Abstract
Based on the experience to date with central cord syndrome, most or all of the following conditions should be present before considering transurethral sphincterotomy: (1) minimal neurological recovery within 6 months of injury; (2) four plus spasticity in patients over the age of 50 years; (3) prolonged intermittent catheterisation over 6 months, with persistent residual urine over 300 ml; (4) persistent and repeated use of diazepam, dantrolene sodium to control pelvic floor spasticity; (5) demonstrable detrusor-sphincter dyssynergia.
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References
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Perkash, I. Management of neurogenic bladder dysfunctions following acute traumatic cervical central cord syndrome (incomplete tetraplegia). Spinal Cord 15, 21–35 (1977). https://doi.org/10.1038/sc.1977.5
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DOI: https://doi.org/10.1038/sc.1977.5
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