Transurethral Polytetrafluoroethylene Injection for Post-Prostatectomy Urinary Incontinence

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Abstract
Transurethral polytetrafluoroethylene (Teflon) injections were performed on 69 men with incontinence following prostatectomy. The etiology of incontinence was transurethral resection of the prostate in 27 patients (group 1), open prostatectomy in 15 (group 2) and radical prostatectomy in 27 (group 3). All patients had been incontinent for > 1 yr and had failed to improve with conservative management. Cure or improvement occurred in 85.1% of the patients in group 1, 79.9% in group 2 and 48.1% in group 3. Reasons for failure included severe bladder instability, severe periurethral fibrosis and leakage of paste. Clinically significant particle migration was not observed.

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