Role of outflow surgery in the rehabilitation of male paraplegic patients.

The role of bladder neck resection and division of the external sphincter in the establishing of micturition in patients with traumatic paraplegia is evaluated, based on a series of male admissions seen at Liverpool and at Stoke Mandeville. Operation was performed in about 30% of patients. It was extremely successful in eliminating the residual urine and infection and in establishing a satisfactory pattern of micturition. Impotence developed in only about 30% of cases.