Injection of a bulking agent to combat urinary incontinence after unsuccessful sling therapy in a patient with post prostatectomy urinary incontinence

We report a case of a successful treatment of post prostatectomy urinary stress incontinence with bulk injections after failed primary treatment with a sling.

Keywords: Incontinence; Sling; Bulking agent; Therapy; Post-prostatectomy

Case presentation

A 70 year-old man was referred to the Urologen Kliniek Vleuten, with complaints of persistent stress urinary incontinence (SUI). His past medical history includes an open radical prostatectomy for a pT2cNxMx Gleason 6 adenocarcinoma of the prostate, with an initial PSA of 6.6 July 2011. Two years after prostatectomy the patient still complained of mild SUI, despite extensive pelvic floor physiotherapy. To treat the incontinence, an Argus sling was implanted in 2013. Nevertheless, the patient still complained of stress urinary incontinence after this procedure.