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Pregnancy Related Acute Urinary Retention: Kanta Ahuja, Akbar Ali Soomro, Ghulam Shabir Shaikh, Nisar Ahmed Shaikh

This study examined 15 cases of pregnancy-related acute urinary retention between 2006-2011 at two hospitals in Pakistan. Retroverted uterus was found in 5 patients (33.3%), lower genital infections in 3 patients (20%), and no detectable pathology in 7 patients (46.7%). Patients were treated conservatively with bed rest, catheterization, or manual replacement of the uterus. All patients' retention resolved with these measures. The study concludes that acute urinary retention in pregnancy is an emergency requiring rapid treatment to prevent complications, and simple measures like conservative care or catheterization are usually sufficient.

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71 views1 page

Pregnancy Related Acute Urinary Retention: Kanta Ahuja, Akbar Ali Soomro, Ghulam Shabir Shaikh, Nisar Ahmed Shaikh

This study examined 15 cases of pregnancy-related acute urinary retention between 2006-2011 at two hospitals in Pakistan. Retroverted uterus was found in 5 patients (33.3%), lower genital infections in 3 patients (20%), and no detectable pathology in 7 patients (46.7%). Patients were treated conservatively with bed rest, catheterization, or manual replacement of the uterus. All patients' retention resolved with these measures. The study concludes that acute urinary retention in pregnancy is an emergency requiring rapid treatment to prevent complications, and simple measures like conservative care or catheterization are usually sufficient.

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Endrianus Jaya Putra
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© © All Rights Reserved
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ORIGINAL RESEARCH

RMJ. 2014; 39(1): 42-44

Pregnancy related acute urinary retention


Kanta Ahuja, Akbar Ali Soomro, Ghulam Shabir Shaikh, Nisar Ahmed Shaikh.

Abstract
OBJECTIVE: Our aim of our study to see the etiology and management options of pregnancy related
acute urinary retention .

DESIGN. A Retrospective study

SETTING: Rimsha Medical Centre Dadu and Farooque Medical Centre Larkana.

PEROID :From jan:2006 to dec:2011.

PATIENTS AND METHODS. During the study period, total 15 cases of pregnancy presented with
urinary retention. Retroverted uterus seen in 5(33.3%) cases, 3(20%) patients with lower genital
infection, and in 7 (46.7%) patients have no any pathology detected. 10 patients patients presented
in first trimester while 5 patients presented in second and third trimester. All patients diagnosed
simply on presentation and ultrasound and also investigated simply by routine investigation like
Blood CP, Urine DR, S.Creatinine and Urine C/S. 8(53.3%) patients treated by conservative
treatment, 2(13.3%) patients treated by placement of an indwelling catheter ,4(26.7%) patients by
clean intermittent catheterization and 1(6.7%) patients by replacement of uterus in anterior position
in aseptic measures.

RESULTS.15 Female pregnant patients having mean age of 30 years and range was 25-40 years. All
Patients Diagnosed by urinary retention and on examination, bladder was palpable. In 5(33.3%)
patients Urine DR showed plenty pus cells and two patients have positive Urine C/S. While ultrasound
of 5(33.3%) patients showed pregnancy with retroverted uterus. 3(20%) patients have lower genital
infection, in 1(6.7%) case there was uterine prolapse and in 7(46.7%) patients there were no any
pathology detected except full bladder. All patients relieved retention of urine after definitive
procedures and no complication occurs during any procedures except two patients developed U.T.I
which treated by Antibiotic according to Urine C/S.

CONCLUSION. Acute urinary retention in pregnancy is an emergency, and rapid measures are
essential to avoid irreversible uterine ischemia, spontaneous abortion, and infection. Simple
measures may be sufficient like conservative treatment, placement of an indwelling catheter or by
clean intermittent catheterization and replacement of uterus in anterior position.

Key words: Pregnancy, Acute urinary retention

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