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Re: Incarcerated uterus From: Joanne Bulley, MD (jbulley@cheshire.net) Fri Jun 30 22:11:19 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Incarcerated uterus" Previous message: Efrain Ramirez: "Re: Interesting VBAC" In reply to: Jane Helwig, MD: "Incarcerated uterus" Next in thread: Efrain Ramirez: "Re: Incarcerated uterus" Reply: Efrain Ramirez: "Re: Incarcerated uterus" The best treatment - from my series of about a half dozen - is to put the cath in for 3-7 days. The uterus resolves itself while the cath is in. I have never had to cath a second time. My 2 cents is that the growth of the uterus pushes itself out of the pelvis as long as the bladder is drained for a few days to a week. How did we decide when to take the cath out - Luck, I guess. None of those other maneuvers worked - whether for me or my older partners. Joanne At Fri, 30 Jun 2000, Jane Helwig, MD wrote: > >G3P2 at 11 weeks presents with urinary retention. She says this >happened in each of her previous pregnancies and both times her OB >pushed on her uterus from below to resolve the problem. On exam, the >uterus is so retroflexed as to be almost horizontal, with the cervix >under the symphysis. Foley was inserted for 24 hours and urinary >retention has resolved. > >I tried to push the uterus up vaginally while the patient was in >lithotomy position and again while she was in knee-chest position, but >didn't feel any change in its position. > >Questions for those who have successfully pushed the uterus up, with or >without anesthesia: could you tell from movement of the uterus that you >had succeeded? Did you monitor with ultrasound? How did you know it >worked? > >Since she's now asymptomatic, do I need to do anything more? If urinary >retention or pain returns, I have Plans B, C, D: pushing from below >rectally, pushing from below under spinal anesthesia, colonoscopy a la >recent article. Don't have any elemental mercury on hand for Plan E. > >Any comments? > >-- >Jane Helwig, MD, FACOG >Private practice >Nassawadox, VA > -- Joanne Bulley, MD Keene, NH, USA Next message: Efrain Ramirez: "Re: Incarcerated uterus" Previous message: Efrain Ramirez: "Re: Interesting VBAC" In reply to: Jane Helwig, MD: "Incarcerated uterus" Next in thread: Efrain Ramirez: "Re: Incarcerated uterus" Reply: Efrain Ramirez: "Re: Incarcerated uterus"

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