Experience with Kaufman III procedure for urinary incontinence.

The Kaufman III procedure for urinary incontinence is an effective means of treating postprostatectomy incontinence. The technique was modified by the routine inclusion of suprapubic cystostomy; operative assessment of the efficacy of the prostheses was possible. Four of our 7 patients (57 per cent) achieved excellent results, 2 of 7 (29 per cent) good, and 1 (14 per cent) poor. In the surgical technique it is important to stress that the mobilization of the crura from the pubic arch should be limited to allow only for the straps. Excessive dissection in this area will limit the degree of compression. This was thought to be a factor in the failure of our first case. Although the Kaufman III procedure for postprostatectomy urinary incontinence may not be ideal, the ease of insertion, good results, and low morbidity make it a desirable method of combating urinary incontinence in many male patients.