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Obturator hematoma following transobturator sling 


Obstetrics & Gynecology International Journal
Sangeeta Ramani, Department of Obstetrics and Gynecology, NYU Winthrop Hospital, USA
Bogdan A Grigorescu, Department of Obstetrics and Gynecology, NYU Winthrop Hospital, USA
Gregory Ceus, Albany Medical College, USA
George Lazarou, Department of Obstetrics and Gynecology, NYU Winthrop Hospital, USA

Abstract

Background: This is a rare case of hematoma formation following suburethral sling placement via the transobturator approach. 
Case: A 33-year-old woman presented with symptoms of urge and stress urinary incontinence. She underwent anterior and posterior colporrhaphy, and transobturator suburethral sling placement. She presented to the emergency room six days postoperatively with dizziness and mild vaginal bleeding. CT imaging revealed a 6.5 x 4.0 x 4.7cm hematoma in the left obturator region. Her symptoms subsided after conservative management. Subsequent follow-up visits showed improvement in her overall clinical status and no further intervention was required. 
Conclusion: Patients with small postoperative hematomas who are clinically stable and asymptomatic may be managed with appropriate pain management and imaging surveillance.
 

Keywords

Obturator hematoma, Suburethral sling, Transobturator tape, Vaginal delivery, Female gravida, Vaginal prolapse, Cystoscopy, Delorme’s description, Suburethral sling, Abdominal discomfort, Perineal pain, Urinary retention, Vaginal erosions, Abscess formation, Tamponade effect

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