Successful hemostasis by embolization in a case of uncontrollable arterial bleeding following posterior tension-free vaginal mesh procedure puncture.

An 82-year-old woman presented to our hospital in April 2009 complaining of sensations of a descending bladder and residual urine, and frequent urination. She had given birth to two children. She had undergone simple total hysterectomy for uterine myoma at another hospital in 1974 and anterior colporrhaphy for anterior vaginal wall prolapse, also at another hospital, in 2008. On presentation, examination with the pelvic organ prolapse quantitative system revealed a stage-III cuff scar prolapse and cystocele. A cystogram revealed a cystocele. We report here a tension-free vaginal mesh (TVM) procedure and the development of arterial bleeding following the third puncture for posterior TVM, which could not be controlled through the operative field but was successfully stopped by embolization.