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Protracted postpartum urinary retention-a long-term problem or a transient condition?

Noa Mevorach Zussman1, Noa Gonen2, Michal Kovo2

  • 1Department of Obstetrics and Gynecology, the Edith Wolfson Medical Center, Holon, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Ha'Lochamim 62, PO Box 5, 58100, Holon, Israel. noamev@gmail.com.

International Urogynecology Journal
|February 21, 2019
PubMed
Summary

Protracted postpartum urinary retention (P-PUR) is rare but has minimal long-term impact on urogynecologic health. This study found no significant differences in pelvic floor distress between P-PUR patients and controls, offering reassurance.

Keywords:
Fecal incontinencePelvic floor prolapseUrinary incontinenceUrinary retention

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Area of Science:

  • Urogynecology
  • Obstetrics
  • Pelvic Floor Disorders

Background:

  • Protracted postpartum urinary retention (P-PUR) is a rare complication extending beyond the third postpartum day.
  • Long-term consequences of P-PUR are not well-documented.
  • Understanding the long-term urogynecologic outcomes of P-PUR is crucial for patient care.

Purpose of the Study:

  • To compare the long-term urogynecologic outcomes of women with P-PUR to a matched control group.
  • To assess long-term urinary or fecal incontinence and pelvic organ prolapse symptoms.
  • To evaluate the clinical impact of P-PUR on pelvic floor disorders.

Main Methods:

  • Retrospective review of medical records for P-PUR cases (2005-2016).
  • Matched control group (1:2 ratio) based on maternal age, parity, birth weight, analgesia, and delivery route.
  • Long-term assessment (≥1 year postpartum) using the Pelvic Floor Distress Inventory-Short Form (PFDI-20) via telephone interview.

Main Results:

  • P-PUR occurred in 0.051% of deliveries (27 cases).
  • No significant differences in baseline characteristics or PFDI-20, UDI-6, POPDI-6 scores between P-PUR and control groups.
  • Slightly longer second stage of labor in the P-PUR group; minimally elevated CARDI-8 scores in the P-PUR group.

Conclusions:

  • P-PUR, despite being a concerning complication, appears to have a negligible clinical impact on long-term urogynecologic disorders.
  • The study provides reassuring evidence for patients and healthcare providers regarding the long-term prognosis after P-PUR.
  • Further research may explore the minimal CARDI-8 elevation observed in the P-PUR cohort.