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Current Bladder Dysfunction Reports

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01.12.2015 | Neurogenic Bladder (CR Powell, Section Editor)

Is Postpartum Urinary Retention a Neurogenic Phenomenon?

verfasst von: Alexandriah N. Alas, Eric A. Hurtado

Erschienen in: Current Bladder Dysfunction Reports | Ausgabe 4/2015

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Abstract

Postpartum urinary retention (PUR) can be classified as covert, those with postvoid residuals higher than 150 cm³, or overt, those unable to void 6 hours after vaginal delivery or after removal of a catheter after cesarean section. There is limited data and research on the mechanism of PUR. However, it has been suggested that there is a neurological component to the development of PUR. This includes disruption of the afferent system through analgesic blockade, crush or stretch injuries to the pudendal nerve during delivery, and impairment of neurotransmitters required for proper signal transduction. However, it is likely that the causes of PUR are multifactorial, and that physiologic changes of pregnancy and trauma from childbirth play a critical role.

Mustonen S, Ala-Houhala IO, Tammela TL. Long-term renal dysfunction in patients with acute urinary retention. Scand J Urol Nephrol. 2001;35(1):44–8.PubMed

Mustonen S, Ala-Houhala IO, Turjanmaa V, Tammela TL. Effect of acute urinary retention on glomerular filtration rate. Clin Nephrol. 2001;56(1):81–2.PubMed

Abe T, Shinno Y, Kawakura K, Moriya K. Acute renal failure occurring from urinary retention due to a mullerian duct cyst. Int J Urol. 2000;7(2):69–71.CrossRefPubMed

Lewis JM, Yalla SV, Stanitski KE, Sullivan MP. Spectrum of urodynamic abnormalities and renal function changes in adult men with non-neurogenic urinary retention. Neurourol Urodyn. 2012;31(4):544–8. doi:10.1002/nau.22196.CrossRefPubMed

Bross S, Schumacher S, Scheepe JR, Zendler S, Braun PM, Alken P, et al. Effects of acute urinary bladder overdistension on bladder response during sacral neurostimulation. Eur Urol. 1999;36(4):354–9.CrossRefPubMed

Madersbacher H, Cardozo L, Chapple C, Abrams P, Toozs-Hobson P, Young JS, et al. What are the causes and consequences of bladder overdistension? ICI-RS 2011. Neurourol Urodyn. 2012;31(3):317–21. doi:10.1002/nau.22224.CrossRefPubMed

Yip SK, Brieger G, Hin LY, Chung T. Urinary retention in the post-partum period. The relationship between obstetric factors and the post-partum post-void residual bladder volume. Acta Obstet Gynecol Scand. 1997;76(7):667–72.CrossRefPubMed

Kekre AN, Vijayanand S, Dasgupta R, Kekre N. Postpartum urinary retention after vaginal delivery. Int J Gynaecol Obstet. 2011;112(2):112–5. doi:10.1016/j.ijgo.2010.08.014.CrossRefPubMed

Glavind K, Bjork J. Incidence and treatment of urinary retention postpartum. Int Urogynecol J Pelvic Floor Dysfunct. 2003;14(2):119–21. doi:10.1007/s00192-002-1014-3.CrossRefPubMed

10.

Ching-Chung L, Shuenn-Dhy C, Ling-Hong T, Ching-Chang H, Chao-Lun C, Po-Jen C. Postpartum urinary retention: assessment of contributing factors and long-term clinical impact. Aust N Z J Obstet Gynaecol. 2002;42(4):365–8.CrossRefPubMed

11.

Rizvi RM, Khan ZS, Khan Z. Diagnosis and management of postpartum urinary retention. Int J Gynaecol Obstet. 2005;91(1):71–2. doi:10.1016/j.ijgo.2005.06.025.CrossRefPubMed

12.

Lim II, Hochman T, Blumberg SN, Patel KN, Heller KS, Ogilvie JB. Disparities in the initial presentation of differentiated thyroid cancer in a large public hospital and adjoining university teaching hospital. Thyroid. 2012;22(3):269–74. doi:10.1089/thy.2010.0385.PubMedCentralCrossRefPubMed

13.

Andolf E, Iosif CS, Jorgensen C, Rydhstrom H. Insidious urinary retention after vaginal delivery: prevalence and symptoms at follow-up in a population-based study. Gynecol Obstet Investig. 1994;38(1):51–3.CrossRef

14.

Hée DP, Lose G, Beier-Holgersen R, Engdahl E, Falkenløve P. Postpartum voiding in the primiparous after vaginal delivery. Int Urogynecol J. 1992;3(2):95–9.CrossRef

15.

