Acute urine retention in early pregnancy resulting from fibroid incarceration: proposition for management

Fertility and Sterility
Céline ChauleurPierre Seffert

Abstract

To define a therapeutic strategy adapted to acute urine retention resulting from uterine incarceration in early pregnancy. Case report and review of the literature. University hospital. Two cases of acute urine retention induced by severe fibroid incarceration in first trimester. After failure of preventive measures and maneuvers to reduce the incarceration, surgery was performed as a last resort. Pregnancy and birth after surgery. One miscarriage 1 week after surgery and one normal pregnancy. Acute urine retention constitutes an emergency, and rapid measures are essential to avoid extremely serious maternal morbidity. We propose a therapeutic strategy for managing this condition. Simple measures may be sufficient to prevent incarceration. Otherwise, bladder catheterization should be performed rapidly, and reduction measures attempted. If this approach fails, the incarcerated uterus must be treated as a last resort by surgery.

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Citations

Feb 1, 2012·Archives of Gynecology and Obstetrics·Liquan WangLili Huang
Oct 30, 2009·Current Urology Reports·Bernard T Haylen
Jun 26, 2013·AJR. American Journal of Roentgenology·Carly S GardnerLisa M Ho
Aug 13, 2013·Case Reports in Obstetrics and Gynecology·Alicia Martínez-VareaAlfredo Perales-Marín
Apr 10, 2013·Gynécologie, obstétrique & fertilité·C-R LacosteC Chauleur
May 18, 2016·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Emre G PabuçcuSevim Dincer Cengiz
Feb 27, 2016·The Journal of Obstetrics and Gynaecology Research·M IraniG Bensinger
Oct 23, 2016·Obstetrical & Gynecological Survey·Kelsey L ShnaekelEverett F Magann
Nov 11, 2019·BMC Pregnancy and Childbirth·Cha HanYingmei Wang
Sep 12, 2020·Gynécologie, Obstétrique, Fertilité & Sénologie·C Le GrandG Benoist
May 11, 2021·World Journal of Clinical Cases·Lin ZhuangXue-Lian He

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