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Re: Urinary Retention PostpartumFrom: Braun, R. Daniel (rbraun@iupui.edu)Sat Apr 17 07:28:56 2004
I think the Urogyn is probably correct. Dan "Sound is like water. If you drill one hole in the wall the sound will leak right through." - JAY BRAUN, a band member by love, a soundproofer by necessity. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. Ainsworth Sent: Friday, April 16, 2004 4:36 PM To: Multiple recipients of list OB-GYN-L Subject: Urinary Retention Postpartum 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
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