Polytetrafluoroethylene injection for the treatment of partial fecal incontinence

Perianal injection of polytetrafluoroethylene (Teflon or Polytef) paste was used in the treatment of 11 patients with partial fecal incontinence which followed internal sphincterotomy in 7 patients and was idiopathic in 4. All patients had been incontinent for more than 4 years, and had failed to respond to conservative measures. 5 ml of Polytef paste were injected, without anesthesia, in the rectal neck submucosa, above the pectinate line at each of the 3 and 9 o'clock positions. Patients were followed for 18 to 24 months. They were categorized into 3 scores: 1, cured; 2, improved, and 3, no change. Long-term cure (score 1) occurred in 45.4% after the 1st injection and in 63.6% after the 2nd injection. 36.4% showed partial improvement (score 2). No failures occurred. Improvement is believed to be due to the increase in rectal neck pressure produced by the cushion-effect of the polytef submucosal injection. The technique is simple, easy and without complications. It is performed on an outpatient basis.