Korean J Obstet Gynecol.  2008 Dec;51(12):1567-1570.

Uterine artery embolization for the management of uterine artery bleeding after transobturator tape operation: A case report

Affiliations
  • 1Department of Obstetrics and Gynecology, College of Medicine, Inha University, Incheon, Korea. bilee@inha.ac.kr
  • 2Department of Radiology, College of Medicine, Inha University, Incheon, Korea.

Abstract

Transobturator tape (TOT) operation for urinary stress incontinence is associated with less complication rate than Tension free vaginal tape (TVT). The two procedures yield similar rates of success. The TOT is lead through the obturator foramen, reducing the risk of bladder injury as well as damage of structures located in the Retzii cave, e.g. nerves and blood vessels. However the complications of TOT procedure may have several complications associated with obturator foramen. They are the injury of obturator nerve and vessels, abscess formation on th obturator foramen, vulvar hematoma, etc. There is no report the uterine artery injury after TOT procedure so far. Recently we experienced a case of successful control of bleeding of the uterine artery after TOT operation via uterine artery embolization. Therefore we report our case with brief review of the literatures.

Keyword

TOT; Uterine artery; Uterine artery embolization

MeSH Terms

Abscess
Antineoplastic Combined Chemotherapy Protocols
Blood Vessels
Cyclophosphamide
Doxorubicin
Hematoma
Hemorrhage
Obturator Nerve
Podophyllotoxin
Suburethral Slings
Urinary Bladder
Urinary Incontinence, Stress
Uterine Artery
Uterine Artery Embolization
Vincristine
Antineoplastic Combined Chemotherapy Protocols
Cyclophosphamide
Doxorubicin
Podophyllotoxin
Vincristine
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