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An unusual incidence of urinary incontinence was observed in patients with myasthenia gravis who required transurethral resection of the prostate for relief of obstruction secondary to benign prostatic hypertrophy. This urinary incontinence was not observed in patients who had open prostatectomies (suprapubic and retropubic). The urinary incontinence did not appear to be related to the control of the underlying muscular disorder. It is suggested that the external sphincter in patients with myasthenia gravis may be more vulnerable to thermal changes that occur when a blended current is used during transurethral resection. If prostatectomy is required in a patient with myasthenia gravis, open surgery should be the procedure of choice. If a TURP is used, then a high frequency current is advised with prudent resection in the area of the prostatic apex.
G J Wise, and
J N Gerstenfeld, and
N Brunner, and
D Grob
August 1994,
Rhode Island medicine,
G J Wise, and
J N Gerstenfeld, and
N Brunner, and
D Grob
September 1989,
Urology,
G J Wise, and
J N Gerstenfeld, and
N Brunner, and
D Grob
May 2000,
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society,
G J Wise, and
J N Gerstenfeld, and
N Brunner, and
D Grob
January 1996,
Muscle & nerve,
G J Wise, and
J N Gerstenfeld, and
N Brunner, and
D Grob
December 2004,
Urologic nursing,
G J Wise, and
J N Gerstenfeld, and
N Brunner, and
D Grob
May 1983,
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G J Wise, and
J N Gerstenfeld, and
N Brunner, and
D Grob
November 1946,
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G J Wise, and
J N Gerstenfeld, and
N Brunner, and
D Grob
December 1980,
British journal of urology,
G J Wise, and
J N Gerstenfeld, and
N Brunner, and
D Grob
February 2000,
Seminars in urologic oncology,
G J Wise, and
J N Gerstenfeld, and
N Brunner, and
D Grob
January 2022,
Urology,
