Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 6, 2021; 9(13): 3130-3139
Published online May 6, 2021. doi: 10.12998/wjcc.v9.i13.3130
Acute urinary retention in the first and second-trimester of pregnancy: Three case reports
Lin Zhuang, Xiao-Yin Wang, Yan Sang, Jiao Xu, Xue-Lian He
Lin Zhuang, Xiao-Yin Wang, Yan Sang, Jiao Xu, Department of Obstetrics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610000, Sichuan Province, China
Xue-Lian He, Department of Obstetrics, Sichuan Provincial Hospital for Women and Children, Chengdu 610000, Sichuan Province, China
Author contributions: Zhuang L, Wang XY, and Sang Y designed and performed most of the investigation and wrote the manuscript; Xu J and He XL performed the data analysis and contributed to data interpretation; All authors read and approved the manuscript.
Informed consent statement: Written informed consent was obtained from individual participants.
Conflict-of-interest statement: There is no conflict to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lin Zhuang, MD, Doctor, Department of Obstetrics, Hospital of Chengdu University of Traditional Chinese Medicine, No. 39 Shi-er-qiao Road, Jinniu District, Chengdu 610072, Sichuan Province, China. zhuanglin@cdutcm.edu.cn
Received: November 23, 2020
Peer-review started: November 23, 2020
First decision: December 21, 2020
Revised: January 4, 2021
Accepted: March 3, 2021
Article in press: March 3, 2021
Published online: May 6, 2021
Processing time: 143 Days and 10.7 Hours
Core Tip

Core Tip: Acute urinary retention (AUR) during pregnancy can have a negative impact on maternal and fetal health. We propose a diagnostic and therapeutic algorithm for the management of AUR in the first and second trimester. A retroverted uterus is the most common cause of AUR. Clinical symptoms, physical examination, and imaging should be used for diagnosis of a retroverted gravid uterus and AUR. Treatment may include conservative measures and/or bladder decompression with an indwelling Foley catheter or manual reduction. Subsequently, the uterus should be kept anterior with a normal vesicourethral angle. Occasionally, a soft pessary or antibiotics may be used.