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[Acute urinary obstruction in pregnancy]

F Sacco1, G Rigon, F Castaldo

  • 1Istituto di Clinica Ostetrica e Ginecologica, Università Cattolica del S. Cuore, Roma.

Minerva Ginecologica
|March 1, 1993
PubMed
Summary

Acute urinary obstruction in pregnancy, often caused by uterine incarceration or abscess, requires prompt catheterization. Treatment involves manual reduction or surgical drainage, with urodynamic testing reserved for complex cases.

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Area of Science:

  • Obstetrics and Gynecology
  • Urology

Context:

  • Acute urinary obstruction during pregnancy is a rare but serious complication.
  • Causes include uterine pelvic incarceration and paraurethral abscesses.
  • Early diagnosis and intervention are crucial to prevent maternal and fetal complications.

Purpose:

  • To present five cases of acute urinary obstruction during pregnancy.
  • To discuss the causes, diagnostic approaches, and management strategies.
  • To evaluate the role of urodynamic testing in these cases.

Summary:

  • Five pregnant patients experienced acute urinary obstruction with high voiding pressures and significant residual urine.
  • Etiologies identified were uterine pelvic incarceration (2 cases) and paraurethral abscesses (3 cases).

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  • Effective management included manual reduction for incarceration and surgical drainage with antibiotics for abscesses, alongside immediate catheterization.

    • Impact:

    • Immediate catheterization is vital to prevent bladder overdistention and potential neuromuscular damage.
    • Surgical intervention for underlying causes (incarceration or abscess) led to successful outcomes.
    • Extensive urodynamic testing may not be necessary for straightforward cases, reserving it for complex or persistent symptoms.