TRANSURETHRAL INCISION OF VESICAL NECK IN PATIENTS WITH SPINAL CORD INJURY

Abstract

In an attempt to clearly define the indication of incision of the vesical neck by TUR, a cystographic study was made, in which movements of the vesical neck at about the maximum voiding pressure were observed following the intravesical injection of an opaque agent via the tonometer. In 15 of 46 patients with spinal cord injury the vesical neck was seen to dilate while forming a constriction.
In 10 of these 15 patients, an incision was made into the vesical neck by TUR, which resulted in an improvement of voiding efficiency in 9 of them.
Since these movements of the vesical neck of “constriction” type are demonstrated, by electromyography of muscles of the pelvic floor conjoined with vesical tonometry not functional, TUR may be indicated wherever they are recognized at any stadium of spinal cord injury.