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Re: Urinary Retention Postpartum From: Gerald P. Rodríguez (geraldpr@cybermesa.com) Sat Apr 17 08:40:38 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: OB: Keepsake ultrasounds" Previous message: Braun, R. Daniel: "Re: Urinary Retention Postpartum" Maybe in reply to: Dr. Ainsworth: "Urinary Retention Postpartum" Next in thread: Steve & Eryl Raymond: "Re: Urinary Retention Postpartum" Reply: Steve & Eryl Raymond: "Re: Urinary Retention Postpartum" "Never" is such an ugly word, Ron. Don't give up yet. I would suggest trying 4 weeks of continuous Foley drainage, followed by one week of Urecholine (bethanechol chloride) with the Foley still in place, followed by Urecholine at max doses and intermittent self-cath. This is an extreme case, and may not work, but you have nothing to lose. Gerald P. Rodríguez, M.D., FACOG Santa Fe ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ "There are very few things wholly evil or wholly good; almost everything is an inseparable compound of the two." --Abraham Lincoln ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >----- Original Message ----- From: "Dr. Ainsworth" <ainsron@sbcglobal.net> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Friday, April 16, 2004 3:35 PM 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 Next message: RModugno@aol.com: "Re: OB: Keepsake ultrasounds" Previous message: Braun, R. Daniel: "Re: Urinary Retention Postpartum" Maybe in reply to: Dr. Ainsworth: "Urinary Retention Postpartum" Next in thread: Steve & Eryl Raymond: "Re: Urinary Retention Postpartum" Reply: Steve & Eryl Raymond: "Re: Urinary Retention Postpartum"

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