• Logo
  • SBMUJournals

Voluminous Urethral Stone – A Very Rare Complication After Male Suburethral Sling Surgery As A Result of Sling Erosion Into Proximal Urethra

Ioan Scarneciu, Cristian Andrei, Camelia Scarneciu, Aura Mihaela Lupu, Ovidiu Gabriel Bratu, Sorin Lupu




Male sling for urinary incontinence is usually accompanied by very good results, with a small number of complications,
but, when appear, they may be redundant. Voluminous urethral stone developed on suburethral sling as a result of sling erosion into the proximal urethra is an extremely rare complication (following the analysis of cases published on the internet, the authors of this article no longer identified another similar case). We present the case of a patient who presented in our clinic for severe and permanent urinary incontinence, perineal discomfort
and pain that was influenced by position. His past medical history showed polytrauma with lumbar fracture and medullary involvement (34 years ago) and transobturator suburethral sling surgery for urinary incontinence about 6 years ago in another urology unit, without relieving symptoms. Imaging investigations have showed a voluminous urethral stone developed on polypropylene sling and another small stones in that area. Stones surgical extraction was performed by perineal approach (together with the mesh), proximal urethra was closed after excision to apparently healthy urethral tissue (to prevent possibility of later severe incontinence) and a permanent suprapubic cystostomy catheter was inserted. Patient is dry at follow-up visits (at 1 and 3 months) and he reported significant improvement in quality of life. The case is spectacular due to the rarity of the complication presented, patient developingurethral erosion without clinical manifestations to suggest this matter (infection or fistula), the symptoms being absent for a long time.


Al Taweel W, Seyam R. Neurogenic bladder in spinal cord injury patients. Res Rep Urol. 2015; 7: 85–99. doi: 10.2147/RRU.S29644

Herschorn S, et al. Com. 13 - Surgical treatment of urinary incontinence in men, “Incontinence”, Abrams P, Cardozo L, Khoury S, Wein A (Eds), 4th International Consultation on Incontinence, Paris July 5-8, 2008, 4th Edition 2009, 1121-1190.

Comiter CV, Dobberfuhl AD. The artificial urinary sphincter and male sling for postprostatectomy incontinence: Which patient should get which procedure?. Investig Clin Urol. 2016 Jan; 57(1): 3–13. doi: 10.4111/icu.2016.57.1.3

Landon Trost, Daniel S. Elliott. Male Stress Urinary Incontinence: A Review of Surgical Treatment Options and Outcomes. Advances in Urology, vol. 2012, Article ID 287489, 13 pages, 2012. doi:10.1155/2012/287489

Markland AD, Richter HE, Fwu CW, Eggers P, Kusek JW. Prevalence and trends of urinary incontinence in adults in the United States, 2001 to 2008. Journal of Urology, vol. 186 (2011), no. 2, pp. 589–593. DOI: http://dx.doi.org/10.1016/j.juro.2011.03.114

Welk BK, Herschorn S. The male sling for post-prostatectomy urinary incontinence: a review of contemporary sling designs and outcomes. BJU Int 2012;109:328-44. DOI: 10.1111/j.1464-410X.2010.10502.x

Kretschmer A, Buchner A, Leitl B, et al. Long-term outcome of the retrourethral transobturator male sling after transurethral resection of the prostate. Int Neurourol J. 2016;20:335-341. https://doi.org/10.5213/inj.1632648.324

Siracusano S, Visalli F, Toffoli L. Male incontinence and the transobturator approach: An analysis of current outcomes. Arab Journal of Urology (2013) 11, 331–335. http://dx.doi.org/10.1016/j.aju.2013.06.008

Cornel EB, Elzevier HW, Putter H. Can advance transobturator sling suspension cure male urinary postoperative stress incontinence? J Urol 2010;183:1459. doi: 10.1016/j.juro.2009.12.013.

DOI: http://dx.doi.org/10.22037/uj.v0i0.4058


  • There are currently no refbacks.