Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure.
Germano José Ferraz de ArrudaMiguel BonfittoJerônimo Ferraz de Arruda NetoLuís Cesar Fava SpessotoJosé Germano Ferraz de ArrudaFernando Nestor Facio JuniorPublished in: Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia (2020)
The 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.