The control of male stress incontinence by implantable prostheses

Twenty-six patients were treated by implantable prostheses in a 10-year period, 22 by primary Kaufman III and four by primary Rosen. Sixteen of 22 patients having the Kaufman III procedure were cured or markedly improved over a follow-up period of 6 months to 10 years. The Rosen prosthesis, whilst simple to install and making the patient continent, eventually produced urethral fistulae in all cases. The Kaufman III prosthesis appears to be the procedure of choice in uncomplicated male stress incontinence.