Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure

Embolização após sling transobturatório em paciente com choque hipovolêmico

Abstract

The placement of a suburethral sling is standard treatment for stress urinary incontinence. The transobturator technique (TOT) emerged as an alternative to minimize the risks of the blind insertion of needles, leading to a lower rate of perforation complications compared with the retropubic approach. We present a case of injury to a branch of the left obturator artery following the placement of a urethral sling using TOT, followed by intense bleeding and hemodynamic instability, which was treated with embolization.

Keywords:
hemorrhagic shock; embolization; postoperative complications; suburethral sling; urinary incontinence