RADICAL TRANSURETHRAL RESECTION OF PROSTATE FOR SPINAL CORD INJURY PATIENTS

II. Its Urodynamic Evaluation

Abstract

We evaluated the urodynamic effects of radical transurethral resection of the prostate in 100 spinal cord injury patients. Vesical compliance increased after the operation in almost all cases. Detrusor hyperreflexia disappeared in 6 of 16 cases and the reflex was suppressed in 7 cases. Electromyographically, detrusor sphincter dyssynergia was abolished or suppressed in 30 of 35 dyssynergic patients. On urethral pressure profile, there was a tendency for the maximum urethral pressure to be lowered.
The urodynamic effects of radical TUR-P may be ascribable to “sympathectomy” effect of the denervated urethra.