Can Retrovert Uterus be a Cause of Recurrent Temporal Acute Urinary Retention During Pregnancy?

Öz

Gebeliğin erken döneminde gelişen idrar retansiyonu, nadir olarak izlenen ancak acil yaklaşım gerektiren bir durumdur. Bu konuda az sayıda literatüre rastlanmıştır. Predispozan sebepler arasında retrovert uterus, endometriozis, pelvik inflamatuar olaylara bağlı gelişen adezyonlar, ektopik gebelik ve intramural myomlar yer almaktadır. Bu faktörler; uterusun batın içerisinde yükselmesini engelleyerek, uterusun pelvik kavitede hapsolmasına neden olmakta ve mesane tabanı ile üretraya bası sonucunda da akut idrar retansiyonu gelişebilmektedir. Bu makalede, birbirini takip eden her üç gebeliğinde de üriner retansiyon gelişen olgu literatür eşliğinde tartışılmıştır

Anahtar Kelimeler

• İdrar retansiyonu, gebelik, pelvik kavite

Can Retrovert Uterus be a Cause of Recurrent Temporal Acute Urinary Retention During Pregnancy?

Abstract

Urinary retention developing in early period of pregnancy is a rare but urgent condition. A few literatures were encountered on this issue. Retrovert uterus, endometriosis, pelvic inflammatory event-related adhesions, ectopic pregnancy and intramural myomas are among predisposing factors. These factors cause stucking of uterus in pelvic cavity by hindering elevation of uterus in the abdomen and acute urinary retention may develop as the result of pressure to urinary bladder floor and urethra. In this paper, a case who developed urinary retention in her three sequential pregnancies is discussed in the light of the literature.

Keywords

• Urinary retention, pregnancy, pelvic cavity

References

1. Waltzer WC. The urinary tract in pregnancy. J Urol 1981; 125:271-6
2. Devoe RW. Acute Urinary retention in pregnancy. Calif Med 1956;85:112-3
3. Yellamareddygari S, Ahluwalia A. Acute vulval oedema withurinary retention in pregnancy. J Obstet Gynaecol 2006; 26: 815-6
4. Yohannes P, Schaefer J. Urinary retention during the sec- ond trimester of pregnanacy rare cause. Urology 2002; 59: 946
5. Sacco F, Rigon G, Castaldo F, Carbone A, Sacchini D, Sacco R. Acute urinary obstruction in pregnancy. Minerve Ginecol 1993; 45: 101-4
6. Yang JM, Huang WC. Sonographic findings in acute urinary retention secondary to retroverted gravid uterus: patho- physiology and preventive measures. Ultrasound Obstet Gynecol 2004; 23: 490-5
7. Love JN, Howell JM. Urinary retention resulting from in- carceration of a retroverted, gravid uterus. J Emerg Med 2000; 19: 351-4
8. Chauleur C, Vulliez L, Seffert P. Acute urine retention in early pregnancy resulting fibroid incarceration: proposi- tion for manegement. Fertil Steril 2008; 90:1198 e7-10

9. Spring M, Hymes JJ. Acute urinary retention as a com- plication of pregnancy: report of a case. J Am Med Assoc 1952; 149: 1011-2