title: Hemorrhagic complication during placement of tension-free vaginal tape.
abstract: A 66-year-old para III with a 20-year history of stress urinary incontinence underwent placement of tension-free vaginal tape. Intraoperative arterial bleeding occurred. An expanding hematoma was palpated postoperatively. Interventional radiology performed a pelvic arteriogram with selective bilateral internal iliac arteriograms, a supraselective anterior division and obturator arteriogram, a left external iliac arteriogram, coil embolization of a branch of the left obturator artery, and gel foam embolization of the anterior division of the left internal iliac artery.
authors.affiliation: From the *Quillen Center for Pelvic Surgery and Urogynecology, Department of Obstetrics and Gynecology, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN; †Department of Obstetrics and Gynecology, Scott and White Memorial Hospital and Clinic, Temple; and ‡Section of Female Pelvic Medicine and Reconstructive Surgery, Departmentof Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX.
authors.forename: R Keith
authors.initials: RK
authors.lastname: Huffaker
authors.forename: Tyler
authors.initials: T
authors.lastname: Handcock
authors.forename: Tristi W
authors.initials: TW
authors.lastname: Muir