Severe bleeding from internal obturator muscle following tension-free vaginal tape Secur hammock approach procedure

Abstract

Various perioperative and postoperative complications have been reported after the use of pubo-vaginal tension-free vaginal tapes. The transobturator approach was introduced to minimize the potential complications connected with entering the retropubic space, but different types of complications have also been described. The next generation of recently introduced minitapes such as TVT-Secur is intended to minimize the incidence of complications. This report concerns a patient who underwent a tension-free vaginal tape procedure—TVT-Secur hammock approach—and developed severe bleeding from the internal obturator muscle, which required surgical intervention.