Interventional radiology in the management of vascular complications in urogynecology: a lower-extremity hematoma after transobturator sling—case report - Takeaways - MDSpire

Interventional radiology in the management of vascular complications in urogynecology: a lower-extremity hematoma after transobturator sling—case report

  • By

  • Leonardo Gómez Polania

  • Víctor S. Rangel

  • Gustavo A. Sarmiento

  • July 14, 2026

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  • 1

    Mid-urethral slings are the gold standard for treating stress urinary incontinence due to their high efficacy and favorable safety profile.

  • 2

    A 72-year-old woman developed a large lower-extremity hematoma following transobturator sling placement, raising concerns for vascular injury.

  • 3

    Despite significant postoperative ecchymosis, the patient remained hemodynamically stable and asymptomatic, with no decline in hemoglobin levels.

  • 4

    Computed tomography angiography and diagnostic arteriography excluded active bleeding or vascular lesions in the patient.

  • 5

    The case emphasizes the role of interventional radiology in managing vascular complications, allowing for exclusion of bleeding without surgery.

Original Source(s)

Interventional radiology in the management of vascular complications in urogynecology: a lower-extremity hematoma after transobturator sling—case report

  • by Leonardo Gómez Polania, Víctor S. Rangel, Gustavo A. Sarmiento

  • July 14, 2026

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