Pelvic haematoma following Miniarc surgery - a case report

Abstract

[Extract]The transobturator approach for midurethral sling placement in the treatment of stress urinary incontinence was introduced in 2001. Traditional transobturator sling procedures like TVT-O, Monarc, involve blind passage of instruments through obturator foramen, adductor muscles etc. This carries a finite risk of neurovascular injuries and postoperative groin pain. The newer generation of micro invasive slings such as the Miniarc may minimise these risks by avoiding needle passages through the obturator foramen and muscles. We report a case of postoperative pelvic haematoma, developed after a Miniarc operation.