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Re: Postpartal Urinary Retention X's 3From: Mats Bergstrom (matsb@cor.sos.sll.se)Tue Sep 24 16:52:40 1996
On Tue, 24 Sep 1996, R. Daniel Braun wrote:
> in. One week PP, cann not void 4 hours after removal of foley. Foley For etiology - well, voiding is a complicated procedure. I would guess that, structurally, cases like this have no more or other damages to the pelvic floor from delivery than those who can void (at least not measurable). For management - I'm sure many protocols are equally efficient - we usually have a Foley stay in place for 2-3 days after a major retention, to let the bladder heal it's damages from distension (that's the theory). If it still doesn't work we opt for intermittent emtying with a thin plastic catheter, preferrably done (after some training at the hospital) by the woman herself at home (or at work; if other than post partum). We are just now having a case of retention after a herpes genitalis type II primary lesion. Contrary to most such cases, with retention only lasting a few days, this patient can still not void after several weeks, with the vulva lesions completely gone. Spinal fluid labs negative. She's still on acyclovir. A similar case a few years ago lasted for some 2 months.
-- Mats Bergstrom, MD Ob Gyn South Hospital Stockholm
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