title: Vascular injury during tension-free vaginal tape procedure for stress urinary incontinence.
abstract: BACKGROUND
  Tension-free vaginal tape procedure is a popular surgical treatment of genuine stress urinary incontinence.
  
  
  METHODS
  Two cases of retropubic hematoma after tension-free vaginal tape procedure are reported. One woman with an 8 x 10 cm hematoma localized to the retropubic space required transfusion of two units of packed red blood cells for symptomatic relief. Neither case required reoperation, and both patients' hematomas resolved over 6 months without treatment. Both patients were continent 9-12 months after surgery.
  
  
  CONCLUSIONS
  Although the tension-free vaginal tape procedure is a minimally invasive operation for stress urinary incontinence and appears to be effective, significant vascular complications can result.
authors.affiliation: Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. walterm@ccf.org
authors.forename: M D
authors.initials: MD
authors.lastname: Walters
authors.forename: P K
authors.initials: PK
authors.lastname: Tulikangas
authors.forename: C
authors.initials: C
authors.lastname: LaSala
authors.forename: T W
authors.initials: TW
authors.lastname: Muir
mesh_terms: D000368:Aged; D001808:Blood Vessels / Q000293:injuries*; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D013526:Surgical Mesh; D013536:Suture Techniques; D014550:Urinary Incontinence, Stress / Q000601:surgery*