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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

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Postpartum urinary retention after cesarean delivery.

C C Liang¹, S D Chang, Y L Chang

¹Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Chang Gung University, Taoyuan, Taiwan. ccjoliang@cgmh.org.tw

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics

|July 21, 2007

Summary

Postpartum urinary retention (PUR) affects nearly a quarter of women after cesarean delivery. Morphine use for pain relief is a significant contributing factor to this common condition.

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Published on: October 25, 2024

Area of Science:

Obstetrics and Gynecology
Urology

Background:

Postpartum urinary retention (PUR) is a potential complication following childbirth.
Cesarean delivery is associated with an increased risk of urinary issues.

Purpose of the Study:

To determine the incidence of postpartum urinary retention (PUR) after cesarean delivery.
To identify obstetric factors associated with the development of PUR.

Main Methods:

A prospective study involving 605 women undergoing cesarean delivery.
Postvoid residual bladder volume (PVRBV) measured via ultrasound after the first micturition.
Comparison of patient characteristics and obstetric parameters between PUR and normal groups.

Main Results:

The overall incidence of PUR was 24.1% (overt 7.4%, covert 16.7%).
Factors significantly linked to PUR included morphine-based postoperative analgesia, multiple pregnancies, and low body mass index.
At 3 months postpartum, 5.0% experienced obstructive and 9.1% experienced irritative voiding symptoms.

Conclusions:

Postpartum urinary retention is a common occurrence in women after cesarean delivery.
Morphine-related postoperative analgesia emerged as the primary factor contributing to PUR.