title: Acute urine retention in early pregnancy resulting from fibroid incarceration: proposition for management.
abstract: OBJECTIVE
  To define a therapeutic strategy adapted to acute urine retention resulting from uterine incarceration in early pregnancy.
  
  
  METHODS
  Case report and review of the literature.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  Two cases of acute urine retention induced by severe fibroid incarceration in first trimester.
  
  
  METHODS
  After failure of preventive measures and maneuvers to reduce the incarceration, surgery was performed as a last resort.
  
  
  METHODS
  Pregnancy and birth after surgery.
  
  
  RESULTS
  One miscarriage 1 week after surgery and one normal pregnancy.
  
  
  CONCLUSIONS
  Acute urine retention constitutes an emergency, and rapid measures are essential to avoid extremely serious maternal morbidity. We propose a therapeutic strategy for managing this condition. Simple measures may be sufficient to prevent incarceration. Otherwise, bladder catheterization should be performed rapidly, and reduction measures attempted. If this approach fails, the incarcerated uterus must be treated as a last resort by surgery.
authors.affiliation: Gynecology-Obstetrics Department, University Hospital Nord, Saint-Etienne, France. celine.chauleur@chu-st-etienne.fr
authors.forename: Céline
authors.initials: C
authors.lastname: Chauleur
authors.forename: Laetitia
authors.initials: L
authors.lastname: Vulliez
authors.forename: Pierre
authors.initials: P
authors.lastname: Seffert
mesh_terms: D000208:Acute Disease; D000328:Adult; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications* / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome; D016055:Urinary Retention / Q000209:etiology* / Q000628:therapy*; D014594:Uterine Neoplasms / Q000150:complications* / Q000628:therapy