Teo R, Punter J, Abrams K, Mayne C, Tincello D. Clinically overt postpartum urinary retention after vaginal delivery: a retrospective case-control study. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(5):521–4. doi:10.1007/s00192-006-0183-x.CrossRefPubMed

16.

Liang CC, Chang SD, Chang YL, Chen SH, Chueh HY, Cheng PJ. Postpartum urinary retention after cesarean delivery. Int J Gynaecol Obstet. 2007;99(3):229–32. doi:10.1016/j.ijgo.2007.05.037.CrossRefPubMed

17.

Carley ME, Carley JM, Vasdev G, Lesnick TG, Webb MJ, Ramin KD, et al. Factors that are associated with clinically overt postpartum urinary retention after vaginal delivery. Am J Obstet Gynecol. 2002;187(2):430–3.CrossRefPubMed

18.

Zaki MM, Pandit M, Jackson S. National survey for intrapartum and postpartum bladder care: assessing the need for guidelines. BJOG. 2004;111(8):874–6. doi:10.1111/j.1471-0528.2004.00200.x.CrossRefPubMed

19.

Ramsay IN, Torbet TE. Incidence of abnormal voiding parameters in the immediate postpartum period. Neurourol Urodyn. 1993;12(2):179–83.CrossRefPubMed

20.

Groutz A, Hadi E, Wolf Y, Maslovitz S, Gold R, Lessing JB, et al. Early postpartum voiding dysfunction: incidence and correlation with obstetric parameters. J Reprod Med. 2004;49(12):960–4.PubMed

21.

Groutz A, Gordon D, Wolman I, Jaffa A, Kupferminc MJ, Lessing JB. Persistent postpartum urinary retention in contemporary obstetric practice. Definition, prevalence and clinical implications. J Reprod Med. 2001;46(1):44–8.PubMed

22.

Walters M, Karram M. Urogynecology and reconstructive pelvic surgery. 3rd ed. Philadelphia: Mosby Elsevier; 2007.

23.

S M. Physiological bladder changes during pregnancy and the puerperium. J Urol. 1938; 41:691.

24.

Iosif S, Ingemarsson I, Ulmsten U. Urodynamic studies in normal pregnancy and in puerperium. Am J Obstet Gynecol. 1980;137(6):696–700.PubMed

25.

Elliott RA, Castleden CM, Miodrag A. The effect of in vivo oestrogen pretreatment on the contractile response of rat isolated detrusor muscle. Br J Pharmacol. 1992;107(3):766–70.PubMedCentralCrossRefPubMed

26.

Enhorning G, Ulmsten U. Intraureteric pressures in women. Am J Obstet Gynecol. 1970;108(3):462–7.PubMed

27.

Iosif CS, Bekassy Z, Rydhstrom H. Prevalence of urinary incontinence in middle-aged women. Int J Gynaecol Obstet. 1988;26(2):255–9.CrossRefPubMed

28.•

Liang CC, Lin YH, Chen TC, Chang SD. How antepartum and postpartum acute urinary retention affects the function and structure of the rat bladder. Int Urogynecol J. 2014;25(8):1105–13. doi:10.1007/s00192-013-2320-7. This study on rat bladders found an association between progesterone, caveolin, caveolae, NGF levels in pregnancy, and the development of postpartum urinary retention. These hormones can affect nerve function and could provide insight in how their alteration could explain postpartum urinary retention on a neurophysiological level.CrossRefPubMed

29.

Cristofaro V, Peters CA, Yalla SV, Sullivan MP. Smooth muscle caveolae differentially regulate specific agonist induced bladder contractions. Neurourol Urodyn. 2007;26(1):71–80. doi:10.1002/nau.20361.CrossRefPubMed

30.

Kogo H, Ito SY, Moritoki Y, Kurahashi H, Fujimoto T. Differential expression of caveolin-3 in mouse smooth muscle cells in vivo. Cell Tissue Res. 2006;324(2):291–300. doi:10.1007/s00441-005-0130-z.CrossRefPubMed

31.

Hnasko R, Lisanti MP. The biology of caveolae: lessons from caveolin knockout mice and implications for human disease. Mol Interv. 2003;3(8):445–64. doi:10.1124/mi.3.8.445.CrossRefPubMed

32.

Li S, Seitz R, Lisanti MP. Phosphorylation of caveolin by src tyrosine kinases. The alpha-isoform of caveolin is selectively phosphorylated by v-Src in vivo. J Biol Chem. 1996;271(7):3863–8.CrossRefPubMed

33.

