Hematuria and clot retention after transvaginal oocyte aspiration: a case report.
OBJECTIVE
To report a case of bladder injury with hematuria and urinary retention after transvaginal oocyte aspiration.


METHODS
Case report.


METHODS
Emergency room in a university medical center.


METHODS
A 28-year-old woman presented with urinary retention and suprapubic pain 8 hours after oocyte aspiration.


METHODS
Foley catheter, intravenous fluid bolus, bladder irrigation, and computed tomography with postvoid films that showed a blood clot in the bladder. Patient was discharged home with antibiotics and catheter in place.


METHODS
Clinical follow-up.


RESULTS
Patient passed voiding trial 4 days later and was artificially inseminated. No further hematuria or voiding problems were reported, and she had a successful pregnancy.


CONCLUSIONS
Patients who elect to undergo oocyte aspiration should be warned about the possibility of bladder injury because of the close proximity of the ovaries to the bladder, and physicians should have an appropriate treatment plan.
Modder
Joshua
J
Division of Urology, Department of Surgery, UCSD Medical Center, 92103-8897, USA.
Kettel
L Michael
LM
Sakamoto
Kyoko
K
D000328:Adult; D001778:Blood Coagulation Disorders / Q000209:etiology*; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D018587:Oocyte Donation / Q000009:adverse effects*; D009865:Oocytes; D017699:Pelvic Pain / Q000209:etiology*; D013396:Suction / Q000009:adverse effects*; D001743:Urinary Bladder / Q000293:injuries*; D016055:Urinary Retention / Q000209:etiology*