Retropubic hematoma after transobturator sling procedure.

Background: The transobturator tape procedure is one of the newer minimally invasive sling procedures used for the surgical treatment of genuine stress urinary incontinence.

Methods: Two cases of retropubic hematomas following transobturator tape procedure are reported. One patient was managed conservatively and did not require reoperation, and the other patient required computed tomography-guided drainage of the hematoma. In both cases the patients' hematomas resolved, and they remained continent 3-6 months after surgery.

Conclusions: The transobturator tape procedure is a minimally invasive alternative to the tension-free vaginal tape operation for stress urinary incontinence, but it may be associated with vascular complications.