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. 2001 Nov;98(5 Pt 2):957-9.
doi: 10.1016/s0029-7844(01)01560-5.

Vascular injury during tension-free vaginal tape procedure for stress urinary incontinence

M D Walters  1 , P K Tulikangas, C LaSala, T W Muir
Affiliations

Vascular injury during tension-free vaginal tape procedure for stress urinary incontinence

M D Walters et al. Obstet Gynecol. 2001 Nov.

Abstract

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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