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Obstetrics & Gynecology 2001;98:957-959
© 2001 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Vascular Injury During Tension-Free Vaginal Tape Procedure for Stress Urinary Incontinence

Mark D. Walters, MD, Paul K. Tulikangas, MD, Christine LaSala, MD and Tristi W. Muir, MD

Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio; and University of Connecticut Health Center, Farmington, Connecticut

Address reprint requests to: Mark D. Walters, MD, Department of Obstetrics and Gynecology/A81, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195; E-mail: walterm{at}ccf.org.

BACKGROUND: Tension-free vaginal tape procedure is a popular surgical treatment of genuine stress urinary incontinence.

CASES: 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.

CONCLUSION: 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.




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