Abstract
External sphincterotomy, a procedure for lowering urethral resistance in the neurogenic bladder so as to restore efficient voiding and eliminate catheter drainage, is described. The technique is simple, the morbidity low and the success rate is high. It is most useful in the reflex upper motor neuron bladder, but should be considered in all catheter-bound neurogenic bladders. As multiple procedures may be required failures should be re-evaluated. Our experience with 173 operations on 150 patients is reviewed.
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