In the cystographic examination that we present of patients with a neurogenous bladder, we can observe an effective narrowness in the zone of the external urethral sphincter, thus bringing out the satisfactory response to its symptomatology behind the section of the sphincter. The RTU of the sclerotic or hypertonic neck in medular patients relieves the retention of urine and its consequences. But repetition of the RTU operation is necessary in the majority of cases of reappearance of the symptomatic picture, which corrects itself behind the section of the striated sphincter of the urethra. We think that the RTU operation is the proper one in the treatment of patients with sclerotic striated urethral sphincter.

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