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Permanent External Striated Sphincter Stents in Patients with Spinal Injuries
Author(s) -
SHAW P. J. R.,
MILROY E. J. G.,
TIMONEY A. G.,
DIN A. EL,
MITCHELL NAN
Publication year - 1990
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.1990.tb14931.x
Subject(s) - medicine , dyssynergia , stent , surgery , sphincter
Summary— Nine patients with complete quadriplegia underwent external striated sphincter stenting with the Wallstent in place of an external striated sphincterotomy. Although suprapubic catheters were placed to provide an outlet should problems develop with the stent, they were successfully removed within 6 weeks in all but 1 patient. Complete bladder emptying with reduced voiding pressures was achieved, together with a significant reduction in the duration of hyper‐reflexic contractions. Epithelialisation of the stent was almost complete within 3 months and intermittent catheterisation or endoscopy (and resection) is possible through the stent. Although this is a preliminary report of this new technique, it is hoped that sphincter stenting will provide a rapid, safe and effective method of treating high pressure hyper‐reflexia and detrusor sphincter dyssynergia in quadriplegic patients. Based on a Poster Demonstration at the 45th Annual Meeting of the British Association of Urological Surgeons inStHelier, June l989