Periurethral polytetrafluoroethylene injections for post-prostatectomy incontinence

Incontinence following prostatectomy is relatively common and produces well-known social and pathologic consequences. Previous reports have shown that periurethral injections of polytetrafluoroethylene (PTFE or Teflon) can provide continence in many patients with a variety of etiologies. Politano's group has shown about 50% of his incontinent prostatectomy patients to be cured or improved by these injections. Our experience with 10 patients found that overall, six of 10 were cured or improved. Five of six radical prostatectomy patients were cured or improved after radical prostatectomy and radiation therapy. One patient has subsequently undergone artificial sphincter placement without difficulty. PTFE injections may be a low morbidity procedure for the treatment of post-prostatectomy incontinence and still allow for later artificial sphincter placement if required.