence of (Somatic) Sphincter DyssynergiaJournal of Urology, VOL. 127, NO. 2, (277-282), Online publication date: 1-Feb-1982. Volume 127Issue 2February 1982Page: 272-276 Advertisement Copyright & Permissions© 1982 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Tomohiko Koyanagi More articles by this author Katsuhisa Arikado More articles by this author Tsuneo Takamatsu More articles by this author Ichiro Tsuji More articles by this author Expand All Advertisement PDF downloadLoading ...