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Radical Transurethral Resection of the Prostate in Male Paraplegics Revisited: Further Clinical Experience and Urodynamic Considerations for its Effectiveness

1987; Lippincott Williams & Wilkins; Volume: 137; Issue: 1 Linguagem: Inglês

10.1016/s0022-5347(17)43876-6

1527-3792

Tomohiko Koyanagi, Hajime Morita, Tsuneo Takamatsu, Kotaro Taniguchi, Yuichiro Shinno,

Urologic and reproductive health conditions

No AccessJournal of Urology1 Jan 1987Radical Transurethral Resection of the Prostate in Male Paraplegics Revisited: Further Clinical Experience and Urodynamic Considerations for its Effectiveness Tomohiko Koyanagi, Hajime Morita, Tsuneo Takamatsu, Kotaro Taniguchi, and Yuichiro Shinno Tomohiko KoyanagiTomohiko Koyanagi More articles by this author , Hajime MoritaHajime Morita More articles by this author , Tsuneo TakamatsuTsuneo Takamatsu More articles by this author , Kotaro TaniguchiKotaro Taniguchi More articles by this author , and Yuichiro ShinnoYuichiro Shinno More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)43876-6AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We report our experience with radical transurethral resection of the prostate performed on 89 male spinal cord injury subjects. The over-all success rate of modified sphincterotomy was 90 per cent, although there was a 14 per cent recurrence rate with time. Urodynamically, success was characterized by a statistically significant reduction in the degree of detrusor-sphincter dyssynergia, an increase in vesical compliance and a reduction in detrusor hyperreflexia. These results suggest an effect on the distal sphincteric area by the adrenergic system in the genesis of detrusor-sphincter dyssynergia. It is suggested that radical transurethral resection of the prostate exerts this effect via a surgical sympathectomy, while continence is preserved by the activity of the untouched external urethral sphincter. © 1987 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited BySMITH C and CHANCELLOR M (2018) EMERGING ROLE OF BOTULINUM TOXIN IN THE MANAGEMENT OF VOIDING DYSFUNCTIONJournal of Urology, VOL. 171, NO. 6 Part 1, (2128-2137), Online publication date: 1-Jun-2004.Ameda K, Koyanagi T, Nantani M, Taniguchi K and Matsuno T (2018) The Relevance of Preoperative Cystometrography in Patients with Benign Prostatic Hyperplasia: Correlating the Findings with Clinical Features and Outcome After ProstatectomyJournal of Urology, VOL. 152, NO. 2 Part 1, (443-447), Online publication date: 1-Aug-1994.Dewire D, Owens R, Anderson G, Gottlieb M and Lepor H (2018) A Comparison of the Urological Complications Associated with Long-Term Management of Quadriplegics with and without Chronic Indwelling Urinary CathetersJournal of Urology, VOL. 147, NO. 4, (1069-1071), Online publication date: 1-Apr-1992.Diokno A (2018) Editorial CommentsJournal of Urology, VOL. 147, NO. 4, (1071-1072), Online publication date: 1-Apr-1992.Kobayashi S, Demura T, Nonomura K and Koyanagi T (2018) Autoradiographic Localization of α1-Adrenoceptors in Human Prostate: Special Reference to Zonal DifferenceJournal of Urology, VOL. 146, NO. 3, (887-890), Online publication date: 1-Sep-1991. Volume 137Issue 1January 1987Page: 72-76 Advertisement Copyright & Permissions© 1987 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Tomohiko Koyanagi More articles by this author Hajime Morita More articles by this author Tsuneo Takamatsu More articles by this author Kotaro Taniguchi More articles by this author Yuichiro Shinno More articles by this author Expand All Advertisement PDF DownloadLoading ...