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• W2402181113 abstract "No AccessJournal of Urology1 Oct 1977Sympathetic Dyssynergia in the Region of the External Sphincter: A Possible Source of Lower Urinary Tract Obstruction S.A. Awad, and J.W. Downie S.A. AwadS.A. Awad More articles by this author , and J.W. DownieJ.W. Downie More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)58133-1AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Voiding cystourethrography demonstrated urethral constriction at the level of the external urinary sphincter in 10 patients with neurological dysfunctions. Ten mg. phentolamine mesylate intravenously alleviated this constriction, permitting better flow and reducing residual urine in 5 patients with a traumatic spinal injury, 2 with transverse myelitis and 1 who had had a cerebrovascular accident. Oral therapy with phenoxybenzamine hydrochloride, used in 7 of the 8 patients, reduced the post-void residual urine and produced improvement in hydronephrosis when present. These observations are consistent with the presence of a significant sympathetic component to obstruction at the region of the external sphincter in certain neurological disorders. © 1977 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByBARBALIAS G, NIKIFORIDIS G and LIATSIKOS E (2018) alpha-BLOCKERS FOR THE TREATMENT OF CHRONIC PROSTATITIS IN COMBINATION WITH ANTIBIOTICSJournal of Urology, VOL. 159, NO. 3, (883-887), Online publication date: 1-Mar-1998.Koyanagi T, Morita H, Takamatsu T, Taniguchi K and Shinno Y (2018) Radical Transurethral Resection of the Prostate in Male Paraplegics Revisited: Further Clinical Experience and Urodynamic Considerations for its EffectivenessJournal of Urology, VOL. 137, NO. 1, (72-76), Online publication date: 1-Jan-1987.Gajewski J, Downie J and Awad S (2018) Experimental Evidence for a Central Nervous system Site of Action in the Effect of Alpha-Adrenergic Blockers on the External Urinary SphincterJournal of Urology, VOL. 132, NO. 2, (403-409), Online publication date: 1-Aug-1984.Koyanagi T, Takamatsu T and Taniguchi K (2018) Further Characterization of the External Urethral Sphincter in Spinal Cord Injury: Study during Spinal Shock and Evolution of Responsiveness to Alpha-Adrenergic StimulationJournal of Urology, VOL. 131, NO. 6, (1122-1126), Online publication date: 1-Jun-1984.Barbalias G, Meares E and Sant G (2018) Prostatodynia: Clinical and Urodynamic CharacteristicsJournal of Urology, VOL. 130, NO. 3, (514-517), Online publication date: 1-Sep-1983.Koyanagi T, Arikado K, Takamatsu T and Tsuji I (2018) Experience with Electromyography of the External Urethral Sphincter in Spinal Cord Injury PatientsJournal of Urology, VOL. 127, NO. 2, (272-276), Online publication date: 1-Feb-1982.Wein A (2018) Editorial CommentJournal of Urology, VOL. 127, NO. 2, (276-276), Online publication date: 1-Feb-1982.Koyanagi T, Arikado K, Takamatsu T and Tsuji I (2018) Relevance of Sympathetic Dyssynergia in the Region of External Urethral Sphincter: Possible Mechanism of Voiding Dysfunction in the Absence of (Somatic) Sphincter DyssynergiaJournal of Urology, VOL. 127, NO. 2, (277-282), Online publication date: 1-Feb-1982.Kqyanagi T, Arikado K and Tsuji I (2018) Radical Transurethral Resection of the Prostate Forneurogenic Dysfunction of the Bladder in Male ParaplegicsJournal of Urology, VOL. 125, NO. 4, (521-526), Online publication date: 1-Apr-1981.Graham S (2018) Editorial CommentJournal of Urology, VOL. 125, NO. 4, (526-527), Online publication date: 1-Apr-1981.Koyanagi T (2018) Studies on the Sphincteric System Located Distally in the Urethra: The External Urethral Sphincter RevisitedJournal of Urology, VOL. 124, NO. 3, (400-405), Online publication date: 1-Sep-1980.Awad S (2018) Editorial CommentsJournal of Urology, VOL. 124, NO. 3, (405-405), Online publication date: 1-Sep-1980.Tanagho E (2018) Editorial CommentJournal of Urology, VOL. 124, NO. 3, (405-406), Online publication date: 1-Sep-1980.Mayo M, Chapman W and Shurtleff D (2018) Bladder Function in Children with Meningomyelocele: Comparison of Cine-Fluoroscopy and UrodynamicsJournal of Urology, VOL. 121, NO. 4, (458-461), Online publication date: 1-Apr-1979.Jeffs R (2018) Editorial CommentJournal of Urology, VOL. 121, NO. 4, (461-461), Online publication date: 1-Apr-1979. (2018) Reply by AuthorsJournal of Urology, VOL. 121, NO. 4, (461-461), Online publication date: 1-Apr-1979. Volume 118Issue 4October 1977Page: 636-640 Advertisement Copyright & Permissions© 1977 by The American Urological Association Education and Research, Inc.MetricsAuthor Information S.A. Awad More articles by this author J.W. Downie More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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