Acute Urinary Retention Caused by Large Incarcerated Posterior Fibroid
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 5
Abstract
Incidence of acute urinary retention in women is 7 per 100,000 populations per year. The male to female ratio is 13:1.The basis of obstruction is subdivided into urethral compression, bladder neck distortion or luminal occlusion [1]. Several predisposing factors of acute urinary retention include uterine malformations, endometriosis, and intramural fibroids. All these factors favour incarceration of the uterus in the pelvic cavity, leading to acute urine retention as a result of urethral compression. An impacted pelvic mass has also been described as a rare cause of urinary retention. Given the high risk of bladder rupture or neuromuscular dysfunction, the first action to take after a rapid physical examination is the drainage of the bladder by catheterization [2]. If a uterine fibroid is suspected as the aetiology of urinary retention and fertility is not desired, hysterectomy is the mainstay of management [3] .
Authors and Affiliations
Lavina Chaubey
Keywords
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