Embolization of a massive retropubic hemorrhage following a tension-free vaginal tape (TVT) procedure: case report and literature review.

INTRODUCTION: Since its description by Ulmsten, the TVT procedure has been proven to be safe and well tolerated. Bleeding and hematoma formation, although rare, can occur. Both conservative and surgical managements of this complication have been described. MATERIALS: We report the first case in which a pelvic branch of the obturator artery was embolized using angiography. RESULTS: Our patient was spared surgical exploration and retained the TVT tape. CONCLUSION: Angiography with vessel embolization, when available, should be considered in the treatment of TVT-procedure retropubic hemorrhages.