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CASE REPORTS |
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 912 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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