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Embolization of a massive retropubic hemorrhage following a tension-free vaginal tape (TVT) procedure: case report and literature review

Kevin C. Zorn, Sebastien Daigle, Francois Belzile, Le Mai Tu

Department of Urology and Department of Interventional Radiology, Sherbrooke University Hospital, Sherbrooke, Quebec, Canada
Address correspondence to Dr. Kevin Zorn, McGill University, Urology Dept., Royal Victoria Hospital, Room S6.60, 687 Pine Ave West, Montreal, Quebec H3A 1A1 Canada

Canadian Journal of Urology 2005, 12(1), 2560-2563.

Abstract

Introduction: 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.
Materials: 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.
Conclusion: Angiography with vessel embolization, when available, should be considered in the treatment of TVT-procedure retropubic hemorrhages.

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