Retropubic hematoma after transobturator sling procedure.
BACKGROUND
The transobturator tape procedure is one of the newer minimally invasive sling procedures used for the surgical treatment of genuine stress urinary incontinence.


METHODS
Two cases of retropubic hematomas following transobturator tape procedure are reported. One patient was managed conservatively and did not require reoperation, and the other patient required computed tomography-guided drainage of the hematoma. In both cases the patients' hematomas resolved, and they remained continent 3-6 months after surgery.


CONCLUSIONS
The transobturator tape procedure is a minimally invasive alternative to the tension-free vaginal tape operation for stress urinary incontinence, but it may be associated with vascular complications.
Rajan
Sujatha
S
Division of Urogynecology and Pelvic Reconstructive Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. srajan@partners.org
Kohli
Neeraj
N
D001808:Blood Vessels / Q000293:injuries; D005260:Female; D006406:Hematoma / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects*; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000009:adverse effects*