A rare case of thigh hematoma following retropubic transobturator tape procedure: A conservative management approach
Pelviperineology, cilt.44, sa.2, ss.78-81, 2025 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 44 Sayı: 2
- Basım Tarihi: 2025
- Doi Numarası: 10.34057/ppj.2025.44.02.2025-4-2
- Dergi Adı: Pelviperineology
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.78-81
- Anahtar Kelimeler: Mesh, sling, vulvar pain
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Stress urinary incontinence (SUI) is a prevalent condition among postmenopausal women. Transobturator tape (TOT) has emerged as a standard surgical approach due to its favorable complication profile. However, rare complications such as vascular injury and thigh hematoma have been reported. We present a 49-year-old postmenopausal woman who developed a unilateral thigh hematoma following a retropubic TOT procedure performed for de novo SUI. The patient had undergone total laparoscopic hysterectomy and bilateral salpingectomy a year earlier. On postoperative day 1, she developed severe pain and swelling in the inner thigh. Magnetic resonance imaging revealed intramuscular hematoma involving the adductor, gemellus, and obturator muscles. Conservative management with elevation, topical heparinoid, and antibiotics led to complete resolution by week 7. Although rare, vascular injuries resulting in thigh hematoma can occur after TOT procedures. Prompt recognition, imaging, and conservative management can result in favorable outcomes. Surgical experience and anatomical familiarity are critical in minimizing such complications.