Abstract
This paper reviews the 900 patients admitted to the Regional Paraplegic Centre in Liverpool from 1956 to 1980. The operation of division of the external sphincter, first described by Cosbie Ross in 1956, was found to be indicated in 143 of these patients with neuropathic outflow obstruction, and there was no postoperative impotence.
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References
Abel, B J, Gibbon, N O K, Jameson, R M & Ross, J C (1975). Urethral pressure profile after division of the external sphincter. Paraplegia, 13, 37–41.
Abel, B J, Gibbon, N O K, Jameson, R M & Krishnan, K R (1974). ‘The neuropathic urethra’. Lancet, 2, 1229–1230.
Crane, D B & Hackler, R H (1976). ‘External Sphincterotomy: Its effect on erections’. J. Urol., 116, 316–319.
Dollfus, P, Jurascheck, F, Adli, G & Chapuis, A (1976). ‘Impairment of erection after External Sphincter Resection’. Paraplegia, 13, 290–293.
Emmett, J L, Daut, R V, Dunn, L H (1948). Role of External Sphincter in the normal bladder and the cord bladder. J. Urol., 59, 439–454.
Gelbard, M Sarte, D & Kaufman, J J (1981). Ultrasound Imaging of Peyronie's Plaques. J. Urol., 125, 44–46.
Gibbon, N O K, Ross, J C & Damanski, M (1965). Bladder neck resection in the paraplegic - report of over 100 cases. Int. J. Paraplegia, 2, 264–278.
Gibbon, N O K (1973). Division of the external sphincter. Brit. J. Urol., 45, 110–115.
Gibbon, N O K (1976). A Further look at the rationale of External Sphincterotomy. Paraplegia, 13, 243–246.
Gosling, J A & Dixon, J S (1979). J. of Anatomy, 129, 216–220.
Guttman, Sir L (1976). Paraplegia, 13, 294.
Hachen, H J & Ott, R (1976). Late results of bilateral endoscopic sphincterotomy in patients with upper motor neurone lesions. Paraplegia, 13, 268–274.
Jameson, R M (1981). Prophecy and Prostatectomy. Practitioner, 225, 561–565.
Leriche, A, Archimbaud, J P, Berard, E, Minaire, P & Bourret, J (1979). Differential diagnosis and limitations of external sphincterotomy. Paraplegia, 13, 280–285.
Madersbacher, H & Brantley Scott, F (1976). The Twelve O’Clock sphincterotomy: technique, indications and results. Paraplegia, 13, 261–267.
Ross, J C (1965). Treatment of the Bladder in Paraplegia. Brit. J. Urol., 28, 14–23.
Ross, J C & Damanski, M (1953). Pudendal Neurectomy in the Treatment of the Bladder in Spinal Injury. Brit. J. Urol., 25, 45–48.
Ross, J C, Gibbon, N O K, Damanski, M (1958). Division of the External Sphincter in the treatment of the paraplegic bladder. Brit. J. Urol., 30, 204–212.
Ross, J C, Gibbon, N O K & Damanski, M (1967). Division of the External Sphincter in the treatment of the neuropathic bladder: 10 year review. Brit. J. Surgery, 54, 627– 628.
Ross, J C, Gibbon, N O K & Sham Sunder, G (1976). Division of the External Sphincter in the neuropathic bladder: 20 year review. Brit. J. Urol., 48, 649–656.
Schellhammer, P F, Hackler, R H & Bunts, R C (1974). External Sphincterotomy: rationale for the procedure and experiences with 150 patients. Paraplegia, 1, 5–14.
Schoenfield, L, Carrion, H M & Politano, V A (1974). Erectile impotence: complication of external sphincterotomy. Urology, 4, 681–683.
Thomas, D G (1976). The effect of transurethral surgery on penile erections in spinal cord injury patients. Paraplegia, 13, 286–289.
Windle, R & Roberts, J B (1974). Ejaculatory function after prostatectomy. Prac. Royal Society of Medicine, 67, 1160–1162.
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Jameson, R. The long term results of transurethral division of the external urethral sphincter in the neuropathic urethra with reference to potency. Spinal Cord 20, 299–303 (1982). https://doi.org/10.1038/sc.1982.56
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DOI: https://doi.org/10.1038/sc.1982.56