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Erschienen in: International Urogynecology Journal 3/2020

19.02.2019 | Original Article

Protracted postpartum urinary retention—a long-term problem or a transient condition?

verfasst von: Noa Mevorach Zussman, Noa Gonen, Michal Kovo, Hadas Miremberg, Jacob Bar, Alexander Condrea, Shimon Ginath

Erschienen in: International Urogynecology Journal | Ausgabe 3/2020

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Abstract

Introduction and hypothesis

Protracted postpartum urinary retention (P-PUR) is a rare puerperal complication of overt urinary retention that proceeds beyond the 3rd postpartum day. Long-term consequences of P-PUR are poorly reported. The objective of the study was to compare the long-term outcome of patients with P-PUR with a matched control group, using a validated pelvic floor distress questionnaire.

Methods

All medical files of women diagnosed with P-PUR between 2005 and 2016 were reviewed. The control group was comprised of women who had a consecutive birth, matched in a 1:2 ratio, by maternal age, parity, neonatal birth weight, analgesia, and route of delivery. All women were evaluated for long-term symptoms of urinary or fecal incontinence and pelvic-organ-prolapse-related complaints by a telephone interview, at least 1 year following their delivery, using the Pelvic Floor Distress Inventory-Short Form (PFDI-20) questionnaire.

Results

During the study period, there were 27 cases of P-PUR out of 52,662 deliveries (0.051%). There were no differences between the study group (n = 27) and controls (n = 54) in age, BMI (kg/m2), parity, birth weight, route of delivery, and rate of episiotomy. The majority of patients in both groups opted for epidural analgesia. Second stage of labor was longer in the study group than in controls, 134.1 ± 74.6 min vs. 73.4 ± 71.6 min, respectively, p < 0.001. The scores of the PFDI-20, UDI-6, and POPDI-6 did not differ between the groups. However, the study group had minimally elevated scores on the CARDI-8 scale (1.0 ± 2.6 vs. 0.0 ± 0.0, p = 0.012).

Conclusions

P-PUR is a rare postpartum complication, yet this disturbing condition has negligible if any clinical impact on long-term urogynecologic disorders. These findings carry a reassuring message to both patients and their health care providers.
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Metadaten
Titel
Protracted postpartum urinary retention—a long-term problem or a transient condition?
verfasst von
Noa Mevorach Zussman
Noa Gonen
Michal Kovo
Hadas Miremberg
Jacob Bar
Alexander Condrea
Shimon Ginath
Publikationsdatum
19.02.2019
Verlag
Springer International Publishing
Erschienen in
International Urogynecology Journal / Ausgabe 3/2020
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-019-03903-2

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