Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure

Author:

Arruda Germano José Ferraz de1ORCID,Bonfitto Miguel1ORCID,Arruda Neto Jerônimo Ferraz de2ORCID,Spessoto Luis Cesar Fava1ORCID,Arruda José Germano Ferraz de1ORCID,Fácio Fernando Nestor1ORCID

Affiliation:

1. Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil

2. Hospital São Domingos, Catanduva, SP, Brazil

Abstract

AbstractThe placement of a suburethral sling is standard treatment for stress urinary incontinence. The transobturator technique (TOT) emerged as an alternative to minimize the risks of the blind insertion of needles, leading to a lower rate of perforation complications compared with the retropubic approach. We present a case of injury to a branch of the left obturator artery following the placement of a urethral sling using TOT, followed by intense bleeding and hemodynamic instability, which was treated with embolization.

Publisher

Georg Thieme Verlag KG

Subject

Obstetrics and Gynaecology

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