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©The Author(s) 2021.
World J Clin Cases. May 6, 2021; 9(13): 3130-3139
Published online May 6, 2021. doi: 10.12998/wjcc.v9.i13.3130
Published online May 6, 2021. doi: 10.12998/wjcc.v9.i13.3130
Table 2 Summary of case reports of acute urinary retention in early and second trimester pregnancy in the English language literature (between 1980 and 2018)
Ref. | Year | Case | MA, G/P | Risk factor | Reason | GA in wk | Presentation | Treatment | Outcome |
Goldberg et al[4] | 1981 | 1 | 29/G4P2 | None | Prolapsed, progressive protrusion of gravid cervix out of the vestibule | 10 | AUR | IDC; cystoscopy; pessary | No recurrence |
Chauleur et al[7] | 2008 | 2 | 1st: 33, G2P0; 2nd: 41, G1P0 | Fibroid | Fibroid incarceration | 1st: 5; 2nd: 6 | 1st: AUR; 2nd: Frequent and urgent, small volume urination | Myomectomy | 1st: Miscarriage; 2nd: Normal pregnancy |
Kubota et al[3] | 2012 | 1 | 31/not mentioned | Protrusion of the meninges | ASM | 28 | Dysuria | ISC | CS at 35 wk |
Nelson et al[26] | 1986 | 1 | 30/G3P2 | Incarcerated uterus | 14 | Dysuria and abdominal pain | IDC MR | An uneventful pregnancy | |
Yang et al[13] | 2004 | 5 | 31 (range, 25-37)/3 cases: G2P1; 2 cases: G1P0 | Not mentioned | Not mentioned | 11-14 | All AUR | Water-limiting before sleep, prone position for a while before urination, leaning forward when initiating voiding, avoiding any Valsalva | No voiding problems after 16th wk |
Lam et al[27] | 2015 | 1 | 31/G5P1 | RUTI, laparoscopy for PID | Incarcerated uterus | 18 | Urinary frequency and urgency, dysuria | Antibiotics, IDC | An uncomplicated pregnancy |
Heazell et al[8] | 2004 | 1 | 33/G3P2 | None | Cervical pregnancy | 8 | AUR, abdominal pain and vaginal bleeding | Emergency evacuation, laparotomy | Hysterectomy |
Newell et al[15] | 2014 | 2 | 1st: 41/G1P0; 2nd: 33/G2P1 | None | Retroverted uterus with incarceration | 1st: 17; 2nd: 14 | 1st: UR and constipation; lower limb edema and hypertension. 2nd: UR | 1st: MR; 2nd: ISC | 1st: Fetal death after reduction; 2nd: An uncomplicated pregnancy |
Slama et al[23] | 2015 | 3 | 1st: 37/G6P2; 2nd: 42/G5P3; 3rd: 22/G15P5 | None | Uterine incarceration | 1st: 13; 2nd: 13; 3rd: 21 | 1st: UR; 2nd: UR; 3rd: UR, nausea | 1st: ISC, Pessary; 2nd: ISC, Pessary; 3rd: Pessary | Symptoms alleviation |
Inaba et al[25] | 2005 | 2 | 1st: 27/G1P0; 2nd: 32/G3P0 | 1st: Prolapse uterus IVF; 2nd: Endometriosis | Uterine incarceration | 1st: 11; 2nd: 14 | 1st: UR; 2nd: UR | 1st: KCP, MR; 2nd: MR many times | 1st: no recurrence; 2nd: not relieved, uterine rupture at 34 wk, CS |
Danis et al[12] | 2015 | 1 | 25/G1P0 | None | Retroverted uterus without incarceration | 18 | UR | MR, colonoscopy-assisted rectosigmoid insufflation | An uneventful pregnancy |
Kim et al[6] | 2018 | 2 | 1st: 34/multiparous; 2nd: 31/primigravid a | Adenomyosis and myoma | Incarceration of uterus | 1st: 7.2; 2nd: 6 | 1st: UR; 2nd: UR | 1st: MR, pessary; 2nd: IDC, MR | 1st: An uncompleted pregnancy; 2nd: A spontaneous abortion |
Dierickx et al[21] | 2011 | 4 | 1st: 39/G1P0; 2nd: 29/G1P0; 3rd: 28/G3P2; 4th: 34/G2P1 | 1st: Endometriosis; 2nd: Deep sacral concavity with prominent promontorium; 3rd: None; 4th: None | Incarcerated uterus | 1st: 22; 2nd: 22, 25; 3rd: 15; 4th: 18 | 1st: UR and abdominal pain; 2nd: Dysuria and incomplete bladder emptying; 3rd: UR; 4th: Mictalgia | All sigmoidoscopy1st, 3rd, 4th: Successful; 2nd: 22 wk successful/25 wk not successful, laparotomy | 1st and 3st: Vaginal delivery at term; 2nd and 4th: CS at term |
Yohannes et al[24] | 2002 | 1 | Not mentioned/G2P1 | None | Incarcerated uterus | 15 | UR and abdominal pain | IDC, MR, KCP | No urologic problem |
Suzuki et al[28] | 2009 | 2 | 1st: 26/G1P0; 2nd: 26/G1P0 | None | Retroverted uterus | 1st: 12; 2nd: 12 | 1st: UR; 2nd: UR | Both: IDC, limiting fluid intake before sleep; prone position for a while before urination | |
Smalbraak et al[5] | 1991 | 4 | 1st: 31/G2P1; 2nd: 28/G2P1; 3rd: 26/G2P0; 4th: 34/G2P1 | None | Retroverted uterus | 1st: 15; 2nd: 12, 25; 3rd: 16; 4th: 14 | 1st: UR and abdominal pain; 2nd: Abdominal pain and micturition; 3rd: Unpalpable uterine fundus; 4th: Micturition, abdominal pain | 1st: IDC MR; 2nd: None; 3rd: MR; 4th: Antibiotics | 1st: A normal pregnancy; 2nd: CS at term for breech presentation; 3st: CS at 32 wk |
Martínez-Varea et al[22] | 2013 | 1 | 35/G7P1 | Uterine prolapse (grade 2) | Uterine prolapse | 14 + 3 | Hypogastric pain, unable to void urine | IDC, Arabin ceralage pessary | No urologic problem |
Hamod et al[17] | 2002 | 1 | 27/G1P0 | Fundal fibroid | Incarcerated Uterus | 18 | Urinary frequency, passing small volumes of urine | ISC; antibiotics for fibroid degeneration | CS at 36 wk |
- Citation: Zhuang L, Wang XY, Sang Y, Xu J, He XL. Acute urinary retention in the first and second-trimester of pregnancy: Three case reports . World J Clin Cases 2021; 9(13): 3130-3139
- URL: https://www.wjgnet.com/2307-8960/full/v9/i13/3130.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v9.i13.3130