Extensive rectovaginal space hematoma causing urine retention as a complication of vaginoplasty: A case report

Abstract

Background: Rectovaginal space hematoma following vaginoplasty is a rare complication that can
lead to serious morbidity and disability. In the literature, reported cases remain few, especially in
low-income countries where cosmetic gynecology consultations are increasing.
Case presentation: We present a case of extensive rectovaginal space hematoma presenting with
urine retention following vaginoplasty. The patient had anemia, hypotension, tachycardia, vulval
swelling, and a suprapubic mass from the overdistend bladder. She was surgically managed and did
well postoperatively.
Conclusion: Rectovaginal space hematomas are rare and associated with significant morbidity if
inappropriately managed. Cosmetic gynecological surgeons should be aware of this complication.