Blood loss in the space of Retzius and pelvis with tension-free vaginal tape and trans-obturator tape procedures.

OBJECTIVES

The purpose of this study was to evaluate the space of Retzius and pelvis for hematoma formation and blood loss following placement of tension-free vaginal tapes (TVT) and transobturator tapes (TOT).

MATERIALS AND

METHODS

25 women were examined with ultrasonography on post-operative days one, two, three, four or five. One patient underwent TVT while the other 24 underwent TOT. Additional procedures were performed on most patients.

RESULTS

No hematomas or collections of free fluid were identified post-operatively.

CONCLUSIONS

TVT and TOT procedures are relatively safe procedures. We encountered no vascular complications in this small series of patients. Review of literature has yielded reports of infrequent complications.