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Efficacy of external sphincterotomy in patients with detrusor sphincter dyssynergia: a monocentric experience. Lepoittevin L1, Perrouin-Verbe B1, Le Fort M1, Lefevre C1, Reiss B1, Karam G2, Rigaud J2, Le Normand L2, Perrouin-Verbe M2 1. Department of Physical Medicine and Rehabilitation, Saint-Jacques Hospital, University of Nantes, Nantes, France, 2. Department of Urology, Hôtel-Dieu Hospital, University of Nantes, Nantes, France KEYWORDS: Male, Spinal Cord Injury, Overactive Bladder, Urodynamics Equipment, Retrospective Study Detrusor sphincter dyssynergia (DSD) is present in 70 to 100% of patients with supra-sacral spinal cord injury (SCI). If untreated, DSD can lead to severe complications e.g. autonomic dysreflexia (AD), recurrent urinary tract infections (UTI), and short-term renal failure. Although the gold standard for DSD management remains intermittent catheterization (IC), combined with antimuscarinic drugs or botulinum toxin injections, to provide complete bladder emptying and low pressure reservoir, in order to protect the upper urinary tract. External sphincterotomy (ES) with reflex voiding has generally been considered the alternative option in men who are unable to perform IC, either through the native urethra or through a continent cutaneous urinary diversion. The objective of our study was to assess the efficacy of ES in men suffering of DSD and unable to perform IC.