Document Detail


Periurethral polytetrafluoroethylene injection following urethral reconstruction in female patients with urinary incontinence.
MedLine Citation:
PMID:  3379695     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present our results with periurethral polytetrafluoroethylene (Polytef) injection after urethral reconstruction in 20 female patients with urinary incontinence. These patients have failed previous urethral reconstructive procedures to cure incontinence, including Young-Dees-Leadbetter bladder neck reconstruction, transvaginal urethroplasty, transvaginal urethral plication and vesical flap urethroplasty. Of the patients 4 also underwent a bladder augmentation procedure. After polytetrafluorethylene injection 10 patients (50 per cent) were cured of the incontinence, 2 (10 per cent) had marked improvement from the preoperative condition, 5 (25 per cent) had definite improvement but still wear pads for protection and 3 (15 per cent) had no change from the preoperative condition. Bladder pressure recordings did not demonstrate a difference in results among patients with detrusor stability or instability. Periurethral polytetrafluoroethylene injection remains a valuable procedure in the management of persistent incontinence after bladder neck and urethral reconstruction.
Authors:
J L Lockhart; R D Walker; B Vorstman; V A Politano
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  140     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1988 Jul 
Date Detail:
Created Date:  1988-07-28     Completed Date:  1988-07-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  51-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Urology, University of Miami School of Medicine, Gainesville.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Humans
Middle Aged
Polytetrafluoroethylene / therapeutic use*
Recurrence
Urethra / surgery*
Urinary Bladder / surgery
Urinary Incontinence / surgery,  therapy*
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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