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Re: Urinary Retention Postpartum From: Garry E. Siegel, M.D. (garrys@mindspring.com) Fri Apr 16 17:00:38 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "OB: Keepsake ultrasounds" Previous message: Dr. Ainsworth: "Urinary Retention Postpartum" In reply to: Dr. Ainsworth: "Urinary Retention Postpartum" Next in thread: Braun, R. Daniel: "Re: Urinary Retention Postpartum" Boy, tough case. I have no idea of the answer, but I do know that the nurses at my main hospital (small unit)pretty much know that the recently delivered must void or be catheterized by 4 hours--not 6, not 8. They are generally undergoing a diuresis, and there's plenty of urine, FWIW. I've not been disappointed by being strict about this. Garry At Fri, 16 Apr 2004, Dr. Ainsworth wrote: > >I saw a patient recently who was delivered by another physician, CLE, >prolonged 2nd stage, VE assisted delivery. She had postpartum urinary >retention, requiring a foley catheter until discharge. When the >catheter was removed on the second postpartum she was sent home. 3d >later she saw me for incontinence, she had a residual of >4000cc. It >has now been 4wks, she is still doing intermittent self-catheterization, >voiding 50-100cc, residuals of 150 to 400cc. What is her prognosis for >normal voiding? Anyone have any experience with similar situations? When >I discussed this with a urogynecologist, he felt she will never void >normally, saying that overdistention to that degree will cause permanent >damage to the small nerve endings in the bladder. Thanks. Ron -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Garry E. Siegel, M.D.: "OB: Keepsake ultrasounds" Previous message: Dr. Ainsworth: "Urinary Retention Postpartum" In reply to: Dr. Ainsworth: "Urinary Retention Postpartum" Next in thread: Braun, R. Daniel: "Re: Urinary Retention Postpartum"

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