Treatment of Post‐Prostatectomy Urinary Incontinence Using a Silicone Gel Prosthesis

Abstract

Summary After trials with various urethral compression procedures to restore continence in male patients, an implantable sponge‐like prosthesis has been devised which has produced encouraging results in 47 patients followed a minimum of 3 and a maximum of 15 months. A number of patients have obtained early cures and subsequently lost control. Some of these patients were subsequently improved by injecting the implanted pillow with hyperosmotic fluid percutaneously. Excellent results have been obtained in 80 per cent of patients who had not been subjected to previous anti‐incontinence operations. 53 per cent of patients who had undergone earlier unsuccessful procedures to cure their incontinence were substantially improved or cured after the insertion of a silicone gel prosthesis. The operation is a simple one with few postoperative complications and we believe that because of these features it deserves further trial as the initial effort to control this disabling iatrogenic problem.