Acute urinary retention- how to manage?
Hello, I am a 36-year-old nulliparous female. I was admitted to hospital with a two-day history of acute urinary retention. Point-of-care ultrasonography and CT scan imaging confirmed the presence of a large uterine mass causing compression of the bladder. The acute retention was relieved with urethral catheterization. How to manage this acute urinary retention?
@keka Female urinary retention is a rare entity and its underlying origin may pose a management dilemma. Early catheterization to relieve patient distress must always precede a search for the underlying aetiology and associated complications. Uterine leiomyoma is the commonest benign gynaecologic tumour with up to one in four women developing one or more fibroids during their lifetime. Uterine fibroids occur more frequently in women aged 30–50 years and is strongly associated with obesity, nulliparity, and a positive family history. The acute urinary retention can be relieved by insertion of a urethral catheter, the underlying cause of the obstruction must be determined.