Frequency of Cathetrization in the Management of Overt Postpartum Urinary Retention: Cathetrization in the Management of Overt Postpartum Urinary Retention

Sohail  Hassan; Kiren  Khursheed Malik; Athar  Hameed Sheikh; Adil  Khursheed; Mohammad  Iqbal; Noman  Ali Ghazanfar

doi:10.54393/pbmj.v5i10.799

Authors

Sohail Hassan Department of Urology, University College of Medicine and Dentistry, Lahore
Kiren Khursheed Malik Department of Gynae and Obs, King Edward Medical University, Lahore
Athar Hameed Sheikh Department of Urology, PGMI and Ameer u Din Medical College, Lahore
Adil Khursheed Department Urology, Abu Umara medical and Dental College, Lahore
Mohammad Iqbal Department of Urology, Central Park Medical College, Lahore
Noman Ali Ghazanfar Department of Urology, University College of Medicine and Dentistry, Lahore

DOI:

https://doi.org/10.54393/pbmj.v5i10.799

Keywords:

Postpartum urinary retention, PUR, Transurethral Catheterization, Overt PUR, Voiding disfunction

Abstract

Urinary retention after postpartum can be defined as “inability of the patient to pass urine after six hours of postpartum. Objective: To determine the role of catheterization in patients with postpartum urinary retention. Methods: It was multicenter study. Patients from five different hospitals were included in the study. Duration of study was one and half years. Patients suffering from overt postpartum urinary retention who refused self intermittent catheterization were included in the study. Results: Total 68 patients were included in the study from five different teaching hospitals. In Social Security Teaching Hospital 13 patients, in Lady Wallingdon Hospital 32patients, in Lahore General Hospital 13, in Ali Fatima Teaching Hospital 12 and in Central Park Hospital 8 patients were reported. The age of these patients was from 18 to 29 years with a mean age of 21 years (+ 1.6). The duration of catheterization was from 3 to 18 days with mean days was 7 (+ 1.8). Conclusions: In overt type of postpartum urinary retention, early treatment results in saving patients to develop long term urinary complications.

References

Koyuncu K, Turgay B, Varli B, Ulusoy CO, Aytaç R, Söylemez F. Covert postpartum urinary retention, is there a place for routine bladder ultrasound in postpartum care? Journal of Experimental and Clinical Medicine. 2021 Apr; 38(2):138-42.

Mulder FEM, Hakvoort RA, de Bruin JP, van der Post JAM, Roovers JWR. Comparison of clean intermittent and transurethral indwelling catheterization for the treatment of overt urinary retention after vaginal delivery: a multi centre randomized controlled clinical trial. The International Urogynecology Journal (IUJ). 2018 Sep; 29(9):1281-1287. doi: 10.1007/s00192-017-3452-y.

Cao D, Rao L, Yuan J, Zhang D, Lu B. Prevalence and risk factors of overt postpartum urinary retention among primiparous women after vaginal delivery: a case-control study. BMC Pregnancy Childbirth. 2022 Jan; 22(1):26. doi: 10.1186/s12884-021-04369-1.

Nusee Z, Nor NH, Rashid AR, Ismail H, Zakaria H. Overt and Covert Postpartum Urinary Retention, Risk Factors and Complications. European Journal of Medical and Health Sciences. 2020 Jul; 2(4).

Lamblin G, Chene G, Aeberli C, Soare R, Moret S, Bouvet L, et al. Identification of risk factors for postpartum urinary retention following vaginal deliveries: A retrospective case-control study. European Journal of Obstetrics and Gynecology and Reproductive Biology: X. 2019 Dec; 243:7-11. doi: 10.1016/j.ejogrb.2019.10.001.

Li Q, Zhu S, Xiao X. The risk factors of postpartum urinary retention after vaginal delivery: A systematic review. International Journal of Nursing Sciences. 2020 Sep; 7(4):484-492. doi: 10.1016/j.ijnss.2020.09.002.

