[Endoscopic injection of Teflon in urinary incontinence in women].

Over a one year period (September 1981 - September 1982) the authors carried out the subcervical injection of Teflon in 26 cases, 20 of which were suitable for inclusion in the present study. All the patients had true stress incontinence. Nine had undergone previous surgery, 8 had sphincter incompetence with an intact perineum and 3 were obese and/or in poor general condition. The technique was as follows: injection on the bladder aspect of the neck of the urethra of Teflon paste in the form of 3 blobs , each of 3 ml (3, 6 and 9 hours) in half of the patients and 4 blobs (12, 3, 6 and 9 hours) in the other 10 cases. The commonest complication was the spontaneous expulsion of the Teflon paste (6 cases). Results were estimated as follows: Objectively on the basis of radiological, endoscopic and urodynamic findings, and subjectively. They were favourable in 65% of cases.