| Sumario: | This report describes the case with a very early onset of cellulitis due to hematoma after the transobturator tape placement for stress urinary incontinence. A 35-year-old woman underwent a transobturator tape operation for stress urinary incontinence. Twelve hours after the operation, she complained of high fever and an erythematous and painful area in the medial region of her right thigh. White blood cell count, erythrocyte sedimentation rate, and C-reactive protein levels were elevated. Infection did not resolve despite piperacillin/tazobactam administration. Magnetic resonance imaging demonstrated an abscess formation in the adductor region of the thigh. The drainage of the abscess was performed. The symptoms of the patient resolved after the drainage. She was discharged 20 days after the operation. Although the transobturator midurethral sling operation is a minimally invasive surgical procedure, clinicians must be very careful about the rare but serious complications of the procedure. We recommend a very close follow-up of these patients in terms of bleeding from the obturator vasculature during the early postoperative period.
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