The use of a silicone gel prosthesis in the treatment of post-prostatectomy incontinence.

Eighty-three patients with post-prostatectomy urinary incontinence were treated by silicone gel prostheses implanted over the bulbous urethra. The prosthesis provides continence by passively increasing the urethral resistance. Successful results were achieved in 72% of patients. The mechanism of post-prostatectomy incontinence and the development of anti-incontinence surgery is briefly reviewed.