Koleske AJ, Baltimore D, Lisanti MP. Reduction of caveolin and caveolae in oncogenically transformed cells. Proc Natl Acad Sci U S A. 1995;92(5):1381–5.PubMedCentralCrossRefPubMed

34.

Steers WD, Kolbeck S, Creedon D, Tuttle JB. Nerve growth factor in the urinary bladder of the adult regulates neuronal form and function. J Clin Invest. 1991;88(5):1709–15. doi:10.1172/JCI115488.PubMedCentralCrossRefPubMed

35.

Starkman JS, Duffy 3rd JW, Wolter CE, Kaufman MR, Scarpero HM, Dmochowski RR. The evolution of obstruction induced overactive bladder symptoms following urethrolysis for female bladder outlet obstruction. J Urol. 2008;179(3):1018–23. doi:10.1016/j.juro.2007.10.051.CrossRefPubMed

36.

Gomelsky A, Nitti VW, Dmochowski RR. Management of obstructive voiding dysfunction after incontinence surgery: lessons learned. Urology. 2003;62(3):391–9.CrossRefPubMed

37.

Kershen RT, Appell RA. De novo urge syndrome and detrusor instability after anti-incontinence surgery: current concepts, evaluation, and treatment. Curr Urol Rep. 2002;3(5):345–53.CrossRefPubMed

38.

de Groat WC. The urothelium in overactive bladder: passive bystander or active participant? Urology. 2004;64(6 Suppl 1):7–11. doi:10.1016/j.urology.2004.08.063.CrossRefPubMed

39.

Weil A, Reyes H, Rottenberg RD, Beguin F, Herrmann WL. Effect of lumbar epidural analgesia on lower urinary tract function in the immediate postpartum period. Br J Obstet Gynaecol. 1983;90(5):428–32.CrossRefPubMed

40.••

Mulder FE, Schoffelmeer MA, Hakvoort RA, Limpens J, Mol BW, van der Post JA, et al. Risk factors for postpartum urinary retention: a systematic review and meta-analysis. BJOG. 2012;119(12):1440–6. This meta-analysis was the largest study to date that identified risk factors for development of postpartum urinary retention. Risk factors identified included forceps delivery, use of epidural analgesia, episiotomy, and nulliparity.CrossRefPubMed

41.

Weisberg NK, Spengler DM, Netterville JL. Stretch-induced nerve injury as a cause of paralysis secondary to the anterior cervical approach. Otolaryngol Head Neck Surg. 1997;116(3):317–26.CrossRefPubMed

42.

Sultan AH, Kamm MA, Hudson CN. Pudendal nerve damage during labour: prospective study before and after childbirth. Br J Obstet Gynaecol. 1994;101(1):22–8.CrossRefPubMed

43.

Gill BC, Damaser MS, Vasavada SP, Goldman HB. Stress incontinence in the era of regenerative medicine: reviewing the importance of the pudendal nerve. J Urol. 2013;190(1):22–8. doi:10.1016/j.juro.2013.01.082.PubMedCentralCrossRefPubMed

44.

Gill BC, Moore C, Damaser MS. Postpartum stress urinary incontinence: lessons from animal models. Expert Rev Obstet Gynecol. 2010;5(5):567–80. doi:10.1586/eog.10.48.PubMedCentralCrossRefPubMed

45.

Sakamoto K, Smith GM, Storer PD, Jones KJ, Damaser MS. Neuroregeneration and voiding behavior patterns after pudendal nerve crush in female rats. Neurourol Urodyn. 2000;19(3):311–21.CrossRefPubMed

46.

Sievert KD, Emre Bakircioglu M, Tsai T, Dahms SE, Nunes L, Lue TF. The effect of simulated birth trauma and/or ovariectomy on rodent continence mechanism. Part I: functional and structural change. J Urol. 2001;166(1):311–7.CrossRefPubMed

47.

Polyak E, Boopathi E, Mohanan S, Deng M, Zderic SA, Wein AJ, et al. Alterations in caveolin expression and ultrastructure after bladder smooth muscle hypertrophy. J Urol. 2009;182(5):2497–503. doi:10.1016/j.juro.2009.07.011.CrossRefPubMed

48.

Shafik A, Shafik IA, El Sibai O, Shafik AA. Effect of urethral stimulation on vesical contractile activity. Am J Med Sci. 2007;334(4):240–3. doi:10.1097/MAJ.0b013e3180a6ef3f.CrossRefPubMed

49.

