Urinary incontinence still remains one of the most frequent long-term complication after radical prostatectomy. Implantation of different sling types could lead to various postoperative complications such as erosion or infection. We introduce a clinical case of a patient with urinary incontinence who developed a severe complication following sling implantation.

In 2024, 64-year-old man underwent laparoscopic radical prostatectomy for prostate adenocarcinoma, after operation he developed severe stress urinary incontinence. Three months later, an adjustable sling    Argus-TTM (Promedon, Córdoba, Argentina) was implanted. In the early postoperative period, two adjustments were done without anticipated result. After that patient was admitted to the clinic with complaints of perineal pain. Examination in the lithotomy position showed that the patient had fistulas in the femoral areas filled with pus. Periprosthetic infection was diagnosed

Following antimicrobial prophylaxis, surgical intervention was made. Sling was mobilized through the perineal approach. Displacement of the implant pad was identified. During the removal of the washers, an active drainage of pus into the wound was observed. All sling components were explanted. No urethral defects were detected during the procedure. The patient was discharged the day after surgery

A clinical case of one of the most severe forms of complication of male sling implantation is presented.