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Retropubic hematoma after transobturator sling procedure
1Division of Urogynecology and Pelvic Reconstructive Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. srajan@partners.org
Obstetrics and Gynecology
|November 2, 2005
Summary
The transobturator tape procedure is a minimally invasive surgery for stress urinary incontinence. While effective, this surgical approach may lead to rare vascular complications like retropubic hematomas, requiring management.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Genuine stress urinary incontinence (SUI) affects many women.
- The transobturator tape (TOT) procedure is a minimally invasive surgical option for SUI treatment.
Observation:
- This report details two cases of retropubic hematomas occurring after TOT procedures.
- One patient's hematoma resolved with conservative management, while the other required CT-guided drainage.
Findings:
- Both patients experienced hematoma resolution.
- Continence was maintained in both cases 3-6 months post-surgery.
Implications:
- The transobturator tape procedure is a viable alternative to tension-free vaginal tape for SUI.
- Vascular complications, such as hematoma, are potential risks associated with the TOT procedure.