Medical attendants rushed onto the platform in Kyoto on Wednesday when Maizuru Mayor Ryozo Tatami, 67, tumbled to the floor while making a speech, the Mainichi reports.
The move called for widespread criticism and after the backlash the Japan Sumo Association released an apology. But they were reprimanded by the referee, who used the loudspeaker systems in the gymnasium to order them out of the ring.
The sumo ring is deemed a sacred place which females are forbidden to enter.
Meanwhile, sumo officials threw large quantities of salt into the ring after the women had left, in an apparent bid to "re-purify" the sacred space, according to witnesses cited in local media.
In this screenshot, first responders try to revive Maizuru mayor Ryozo Tatami, 67, in a sumo ring after he collapsed while making a speech on April 4, 2018.
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In a statement, the sumo association's chief, who goes by the name Hakkaku, described the announcements as "inappropriate" under the circumstances. "The request [to step down from the dohyo ring] was made by a gyoji referee who was in a panic, but it was an inappropriate response to a situation that could have threatened a human life". "I am deeply sorry", Hakkaku said, thanking the woman who provided first aid treatment.
In this screenshot, first responders remove Maizuru mayor Ryozo Tatami, 67, from a sumo ring on a stretcher after he collapsed while making a speech on April 4, 2018.
Ms Miwa said mayor Ryozo Tatami had been hospitalised and was in a stable condition.
The footage posted on YouTube was shown on major Japanese networks and other media as the news topped headlines Thursday.
Sumo wrestling is one of Japan's most popular sports and it's deeply embedded in Shinto religious principles.
Sumo's male-only tradition has raised controversy for decades, with even top women politicians barred from honouring winners in the ring.