Top

Published in:

01-06-2008 | Case Report

Selective embolization of the superior vesical artery for the treatment of a severe retroperitoneal pelvic haemorrhage following Endo-Stitch sacrospinous colpopexy

Authors: F. Araco, G. Gravante, D. Konda, S. Fabiano, G. Simonetti, E. Piccione

Published in: International Urogynecology Journal | Issue 6/2008

Abstract

Pelvic haemorrhage is a rare but important complication that may follow sacrospinous fixation of the vaginal vault. When such complication occurs, packing and clipping of the involved artery is often suggested as the first-line treatment, while arterial embolization is considered only after failure of surgery. In this report, we describe the successful super-selective embolization of a variant of the superior vesical artery in a patient who underwent Endo-Stitch sacrospinous colpopexy. Based on our experience, we suggest that when a well-trained radiological staff is available, endovascular embolization is an effective and less invasive option.

Brown WE, Hoffman MS, Bouis PJ et al (1989) Management of vaginal vault prolapse: retrospective comparison of abdominal versus vaginal approach. J Fla Med Assoc 76(2):249–252PubMed

David-Montefiore E, Garbin O, Hummel M et al (2004) Sacro-spinous ligament fixation peri-operative complications in 195 cases: visual approach versus digital approach of the sacro-spinous ligament. Eur J Obstet Gynecol Reprod Biol 116(1):71–78PubMedCrossRef

Kavallaris A, Köhler C, Diebolder H et al (2005) Repair of prolapse with vaginal sacrocolporectopexy: technique and results. Eur J Obstet Gynecol Reprod Biol 122(2):237–242PubMedCrossRef

Demirci F, Ozdemir I, Somunkiran A et al (2007) Perioperative complications in abdominal sacrocolpopexy and vaginal sacrospinous ligament fixation procedures. Int Urogynecol J Pelvic Floor Dysfunct 18(3):257–261PubMedCrossRef

Verdeja AM, Elkins TE, Odoi A et al (1995) Transvaginal sacrospinous colpopexy: anatomic landmarks to be aware of to minimize complications. Am J Obstet Gynecol 173(5):1468–1469PubMedCrossRef

Rogers A, Barker G, Viggers J et al (2001) A review of 165 cases of transvaginal sacrospinous colpopexy performed by the Endo Stitch technique. Aust N Z J Obstet Gynaecol 41(1):61–64PubMedCrossRef

Barker GK, Viggers JC, Mason T et al (1997) Transvaginal sacrospinous colpopexy-a new and easier way. Aust N Z J Obstet Gynaecol 37(3):355–357PubMedCrossRef

Watson JD (1996) Sacrospinous ligament colpopexy: new instrumentation applied to a standard gynecologic procedure. Obstet Gynecol 88(5):883–885PubMedCrossRef

Brenner B (2001) Transvaginal sacrospinous colpopexy—a New Zealand experience with the Endo Stitch technique. N Z Med J 114(1136):343–344PubMed

10.

Bump RC, Mattiasson A, Bø K et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175(1):10–17PubMedCrossRef

11.

Vierhout ME, Stoutjesdijk J, Spruijt J (2006) A comparison of preoperative and intraoperative evaluation of patients undergoing pelvic reconstructive surgery for pelvic organ prolapse using the Pelvic Organ Prolapse Quantification System. Int Urogynecol J Pelvic Floor Dysfunct 17(1):46–49PubMedCrossRef

12.

Thompson JR, Gibb JS, Genadry R et al (1999) Anatomy of pelvic arteries adjacent to the sacrospinous ligament: importance of the coccygeal branch of the inferior gluteal artery. Obstet Gynecol 94(6):973–977PubMedCrossRef

13.

Barksdale PA, Elkins TE, Sanders CK et al (1998) An anatomic approach to pelvic hemorrhage during sacrospinous ligament fixation of the vaginal vault. Obstet Gynecol 91(5 Pt 1):715–718PubMedCrossRef

Title: Selective embolization of the superior vesical artery for the treatment of a severe retroperitoneal pelvic haemorrhage following Endo-Stitch sacrospinous colpopexy
Authors: F. Araco
G. Gravante
D. Konda
S. Fabiano
G. Simonetti
E. Piccione
Publication date: 01-06-2008
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 6/2008
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-007-0524-4

2024 ASCO Annual Meeting

Springer Medicine

Selective embolization of the superior vesical artery for the treatment of a severe retroperitoneal pelvic haemorrhage following Endo-Stitch sacrospinous colpopexy

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2008

Obstructive voiding symptoms are not predictive of elevated postvoid residual urine volumes

Differences in morphology and contractility of the bulbospongiosus and pubococcygeus muscles in nulliparous and multiparous rabbits

The effect of local anaesthetic infiltration on urethral function during the tension-free vaginal tape (TVT) procedure

Infected midurethral tape presenting as an ischiorectal abscess

Update: the “Contiform” intravaginal device in four sizes for the treatment of stress incontinence

Is evidence an ethic?