Disappointing effect of endoscopic Teflon injection for female stress incontinence.
Twenty-two women were treated with endoscopic, transurethral, submucosal Teflon injection for moderate or severe urinary stress incontinence. The short-term effect was rather good, but he long-term results were disappointing. After 5 years, only 4 patients were completely or sufficiently continent and had not required any additional treatment for incontinence. Three major complications, paraurethral abscess, urethral diverticulum and Teflon granuloma with urethral wall prolapse occurred. Subsequent suprapubic urethropexy for the patients with inadequate response did not produce the usual good results.
Kiilholma
P
P
Department of Obstetrics and Gynecology, Turku University Central Hospital, Finland.
Mäkinen
J
J
D000368:Aged; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015552:Injections, Intralesional; D008875:Middle Aged; D011138:Polytetrafluoroethylene / Q000008:administration & dosage* / Q000009:adverse effects; D012737:Sex Factors; D013997:Time Factors; D014521:Urethra / Q000187:drug effects* / Q000503:physiopathology; D014522:Urethral Diseases / Q000139:chemically induced*; D014550:Urinary Incontinence, Stress / Q000188:drug therapy* / Q000503:physiopathology; D014554:Urination / Q000502:physiology
D011138:Polytetrafluoroethylene