Print this page Email this page
Users Online: 454
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
CASE REPORT
Year : 2015  |  Volume : 5  |  Issue : 4  |  Page : 231-234

Postpartum urinary retention secondary to suture obliteration of the urethral orifice: A complication of home delivery conducted by an untrained birth attendant


Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria

Correspondence Address:
Dr. Fadimatu Bakari
Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.174678

Rights and Permissions

Postpartum urinary retention (PPUR) secondary to suture obliteration of the urethral orifice by a traditional birth attendant (TBA) is a condition that may not have been heard of in modern day obstetric practice and has certainly not been reported before in our locality. Several risk factors to developing PPUR have been reported. However, following a careful search of the literature, there was no documented case of PPUR secondary to closure of the urethral orifice by TBA. We report a rare case of a 23-year-old multipara who had spontaneous vaginal delivery that was supervised by a TBA at home. She presented 3 days later with complaints of inability to pass urine, abdominal pain, abdominal swelling, and dribbling of urine on straining. She was evaluated and found to have a distended urinary bladder up to the level of the umbilicus. Pelvic examination revealed a vestibule that was almost completely obliterated up to the urethral orifice with continuous surgical silk suture. The vaginal orifice was also partially obliterated. Urine was noticed to be dribbling from the region of the urethral orifice on straining. Lochia was normal. About 2 L of clear urine was drained from the urinary bladder following cutting of the silk suture and passage of an indwelling size 16F Foley's catheter. The uterus was contracted to 16 weeks pregnancy size following catheterization. She had successful bladder training and was discharged 5 days later.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1682    
    Printed32    
    Emailed0    
    PDF Downloaded83    
    Comments [Add]    

Recommend this journal