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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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