Shafik A, Shafik AA, El-Sibai O, Ahmed I. Role of positive urethrovesical feedback in vesical evacuation. The concept of a second micturition reflex: the urethrovesical reflex. World J Urol. 2003;21(3):167–70. doi:10.1007/s00345-003-0340-5.CrossRefPubMed

50.

Robinson LR. Traumatic injury to peripheral nerves. Suppl Clin Neurophysiol. 2004;57:173–86.CrossRefPubMed

51.

Hinman F. Editorial: postoperative overdistention of the bladder. Surg Gynecol Obstet. 1976;142(6):901–2.PubMed

52.

Mayo ME, Lloyd-Davies RW, Shuttleworth KE, Tighe JR. The damaged human detrusor: functional and electron microscopic changes in disease. Br J Urol. 1973;45(2):116–25.CrossRefPubMed

53.

Liang CC, Wong SY, Tsay PT, Chang SD, Tseng LH, Wang MF, et al. The effect of epidural analgesia on postpartum urinary retention in women who deliver vaginally. Int J Obstet Anesth. 2002;11(3):164–9. doi:10.1054/ijoa.2002.0951.CrossRefPubMed

54.

Laterza RM, Schrutka L, Umek W, Albrich S, Koelbl H. Pelvic floor dysfunction after levator trauma 1-year postpartum: a prospective case-control study. Int Urogynecol J. 2015;26(1):41–7. doi:10.1007/s00192-014-2456-0.CrossRefPubMed

55.

Yip SK, Hin LY, Chung TK. Effect of the duration of labor on postpartum postvoid residual bladder volume. Gynecol Obstet Investig. 1998;45(3):177–80.CrossRef

56.

Ismail SI, Emery SJ. The prevalence of silent postpartum retention of urine in a heterogeneous cohort. J Obstet Gynaecol. 2008;28(5):504–7. doi:10.1080/01443610802217884.CrossRefPubMed

57.

Demaria F, Amar N, Biau D, Fritel X, Porcher R, Amarenco G, et al. Prospective 3D ultrasonographic evaluation of immediate postpartum urine retention volume in 100 women who delivered vaginally. Int Urogynecol J Pelvic Floor Dysfunct. 2004;15(4):281–5.PubMed

58.••

Mulder FE, Hakvoort RA, Schoffelmeer MA, Limpens J, Van der Post JA, Roovers JP. Postpartum urinary retention: a systematic review of adverse effects and management. Int Urogynecol J. 2014;25(12):1605–12. doi:10.1007/s00192-014-2418-6. This was a recent systematic review that reviewed 24 articles. It was concluded that there are limited studies evaluating the consequences of postpartum urinary retentions, and future studies should focus on management strategies and long-term consequences.CrossRefPubMed

59.

Yip SK, Sahota D, Chang AM, Chung TK. Four-year follow-up of women who were diagnosed to have postpartum urinary retention. Am J Obstet Gynecol. 2002;187(3):648–52.CrossRefPubMed

60.

Kerr-Wilson RH, Thompson SW, Orr Jr JW, Davis RO, Cloud GA. Effect of labor on the postpartum bladder. Obstet Gynecol. 1984;64(1):115–8.PubMed

61.

Saultz JW, Toffler WL, Shackles JY. Postpartum urinary retention. J Am Board Fam Pract. 1991;4(5):341–4.PubMed

62.

Yip SK, Sahota D, Pang MW, Chang A. Postpartum urinary retention. Acta Obstet Gynecol Scand. 2004;83(10):881–91. doi:10.1111/j.0001-6349.2004.00460.x.CrossRefPubMed

63.

Lim JL. Post-partum voiding dysfunction and urinary retention. Aust N Z J Obstet Gynaecol. 2010;50(6):502–5. doi:10.1111/j.1479-828X.2010.01237.x.CrossRefPubMed

64.

Kumar A, Mandhani A, Gogoi S, Srivastava A. Management of functional bladder neck obstruction in women: use of alpha-blockers and pediatric resectoscope for bladder neck incision. J Urol. 1999;162(6):2061–5.CrossRefPubMed

65.

Selius BA, Subedi R. Urinary retention in adults: diagnosis and initial management. Am Fam Physician. 2008;77(5):643–50.PubMed

Titel: Is Postpartum Urinary Retention a Neurogenic Phenomenon?
verfasst von: Alexandriah N. Alas
Eric A. Hurtado
Publikationsdatum: 01.12.2015
Verlag: Springer US
Erschienen in: Current Bladder Dysfunction Reports / Ausgabe 4/2015
Print ISSN: 1931-7212
Elektronische ISSN: 1931-7220
DOI: https://doi.org/10.1007/s11884-015-0321-8

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