Transurethral Sphincterotomy: Relationship of Site of Incision to Postoperative Potency and Delayed Hemorrhage

Abstract

A series of 33 cases of transurethral sphincterotomy is reviewed, comparing the incidence of postoperative complications between incisions at the 3 and 9 o'clock and those at the 1 and 11 o'clock positions. Postoperative impotence and delayed hemorrhage were more frequently encountered following incisions at the 3 and 9 o'clock positions. It is recommended that patients be warned of the possibility of loss of erections following sphincterotomy and that the 1 and 11 o'clock positions be adopted routinely for this procedure.