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The maximum detrusor pressure as a predictive factor of success after sphincterotomy in detrusor-sphincter dyssynergia

Neurourology and Urodynamics Sep 20, 2018

Hourié A, et al. - In male patients with neurogenic detrusor-sphincter dyssynergia (DSD), experts assessed the effect of the pre-operative maximum detrusor pressure (MDP) on effectiveness outcomes following incontinentation by sphincterotomy or urethral stent placement. A retrospective study was conducted with 41 male patients with neurogenic DSD confirmed by baseline urodynamic studies treated between 2006 and 2013 in a tertiary reference center. Findings suggested an association between MDP and the success rate of treatment following surgical management of DSD of neurogenic origin by sphincteric stent placement or surgical sphincterotomy. They noted a correlation of a threshold of 40 mH2O with higher success rates.

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