title: Polytetrafluoroethylene injection for the treatment of partial fecal incontinence.
abstract: Perianal injection of polytetrafluoroethylene (Teflon or Polytef) paste was used in the treatment of 11 patients with partial fecal incontinence which followed internal sphincterotomy in 7 patients and was idiopathic in 4. All patients had been incontinent for more than 4 years, and had failed to respond to conservative measures. 5 ml of Polytef paste were injected, without anesthesia, in the rectal neck submucosa, above the pectinate line at each of the 3 and 9 o'clock positions. Patients were followed for 18 to 24 months. They were categorized into 3 scores: 1, cured; 2, improved, and 3, no change. Long-term cure (score 1) occurred in 45.4% after the 1st injection and in 63.6% after the 2nd injection. 36.4% showed partial improvement (score 2). No failures occurred. Improvement is believed to be due to the increase in rectal neck pressure produced by the cushion-effect of the polytef submucosal injection. The technique is simple, easy and without complications. It is performed on an outpatient basis.
authors.affiliation: Department of Surgery, and Research, Faculty of Medicine, Cairo University, Egypt.
authors.forename: A
authors.initials: A
authors.lastname: Shafik
mesh_terms: D000328:Adult; D001003:Anal Canal; D002908:Chronic Disease; D005242:Fecal Incontinence / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections / Q000379:methods; D008297:Male; D008875:Middle Aged; D009824:Ointments; D011138:Polytetrafluoroethylene / Q000008:administration & dosage* / Q000009:adverse effects; D012074:Remission Induction
chemical_list: D009824:Ointments; D011138:Polytetrafluoroethylene