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

Park, Jee Hyun; Choi, Hyo Seong; Park, Jung Woo; Lee, Byoung Ick; Cho, Soon Gu

Case Report

Korean Journal of Obstetrics & Gynecology 2008;51(12):1567-1570.
Published online December 1, 2008.

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

Jee Hyun Park, Hyo Seong Choi, Jung Woo Park, Byoung Ick Lee, Soon Gu Cho

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.

Key Words: TOT, Uterine artery, Uterine artery embolization