Postpartum uterine retroversion causing bladder outflow obstruction: cure by laparoscopic ventrosuspension.
A case of chronic urinary retention due to bladder outflow obstruction presenting at 7 months postpartum, following a history of early puerperal voiding difficulties, is outlined. The cause was found to be a markedly retroverted uterus obstructing the urethra. Laparoscopic ventrosuspension was performed, converting preoperative urinary residuals of over 400 ml to zero postoperatively.
Haylen
B T
BT
St Vincent's Hospital, Darlinghurst, New South Wales, Australia.
Cerqui
A J
AJ
D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011644:Puerperal Disorders / Q000209:etiology* / Q000503:physiopathology; D012404:Round Ligament of Uterus / Q000601:surgery*; D014524:Urethral Obstruction / Q000209:etiology / Q000503:physiopathology; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology* / Q000503:physiopathology; D016055:Urinary Retention / Q000209:etiology* / Q000503:physiopathology; D014563:Urodynamics; D014599:Uterus / Q000473:pathology*