Polat M, Şentürk MB, Pulatoğlu Ç, Doğan O, Kılıççı Ç, Budak MŞ. Postpartum urinary retention: Evaluation of risk factors. Turkish Journal of Obstetrics and Gynecology. 2018 Jun; 15(2):70-74. doi: 10.4274/tjod.43931.

Khatoon H, Naz A, Mushtaq N, Aahuja K. The frequency of post-partum urinary retention (PPUR) and factors contributing PPUR after vaginal delivery. The Professional Medical Journal. 2020 Nov; 27(11):2463-8.

Erlangga BB, Lengkong RA, Wantania J. Postpartum urinary retention after vaginal delivery. Indonesian Journal of Obstetrics and Gynecology. 2019 Apr; 141-5.

Dolezal P, Ostatnikova M, Balazovjechova B, Psenkova P, Zahumensky J. Covert postpartum urinary retention: causes and consequences (PAREZ study). International urogynecology journal. 2022 Aug; 33(8):2307-2314. doi: 10.1007/s00192-022-05278-3.

Mohr S, Raio L, Gobrecht-Keller U, Imboden S, Mueller MD, Kuhn A. Postpartum urinary retention: what are the sequelae? A long-term study and review of the literature. International urogynecology journal. 2022 Jun; 33(6):1601-1608. doi: 10.1007/s00192-021-05074-5.

Mulder FE, Hakvoort RA, Schoffelmeer MA, Limpens J, Van der Post JA, Roovers JP. Postpartum urinary retention: a systematic review of adverse effects and management. International urogynecology journal. 2014 Dec; 25(12):1605-12. doi: 10.1007/s00192-014-2418-6.

Stanley AY and Conner BT. Implementing a clinical practice guideline to manage postpartum urinary retention. Journal of nursing care quality. 2015 Jun; 30(2):175-80. doi: 10.1097/NCQ.0000000000000087.

Tiberon A, Carbonnel M, Vidart A, Ben Halima M, Deffieux X, Ayoubi JM. Risk factors and management of persistent postpartum urinary retention. Journal of Gynecology Obstetrics and Human Reproduction. 2018 Nov; 47(9):437-441. doi: 10.1016/j.jogoh.2018.08.002.

Beaumont T. Prevalence and outcome of postpartum urinary retention at an Australian hospital. Midwifery. 2019 Mar; 70:92-99. doi: 10.1016/j.midw.2018.12.013.

Kawasoe I and Kataoka Y. Prevalence and risk factors for postpartum urinary retention after vaginal delivery in Japan: A case-control study. Japan Journal of Nursing Science. 2020 Apr; 17(2): e12293. doi: 10.1111/jjns.12293.

Paola DR, Noemi G, Valeria B, Lorena C, Manara DF, Giulia V. Risk factors and management of postpartum urinary retention: A scoping review. International Journal of Urological Nursing. 2022 Jul;16(2):87-104.

Groutz A, Levin I, Gold R, Pauzner D, Lessing JB, Gordon D. Protracted postpartum urinary retention: the importance of early diagnosis and timely intervention. Neurourology and Urodynamics. 2011 Jan; 30(1):83-6. doi: 10.1002/nau.20926.

Neron M, Allègre L, Huberlant S, Mousty E, de Tayrac R, Fatton B, et al. Impact of systematic urinary catheterization protocol in delivery room on covert postpartum urinary retention: a before-after study. Scientific Reports. 2017 Dec; 7(1):17720. doi: 10.1038/s41598-017-18065-8.

Perú Biurrun G, Gonzalez-Díaz E, Fernández Fernández C, Fernández Corona A. Post-Partum Urinary Retention and Related Risk Factors. Urology. 2020 Sep; 143:97-102. doi: 10.1016/j.urology.2020.03.061.

Dolezal P, Zahumensky J, Otapkova P, Papcun P, Krizko M Jr. Covert postpartum urinary retention. Bratislavske lekarske listy. 2019; 120(9):673-675. doi: 10.4149/BLL_2019_112.