{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:39:23Z","timestamp":1761129563263,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,9,11]],"date-time":"2018-09-11T00:00:00Z","timestamp":1536624000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the impact of the pre\u2010operative maximum detrusor pressure (MDP) on efficacy outcomes after incontinentation by sphincterotomy or urethral stent placement in male patients with neurogenic detrusor\u2010sphincter dyssynergia (DSD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was performed in 41 male patients treated between 2006 and 2013 in a tertiary reference center. All patients had a neurogenic DSD confirmed by baseline urodynamic studies, and were unable or secondary failed to practice CISC. Success was defined as a post\u2010void residual volume &lt;150\u2009mL. Influence of MDP on treatment efficacy was evaluated through a Mann\u2010Whitney U\u2010Test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median (range) age was 39 years (20\u201069). Spinal cord injury was the main underlying condition. Twenty\u2010six patients had a sphincteric stent placement (Memocath\u00ae, Bard, Covington) and 15 had surgical sphincterotomy. Treatment was successful in 31 patients (76%). Patients with immediate successful outcomes had a significantly higher mean preoperative MDP (59.6 vs 29.7 cmH<jats:sub>2<\/jats:sub>O; <jats:italic>P<\/jats:italic>\u2009=\u20090.002). Patients with MDP over the threshold of 40\u2009cmH<jats:sub>2<\/jats:sub>O had a 90% success rate. These differences were maintained at 6 months, MDP being higher in the success group than in the failure group (59.5 vs 39.8\u2009cmH<jats:sub>2<\/jats:sub>O, respectively, <jats:italic>P<\/jats:italic>\u2009=\u20090.008). The technique used (stent placement or incision) had no impact on immediate or 6\u2010month success rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results suggested that MDP is associated with treatment success rate after surgical management of DSD of neurogenic origin by sphincteric stent placement or surgical sphincterotomy. A threshold of 40\u2009mH<jats:sub>2<\/jats:sub>O is associated with higher success rates.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.23759","type":"journal-article","created":{"date-parts":[[2018,9,11]],"date-time":"2018-09-11T08:33:01Z","timestamp":1536654781000},"page":"2758-2762","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The maximum detrusor pressure as a predictive factor of success after sphincterotomy in detrusor\u2010sphincter dyssynergia"],"prefix":"10.1002","volume":"37","author":[{"given":"Alexandre","family":"Houri\u00e9","sequence":"first","affiliation":[{"name":"Department of Urology Charles Nicolle University Hospital Rouen Cedex France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francois\u2010Xavier","family":"Nouhaud","sequence":"additional","affiliation":[{"name":"Department of Urology Charles Nicolle University Hospital Rouen Cedex France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilien","family":"Baron","sequence":"additional","affiliation":[{"name":"Department of Urology Charles Nicolle University Hospital Rouen Cedex France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John\u2010David","family":"Rebibo","sequence":"additional","affiliation":[{"name":"Department of Urology Charles Nicolle University Hospital Rouen Cedex France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Pfister","sequence":"additional","affiliation":[{"name":"Department of Urology Charles Nicolle University Hospital Rouen Cedex France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Grise","sequence":"additional","affiliation":[{"name":"Department of Urology Charles Nicolle University Hospital Rouen Cedex France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6735-1601","authenticated-orcid":false,"given":"Jean\u2010Nicolas","family":"Cornu","sequence":"additional","affiliation":[{"name":"Department of Urology Charles Nicolle University Hospital Rouen Cedex France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2010.06.005"},{"key":"e_1_2_8_3_1","unstructured":"PerkashI.Long\u2010term urologic management of the patient with spinal cord injury. \u2212 PubMed \u2212 NCBI n.d.http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/8351768(accessed August 27 2015)."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)68377-0"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(99)90252-6"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.04.028"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1166-7087(07)92362-3"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3102069"},{"key":"e_1_2_8_9_1","first-page":"193","article-title":"Resection of the external urethral sphincter in the paraplegic; 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