Abstract
Acute urinary retention (AUR) is a rare occurrence during pregnancy. If not dealt with in time, it can lead to bladder rupture, miscarriage, or even uterine rupture and other serious consequences that endanger the health of both mother and fetus. Many risk factors have been identified. To better understand the etiology and treatment of urinary retention during pregnancy, we report on one pregnant woman with AUR who presented at 11+1 weeks of gestation due to uterus retroversion.
Highlights
Acute urinary retention (AUR) is defined as a sudden and painful inability to voluntarily void urine [1]
It can lead to serious consequences, such as acute renal failure, spontaneous abortion, permanent bladder dysfunction, and bladder rupture [2], and occurs more often between 10 and 16 weeks of gestation [3,4]
As shown by the findings of Chen et al, maternal age >35 years, preterm birth, and first delivery were significantly associated with AUR [7]
Summary
Acute urinary retention (AUR) is defined as a sudden and painful inability to voluntarily void urine [1]. As shown in our report, even without uterine entrapment, retroversion of the uterus itself can cause AUR. The patient was guided to adopt the knee-chest prone position for 15 min, 3 times a day to improve uterine retroversion (Figure 2). Ultrasound showed no pelvic mass, and the uterine polarity changed significantly seven days later. The patient's symptoms improved significantly, and she was able to void normally and was discharged from the hospital after the indwelling catheter was removed seven days later. The patient was advised to adopt a knee-chest prone position and limit fluid intake before sleep, as before, to prevent an AUR relapse during the pregnancy. Thereafter, the patient has a regular obstetrics examination in our hospital Her symptoms did not recur again, and her pregnancy remained uneventful until now
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