Embolization of a massive retropubic hemorrhage following a tension-free vaginal tape (TVT) procedure: case report and literature review.
BACKGROUND
Since its description by Ulmsten, the TVT procedure has been proven to be safe and well tolerated. Bleeding and hematoma formation, although rare, can occur. Both conservative and surgical managements of this complication have been described.


METHODS
We report the first case in which a pelvic branch of the obturator artery was embolized using angiography.


RESULTS
Our patient was spared surgical exploration and retained the TVT tape.


CONCLUSIONS
Angiography with vessel embolization, when available, should be considered in the treatment of TVT-procedure retropubic hemorrhages.
Zorn
Kevin C
KC
Department of Urology and Department of Interventional Radiology, Sherbrooke University Hospital, Sherbrooke, Quebec, Canada.
Daigle
Sebastien
S
Belzile
Francois
F
Tu
Le Mai
le M
D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D007889:Leiomyoma / Q000150:complications / Q000601:surgery; D008595:Menorrhagia / Q000209:etiology; D019106:Postoperative Hemorrhage / Q000628:therapy*; D013526:Surgical Mesh; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects