Postpartum urinary retention after cesarean delivery

Liang, Chen; Chang, Shuenn‐Dyh; Chang, Yao‐Lung; Chen, S.H.; Chueh, Ho Yen; Cheng, Po Jen

doi:10.1016/j.ijgo.2007.05.037

Cited by 56 publications

(46 citation statements)

References 11 publications

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“…Postpartum urinary retention can cause irreversible damage to the detrusor muscles and parasympathetic nerve fibers within the bladder wall, which might affect detrusor function [8,10,15,16]. Bladder atony, which occurs secondary to the increased levels of progesterone during pregnancy, and early puerperium might contribute to this damage.…”

Section: Discussionmentioning

confidence: 99%

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Postpartum urinary retention after vaginal delivery

Kekre

Vijayanand

Dasgupta

et al. 2010

Intl J Gynecology & Obste

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Section: Discussionmentioning

confidence: 99%

“…A PVRBV of more than 150 mL has been used for comparison in published data and research purposes [10]. Ultrasound coupled with duration of labor seems to be a good method for diagnosis of PUR.…”

Section: Introductionmentioning

confidence: 99%

Postpartum urinary retention after vaginal delivery

Kekre

Vijayanand

Dasgupta

et al. 2010

Intl J Gynecology & Obste

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“…[11] Postpartum retention occurs in a range of 0.1–14.1% after vaginal delivery and up to 24.1% after cesarean delivery. [121314] We observed that postoperative and postpartum patients may still be prone to AUR following discharge. The therapeutic approach to such emergencies is straightforward and usually does not necessitate further diagnostic evaluations.…”

Section: Discussionmentioning

confidence: 98%

Presentation and prognosis of female acute urinary retention: Analysis of an unusual clinical condition in outpatients

Özveren

Keskin

2016

Urol Ann

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Objectives:Acute urinary retention (AUR) in females is a poorly defined condition with undetermined epidemiology. This study aimed to evaluate female AUR in an outpatient population.Patients and Methods:One hundred and thirty-eight adult female outpatients who presented to the emergency room with symptoms of urinary retention were retrospectively analyzed. The women who were ultimately diagnosed with true, complete AUR were systematically reviewed for clinical characteristics and management.Results:In this outpatient cohort with urinary retention complaints, only 23% of the patients were diagnosed with objective AUR. Detailed medical and urological history in addition to urogenital, neurological, and pelvic examinations was essential; urine analysis and pelvic ultrasonography were necessary as baseline investigations. Further radiological and urodynamic tests were required in a minority. Specific etiology was established in 77% of the patients, whereas there was more than one probable cause in 16% of the patients, and no specific cause was found in 6.5% of the patients. Bladder decompression and correction of the underlying cause helped 92.6% of the reviewed patients to eventually achieve spontaneous micturition.Conclusions:The proportion of true, complete AUR among female outpatients presenting to the emergency department was 23% following urological evaluation. Acute condition was resolved by urgent catheterization in all, and the majority of women had eventually resumed spontaneous voiding.

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“…In women who undergo caesarean section, a postvoid residual volume of more than 150 ml has an overall postpartum incidence of between 3 and 24%, and is associated with multiple pregnancy, low body mass index, failure to progress in labour and morphine postoperative analgesia [33,34].…”

Section: Postpartum Voiding Difficultiesmentioning

confidence: 99%