Related Experiment Video
Updated: Apr 24, 2026
03:26
Detrusor Underactivity Model in Rats by Conus Medullaris Transection
Published on: August 28, 2020
1.5K
Acute urinary retention after cesarean delivery: a case-control study.
Padma Kandadai1, Venk Kandadai, Jyot Saini
1From the *Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, University of Massachusetts Memorial Medical Center, Worcester, MA; and †Children's Hospital of Philadelphia, Philadelphia, PA.
Female Pelvic Medicine & Reconstructive Surgery
|September 3, 2014
Summary
Postoperative narcotic use increases the risk of postpartum urinary retention (PPUR) after cesarean delivery. Further research is needed to confirm this association.
Area of Science:
- Obstetrics and Gynecology
- Anesthesiology
- Urology
Background:
- Postpartum urinary retention (PPUR) is a potential complication following cesarean delivery (CD).
- Identifying risk factors for PPUR is crucial for improving patient outcomes and management strategies.
Purpose of the Study:
- To identify risk factors associated with postpartum urinary retention (PPUR) in patients undergoing cesarean delivery (CD).
Main Methods:
- A case-control study design was employed, matching 34 confirmed PPUR cases with 68 controls.
- Data collected included patient demographics, operative details, anesthetic factors, and postoperative analgesic use.
- Statistical analyses included Fisher exact tests, Wilcoxon rank sum tests, and modified Poisson conditional multivariate regression.
Main Results:
- Increasing gestational age was associated with a decreased risk of PPUR (OR, 0.07; P < 0.01).
- Postoperative use of intravenous narcotics (OR, 4.51; P = 0.038) and oral narcotics (OR, 4.99; P = 0.037) were significantly associated with an increased risk of PPUR.
- Other operative and anesthetic factors showed no significant association with PPUR.
Conclusions:
- Postoperative narcotic analgesia is a significant risk factor for PPUR after cesarean delivery.
- Further multicenter prospective studies are warranted to validate these findings and explore underlying mechanisms.
