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Updated: Jun 26, 2026
03:25
Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
[Bone-anchored suburethral sling complicated by pubic osteomyelitis: a case report]
A Bensouda1, M Kulisa, L Poissonnier
1Service d'urologie et de la transplantation, pavillon V, hôpital Edouard-Herriot, hospices civils de Lyon, place d'Arsonval, 69003, Lyon, France. bencejones1979@yahoo.fr
Summary
Bone-anchored male slings for incontinence can cause serious complications. Two patients developed infection and bone inflammation after surgery, requiring material removal and antibiotics for healing.
Area of Science:
- Urology
- Surgical Innovation
- Infectious Disease
Background:
- Male stress urinary incontinence (SUI) following prostatic surgery presents a significant clinical challenge.
- Bulbo-urethral compression using non-resorbable slings is an emerging therapeutic strategy for managing SUI.
- The InVancetrade mark bone-anchored sling utilizes a synthetic material fixed to the ischio-pubic rami with titanium screws.
Observation:
- Two patients underwent InVancetrade mark bone-anchored male sling surgery for SUI.
- Both patients developed postoperative complications, including perineal suppuration (pus discharge).
- Pubic osteomyelitis (bone infection) was diagnosed in association with the suppuration.
Findings:
- The complications were directly linked to the InVancetrade mark bone-anchored sling procedure.
- Surgical site infection and osteomyelitis necessitated the explantation of the implanted material (sling and screws).
- Successful resolution was achieved through material removal, bone debridement, and extended antibiotic therapy.
Implications:
- The InVancetrade mark bone-anchored sling, while novel, carries risks of severe infection and osteomyelitis.
- Careful patient selection and surgical technique are crucial to mitigate these risks.
- Management of such complications requires a multidisciplinary approach involving surgical revision and prolonged antimicrobial treatment.
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