title: Hematuria and clot retention after transvaginal oocyte aspiration: a case report.
abstract: 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.
authors.affiliation: Division of Urology, Department of Surgery, UCSD Medical Center, 92103-8897, USA.
authors.forename: Joshua
authors.initials: J
authors.lastname: Modder
authors.forename: L Michael
authors.initials: LM
authors.lastname: Kettel
authors.forename: Kyoko
authors.initials: K
authors.lastname: Sakamoto
mesh_terms: 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*