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• The clinical outcome was evaluated according to pad use and the Patient Global Impression of Improvement scale and by assessment of side effects. 'Cure' was defined as no pad usage and 'improvement' as a decrease in pad use by > 50%.• Factors related to functional outcome were studied by univariate and multivariate analysis. RESULTS• After a mean ± SD (range) follow-up of 21 ± 6 (12-36) months, 62% of patients were cured, 16% improved and 22% not improved.• Failure (no cure or improvement) was associated with previous urethral stricture surgery ( P = 0.013) and a 24-h pad-test > 200 g/day ( P = 0.026), and there was a trend for an association with previous radiation therapy ( P = 0.053).• Age, learning curve and type of prostatectomy did not affect the results.• Immediate postoperative complications were limited to two cases of dysuria, one case of perineal haematoma and two cases of perineal paresthesia. During follow-up, 10% of patients had perineal pain and 14% of patients had mild dysuria. None required surgical management.