title: Postoperative Urinary Retention With Gross Vulvar Edema After Use of 4% Icodextrin.
abstract: BACKGROUND
  4% icodextrin is a fluid that can be instilled laparoscopically to prevent adhesion formation. There are few complications reported in the literature associated with its use.
  
  
  METHODS
  A 38-year-old woman, gravida 2, para 0, abortus 2 underwent laparoscopic salpingectomy. 4% icodextrin was instilled in an effort to prevent adhesion formation. Postoperatively, the patient experienced urinary retention and gross vulvar edema that required foley catheter use until the 4% icodextrin solution had absorbed.
  
  
  CONCLUSIONS
  Postoperative complications that may be associated with the use of 4% icodextrin include urinary retention and vulvar edema.
authors.affiliation: Division of Reproductive Endocrinology and Infertility, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390.
authors.forename: Beverly
authors.initials: B
authors.lastname: Reed
authors.affiliation: Division of Reproductive Endocrinology and Infertility, UT Health Science Center, San Antonio, TX 78229.
authors.forename: Randal
authors.initials: R
authors.lastname: Robinson
mesh_terms: D000328:Adult; D004487:Edema / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005936:Glucans / Q000008:administration & dosage / Q000009:adverse effects*; D005947:Glucose / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D000077607:Icodextrin; D007322:Instillation, Drug; D010535:Laparoscopy / Q000009:adverse effects*; D010388:Pelvis; D011183:Postoperative Complications; D058994:Salpingectomy / Q000009:adverse effects*; D012488:Salpingitis / Q000601:surgery; D016055:Urinary Retention / Q000175:diagnosis / Q000209:etiology*; D014845:Vulvar Diseases / Q000175:diagnosis / Q000209:etiology*
chemical_list: D005936:Glucans; D000077607:Icodextrin; D005947:Glucose