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
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.
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