A.A. KHASANOV^1–4, D.V. NURULLINA^1, 4, E.R. YARULLINA¹

 Kazan State Medical University, Kazan

²Kazan (Volga) Federal University, Kazan

³Republic Clinical Hospital, Kazan

⁴Maternity Hospital No. 3 of Kazan State Medical University Clinic named after Prof. V.S. Gruzdev, Kazan

  Contact details:

Khasanov A.A. — MD, Professor of the Departmenmt of Obstetrics and Gynecology named after Prof. V.S. Gruzdev, Chief Expert, Chief Researcher of Republic Clinical Hospital

Address: 49 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7-917-239-15-00, e-mail: albirkhasanov@mail.ru

Postpartum urinary retention (ischuria, PUR) is the absence of spontaneous urination in a woman in labor more than 6 hours after the birth of a child or a condition in which the residual volume of urine after urination is less than 150 cm³. The ischuria pathophysiology is not fully understood, but there are several hypotheses that may cause the occurrence of urinary retention in the early postpartum period. For example, trauma to the pelvic floor muscles and innervation can lead to decreased bladder sensitivity, and swelling of the ureters and vagina after childbirth can lead to urinary tract obstruction. Despite the frequency of complications in the form of ischuria, the maternity hospital staff does not pay sufficient attention to screening for these problems in the early and late postpartum periods. This literature review examines risk factors, clinical presentation, prevention methods and examples of treatment for this dangerous complication.

Key words: postpartum urinary retention, ischuria after childbirth, urinary dysfunction after childbirth.

REFERENCES

1. Cao D., Rao L., Yuan J. et al. Prevalence and risk factors of overt postpartum urinary retention among primiparous women after vaginal delivery: a case-control study. BMC Pregnancy Childbirth, 2022, vol. 22, p. 26.
2. Avondstondt A.M., Hidalgo R.J. Salaon C.G. Intrapartum risk factors for postpartum urinary retention: a case-control study. Int. Urogynecol. J, 2020, vol. 31, pp. 2395–2398.
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7. Mohr S., Raio L., Gobrecht-Keller U., Imboden S., Mueller M.D., Kuhn A. Postpartum urinary retention: what are the sequelae? A long-term study and review of the literature. Int. Urogynecol. J, 2022, vol. 33 (6), pp. 1601–1608.