Transurethral Sphincterotomy with Holmium Laser in Male Patients with Neurogenic Bladder and Long - Term Follow - up

VernacularTitle:钬激光外括约肌切开术在神经源性膀胱男性患者中的应用及长期随访
Author: Pengguo LI ; Limin LIAO ; Yanhe JU ; Guang FU ; Dong LI ; Zongsheng XIONG ; Wenbo SHI
Publication Type:Journal Article
Keywords: spinal cord injury, neurogenic bladder, Holmium laser, sphincterotomy
From: Chinese Journal of Rehabilitation Theory and Practice 2013;19(12):1108-1110
CountryChina
Language:Chinese
Abstract: Objective To explore the technique, efficacy and complications of transurethral sphincterotomy with Holmium laser for the treatment of male patients with neurogenic bladder and examine its long-term outcome. Methods 20 male cases who received transurethral sphincterotomy with Holmium laser were included in this retrospective analysis, in which 7 cases injuried at cervical spinal cord, 6 at thoracic spinal cord, 3 at cauda equine; 1 was spinal meningocele, 1 was sacral crack, 1 was ependymoma, and 1 was myelitis sequel. The age was 20~64 years, averaged 45.1 years. They were followed up for 3~95 months (averaged 43.6 months) since the last sphincterotomy. Results The 20 patients significantly improved in symptoms, laboratory examination, imaging demonstration and urodynamic index after the operation.There were 3 patients who required repeated laser surgery during the follow- up. 17 patients were stable. Conclusion Transurethral sphincterotomy with Holmium laser is effective on neurogenic bladder with less bleeding for the appropriately selected patients.