[Retroperitoneal haematoma and retropubic suburethral TVT tape. Report of two cases]

Abstract

The authors report two cases of retroperitoneal haematoma following insertion of retropubic suburethral TVT tape. In the first case, haemodynamic instability required emergency admission to the intensive care unit. Due to persistent haemodynamic instability, interventional radiology was performed to localize and embolize the vessel responsible for the bleeding, resulting in stabilization of the patient's haemodynamic state. In the second patient, blood loss was well supported allowing simple surveillance of the size of the haematoma, which remained stable, and correction of anaemia. Significant vascular wounds are rare after TVT and may require multidisciplinary management. Information appears to be essential, particularly for patients treated on an outpatient basis, to avoid delayed management.