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Division of the External Sphincter 1
Author(s) -
GIBBON N. O. K.
Publication year - 1973
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1973.tb12126.x
Subject(s) - medicine , sphincter , spastic , surgery , spasticity , division (mathematics) , resection , external anal sphincter , neck of urinary bladder , urology , urinary bladder , physical medicine and rehabilitation , mathematics , rectum , arithmetic , cerebral palsy , anal canal
Summary Division of the external sphincter may be required for obstruction at that level with or without evidence of spasticity. In supra‐sacral lesions with good detrusor contractions there is normally no indication for a bladder neck resection and, when necessary, external sphincterotomy can confidently be carried out as a primary procedure. In sacral lesions, bladder neck resection may be required as a substitute for the normal opening mechanism, and this may have to be followed by division of an obstructive but non‐spastic external sphincter region. The operation shows up favourably as regards simplicity, safety, effectiveness and freedom from complications when compared with the alternative procedures which have been suggested.