Uterine Incarceration: Rare Cause of Urinary Retention in Healthy Pregnant Patients

Slama, R; Barry, M G; McManus, Ken; Latham, Doug; Berniard, Matthew

doi:10.5811/westjem.2015.7.27185

Cited by 15 publications

(7 citation statements)

References 8 publications

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“…Bladder decompression techniques include hand reduction or implantation of an indwelling Foley catheter. A tenaculum should be applied to the cervix's posterior lip when the patient is in Trendelenburg or the kneechest position, according to another study [14]. After 20 weeks of pregnancy, a manual reduction is not advised since it increases the chance of preterm labor.…”

Section: Discussionmentioning

confidence: 99%

Acute Urinary Retention in Early Pregnancy: A Case Report

Brahmantara¹,

Harjoto

Setiawan

et al. 2022

EJMED

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An uncommon obstetric emergency called acute urine retention (AUR) in patients with retroverted uteri necessitates prompt treatment. If left untreated, it could result in major difficulties for the mother or the fetus. Between weeks 9 and 16 of gestation, the frequency of AUR peaked in healthy pregnancies. The female patient, age 31, who came with urinary hesitancy is discussed in this publication. A palpable urinary bladder was found during a physical examination. An intrauterine pregnancy was shown to be viable by obstetric ultrasonography and the uterine was retroflexed. With the implantation of a urinary catheter for one week, prophylactic antibiotics for one week, and follow-up with urology, the patient's symptoms disappeared. The most frequent cause of AUR is a retroverted uterus. Rapid identification and diagnosis are necessary. The risk factors, etiology, and clinical manifestation of AUR in the first and second trimesters of pregnancy should be known to clinicians.

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Section: Discussionmentioning

confidence: 99%

Acute Urinary Retention in Early Pregnancy: A Case Report

Brahmantara¹,

Harjoto

Setiawan

et al. 2022

EJMED

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“…Han et al mention that, after the year 2000, the ability to diagnose IGU was superior and benefited from pelvic examination combined with imaging methods 1. Although there is no recognised standard test for IGU, both ultrasound and MRI seem to be adequate modalities 6 7 12 13…”

Section: Discussionmentioning

confidence: 99%

Urinary tract obstruction in the second trimester: a report of an incarcerated gravid uterus

et al. 2022

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Incarceration of the gravid uterus (IGU) is a rare obstetric disorder that may lead to pregnancy-related complications. Acute urinary retention (AUR) is one of the associated symptoms in IGU and it is mostly observed in the first semester and early second trimester. A case of a woman, in her 30s, is described, who presented AUR and lower abdominal pain in the early second trimester. The diagnosis was confirmed upon pelvic examination, and abdominal and transvaginal ultrasound. Management included long-term bladder catheterisation, manual reduction manoeuvres and passive positioning manoeuvres at home. At 24 weeks of gestation, the uterus returned in its correct polarity, the Foley catheter was removed and the patient was able to void spontaneously. A healthy infant was delivered vaginally at term.No specific guidelines have been published for IGU treatment. However, prompt diagnosis and tight follow-up of these patients are essential to define strategies, reduce complications and prevent recurrences.

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“…Occasionally, a soft pessary can be used[ 21 , 22 ]. Slama et al [ 23 ] used pessaries to alleviate successfully symptoms in 3 cases of urinary retention caused by uterine incarceration[ 23 ]. Yohannes et al [ 24 ] indicated that pessaries should not be used for impacted uterus as they are uncomfortable and cumbersome and restrict blood flow to the uterus[ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Acute urinary retention in the first and second-trimester of pregnancy: Three case reports

Zhuang¹,

Wang²,

Yan³

et al. 2021

WJCC

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BACKGROUND Acute urinary retention (AUR) is rare during pregnancy. CASE SUMMARY We report on three pregnant women with AUR between the 10 th and 18 th wk of gestation. Case 1 was first diagnosed as urinary tract infection and developed a urinary tract infection due to urinary retention caused by urethral obstruction. Case 2 had a history of previous abdominal surgery for pelvic tuberculosis, leading to severe adhesions and a persistent retroverted uterus. In case 3, healthcare providers focused on the patient’s gastrointestinal symptoms and did not investigate her inability to void. Case 1 required manual disimpaction of the uterus and the knee-chest position. The other cases required immediate catheterization. The condition resolved in cases 1 and 2; these patients had normal pregnancies. Case 3 had severe complications at the time of consultation, leading to an abortion. CONCLUSION Retroverted uterus is the most common cause of AUR. Prompt recognition and diagnosis are required. Clinicians should be aware of the risk factors, etiology, and clinical presentation of AUR in the first and second trimester of pregnancy.

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Uterine Incarceration: Rare Cause of Urinary Retention in Healthy Pregnant Patients

Cited by 15 publications

References 8 publications

Acute Urinary Retention in Early Pregnancy: A Case Report

Acute Urinary Retention in Early Pregnancy: A Case Report

Urinary tract obstruction in the second trimester: a report of an incarcerated gravid uterus

Acute urinary retention in the first and second-trimester of pregnancy: Three case reports

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