Study design: Retrospective study. Objectives: To assess in the long-term clinical and urodynamic results of intraurethral stents in a group of patients with spinal cord injury. Setting: Spinal Cord Injury Unit, Juan Canalejo Hospital, A Corun˜a, Spain. Methods: Forty-seven consecutive male patients were studied from 1993 to 2002. All of them suffered from hyperreflexia with detrusor-sphincter dyssynergia (DSD) owing to spinal cord injury, and were treated by means of the placement of an intraurethral stent at the external sphincter. Results: After surgery, significant decreases in all the parameters studied were observed. The number of patients with symptoms of urinary tract infection decreased by 25% (Po0.031). Post-void residual urine volume experienced an average decrease of 224.3 cm 3 (P ¼ 0.001). Episodes of dysreflexia decreased from 35.1 to 16.2% (P ¼ 0.039). The urodynamic study showed an average reduction of 44.36 cm H 2 O in the maximum detrusor pressure (Po0.0001). Complications in the upper urinary tract descended from 46.8 to 23.4% after placing the stent (P ¼ 0.013). The most frequent stent complication was displacement, followed by stenosis, lithiasis and intraprosthetic calcification. In all, 8.5% required the stent removal. Conclusions: Intraurethral stent is a good choice for the long-term management of DSD in spinal cord-injured patients, even in those who had been previously submitted to prior sphincterotomy. It has the advantage of being a potentially reversible procedure, so patients prefer it to more invasive therapies such as sphincterotomy.