Surgical treatment of male urinary incontinence

J Urol 1983; 130: 463-466.

Between January 1975 and December 1981 we treated 34 men with urinary incontinence with surgical intercavernous embedding of the bulbo-perineal urethra along its entire length. The etiology of incontinence was sphincteric damage following either prostatectomy (30 cases) or pelvic trauma (4 cases). All patients had complete neurologic integrity of the detrusor, 25 (75%) had complete urinary continence, 5 (15%) experienced considerable improvement, while 4 were failures. Follow-up ranged from 7 years to 4 months. Details of the surgical procedure are described, preoperative and postoperative management is emphasized and results are presented.