Medical approach to urinary retention after vaginal hysterectomy
Journal Title: Pelviperineology - Year 2020, Vol 39, Issue 3
Abstract
A 65 years old women presented with grade 3 descensus, grade 4 cystocele, grade 2 rectocele. The patient had no complaints of urinary incontinence. She underwent vaginal hysterectomy, colporrhaphy anterior, colporrhaphy posterior and sacrospinous fixation operations. On the postoperative first day, after removal of the catheter, the patient developed glob vesicale. The urinary retention was thought to be due to oedema secondary to surgical operation and urinary antiseptic and anti-inflammatory treatment was started. The catheter was removed 5 days later but re-inserted due to urinary retention. Alpha-adrenergic blocker (doxazosin) was added to the medical treatment. After 3 days, the catheter was removed, and spontaneous urination was observed and doxazosin treatment was stopped.
Authors and Affiliations
İLKER GÜLBAŞARAN, AYTEKİN TOKMAK
Medical approach to urinary retention after vaginal hysterectomy
A 65 years old women presented with grade 3 descensus, grade 4 cystocele, grade 2 rectocele. The patient had no complaints of urinary incontinence. She underwent vaginal hysterectomy, colporrhaphy anterior, colporrhaphy...
Effects of the apical suspension of the upper vagina by cervicosacropexy or vaginosacropexy on stress and mixed urinary incontinence
Objective: Cervicosacropexy (CESA) and vaginosacropexy (VASA) are standardized surgical procedures to elevate and tighten the apical end of the vagina. A combination of CESA or VASA, and a transobturator tape was reporte...
FOWLER’S SYNDROME: WHAT IT IS AND WHAT IT’S NOT
We review the clinical problem of idiopathic non-obstructive urinary retention and voiding difficulty in young women, thought by Fowler and associates to be due to urinary sphincter spasm. We conclude that this voiding d...
Magnetic resonance imaging of pudendal nerve: technique and results
Objective: To update the ongoing contribution of magnetic resonance imaging (MRI) in clinical practice Materials and Methods: The imaging series of pelvic MRI examinations carried out in 580 consecutive patients (401 wo...
Pain mapping: A mechanisms-oriented protocol for the assessment of chronic pelvic pain and urogenital pain syndromes
Objective: Chronic pelvic pain (CPP) and various pelvic dysfunctions are best assessed by consultants with knowledge and training in myofascial pain. The prevalence of myofascial pain is recognised but what is needed is...