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. 2010 Dec;14(4):275-7.
doi: 10.5213/inj.2010.14.4.275. Epub 2010 Dec 31.

Arterial Injury Associated with Tension-Free Vaginal Tapes-SECUR Procedure Successfully Treated by Radiological Embolization

Yun Seok Jung  1 , Joon Ho Lee, Tae Seung Shin, Chang Hee Han, Sung Hak Kang, Yong Seok Lee
Affiliations

Arterial Injury Associated with Tension-Free Vaginal Tapes-SECUR Procedure Successfully Treated by Radiological Embolization

Yun Seok Jung et al. Int Neurourol J. 2010 Dec.

Abstract

Various postoperative complications have been reported after the use of tension-free vaginal tapes (TVT). The transobturator approach was introduced to minimize the potential complications. The next generation of recently introduced TVT-SECUR is intended to minimize the incidence of complications. Herein we report a case of internal pudendal artery injury sustained during this procedure that was successfully treated by radiological embolization. Angiography with vessel embolization, when available, should be considered when the arterial injury is suspected.

Keywords: Complication; Embolization; TVT-SECUR; Urinary incontinence.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Postoperative pelvic computed tomography reveals large pelvic hematoma and active contrast leakage from left internal pudendal artery.
Fig. 2
Fig. 2
Pelvic arteriography before and after embolization. Arrows indicate left internal pudendal artery.
See this image and copyright information in PMC

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