{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T18:20:19Z","timestamp":1790014819741,"version":"4.0.1"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2005,10,19]],"date-time":"2005-10-19T00:00:00Z","timestamp":1129680000000},"content-version":"vor","delay-in-days":3944,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[1995,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Autonomic dysreflexia (AD) is a syndrome affecting a majority of patients with high spinal cord lesions. An association between AD and detrusor\u2010sphineter dyssynergia (DSD) is often seen. Between 1980 and 1988 we performed 51 transurethral sphincterotomies in 38 patients. Twelve of these patients underwent procedures primarily for the prevention of AD related to bladder distension. This study presents their long\u2010term follow\u2010up.<\/jats:p><jats:p>One patient was lost to follow\u2010up secondary to unrelated death; the remaining 11 patients were followed on average 117.5 months (94\u2013154) after the initial operative procedure. Repeat sphincterotomy was required in 9 of 11 patients (82%) Six (66% ) of these were performed within 24 months. One patient (11%) required delayed sphincterotomy greater than 100 months from the initial procedure. Overall, sphincterotomy was successful in controlling symptoms of AD in 10 of 11 (91%) patients. No major complications were recorded. Sphincterotomy is a sate and effective treatment for AD associated with DSD, however long\u2010term urologic follow\u2010up and management are necessary. \u00a9 1995 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/nau.1930140108","type":"journal-article","created":{"date-parts":[[2007,3,4]],"date-time":"2007-03-04T13:07:44Z","timestamp":1173013664000},"page":"43-46","source":"Crossref","is-referenced-by-count":18,"title":["Long\u2010term follow\u2010up of sphincterotomy in the treatment of autonomic dysreflexia"],"prefix":"10.1002","volume":"14","author":[{"given":"Anthony R.","family":"Ricottone","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Pranikoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James R.","family":"Steinmetz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgeann","family":"Constantino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,10,19]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/S0022-5347(17)45524-8","article-title":"The effect of modified transuretheral sphincterotomy on autonomic dysreflexia","volume":"135","author":"Barton CH","year":"1986","journal-title":"J Urol"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.187.2.8475307"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(94)90033-7"},{"key":"e_1_2_1_5_1","first-page":"431","article-title":"Autonomic hyperreflexia: Pathophysiology and medical management","volume":"61","author":"Erickson RP","year":"1980","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/70.4.361"},{"key":"e_1_2_1_7_1","first-page":"1","article-title":"Autonomic dysreflexia in traumatic myelopathy","volume":"59","author":"Kewalramani LS","year":"1980","journal-title":"Am J of Phys Med"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-44-4-678"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)45525-X"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)52631-2"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1991.tb15137.x"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)57233-X"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)56988-8"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)66333-X"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)60159-9"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)38140-5"},{"key":"e_1_2_1_17_1","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1016\/S0022-5347(17)35134-0","article-title":"Is sphincterotomy the best management of the spinal cord injured bladder","volume":"151","author":"Vapneck JM","year":"1994","journal-title":"J Urol"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)58508-0"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.1930140108","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.1930140108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T22:32:30Z","timestamp":1700519550000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.1930140108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1995,1]]}},"alternative-id":["10.1002\/nau.1930140108"],"URL":"https:\/\/doi.org\/10.1002\/nau.1930140108","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,1]]}}}