Underestimated risk of bleeding after male transobturator sling procedure caused by early re-uptake of anticoagulation

Abstract

The management of postoperative male stress urinary incontinence (SUI) is changing rapidly as greater emphasis on minimizing invasiveness and reducing complications leads to technical innovations. Various studies have reported comparable continence but lower complication rates for male urethral slings than those observed with artificial urinary sphincters. For this reason, the transobturator sling procedure has been considered a safe and effective treatment option in male SUI patients. In this case study we report severe bleeding with a large hematoma that required transfusion after implantation of an AdVance® male transobturator polypropylene sling in an early re-anticoagulated patient.