Prolonged Postpartum Persistent Urinary Retention After Cesarean Section: A Case Report and Literature Review

Abstract

<p>We aimed to present a case of urinary retention that develops after caesarean delivery and persists for 33 days.</p><p>A 35-year-old G4P2 41-week-old pregnant woman applied to our clinic because she could not urinate on the 4th day after cesarean section. After the examination, it was determined that urine retention developed in the patient. Neostigmine and meropenem treatment was applied. With intermittent catheterization, spontaneous urination started to take place on postpartum day 33.</p><p>Postpartum urinary retention, which causes maternal morbidity, is a common condition in obstetric care. Therapy is followed by bladder catheterization, antibiotic therapy and periodic catheter withdrawal, and spontaneous massing of the patient is followed and residual urine is checked by ultrasonography after the mass.</p>

Intramuscular Neostigmine for Accelerating Bladder Emptying after Cesarean Section by Spinal Anesthesia

“…The recommended traditional approaches for managing POUR include controlling pain, early ambulation, washing the hands of the patient, having a warm shower, and avoiding constipation. Anticholinesterases, including neostigmine, have been tried in cases with POUR [12][13][14] .…”

The consequences of cesarean section and vaginal delivery on ovarian reserve in infertile women

“…However, it also brings some complications. Some of these are infection, fever, excessive blood loss, injury to other intra-abdominal organs, endometriosis, urinary retention, and anesthesia-related side effects (3)(4)(5). While the rate predicted by the World Health Organization for cesarean section was between 10% and 15% in the 1980s, it is over 40% in some regions today (6).…”