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September 1, 1975The Journal of Urology54 citations

Transurethral Sphincterotomy: Relationship of Site of Incision to Postoperative Potency and Delayed Hemorrhage

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MKMark D. Kiviat

Key Points

  • The study aims to evaluate how the site of incision in transurethral sphincterotomy affects postoperative complications such as impotence and hemorrhage.
  • Review of 33 cases of transurethral sphincterotomy
  • Comparison of complications between 3 and 9 o'clock versus 1 and 11 o'clock incision sites
  • Analysis of incidence of postoperative impotence and delayed hemorrhage
  • Increased incidence of postoperative impotence and delayed hemorrhage for incisions at 3 and 9 o'clock positions.
  • Lower rates of complications observed for 1 and 11 o'clock incisions.
  • Recommendation to use 1 and 11 o'clock positions routinely to minimize risks.

Abstract

A series of 33 cases of transurethral sphincterotomy is reviewed, comparing the incidence of postoperative complications between incisions at the 3 and 9 o'clock and those at the 1 and 11 o'clock positions. Postoperative impotence and delayed hemorrhage were more frequently encountered following incisions at the 3 and 9 o'clock positions. It is recommended that patients be warned of the possibility of loss of erections following sphincterotomy and that the 1 and 11 o'clock positions be adopted routinely for this procedure.

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Cite This Study

Mark D. Kiviat (1975) studied this question.

synapsesocial.com/papers/6a0cd0e559b087b0dc625c33https://doi.org/10.1016/s0022-5347(17)67039-3
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