Role of reflexotherapy in the treatment of acute urinary retention after surgery
V.A. LINDE1, 3, A.V. KURENKOV, N.A. TATAROVA1, B.V. ARAKELYAN1, L.V. SHIRINYAN1, T.YU. ZHEMCHUZHINA1, K.A. TITOVA
1First Saint Petersburg State Medical University named after Acad. I.P. Pavlov, Saint Petersburg
2Saint Petersburg State Pediatric Medical University, Saint Petersburg
3City Mariinsky Hospital, Saint Petersburg
Contact details:
Titova K.A. — obstetrician-gynecologist for emergency medical care
Address: 56 Liteyny prospekt, 191104 Saint Petersburg, Russian Federation, e-mail: klimovaksenia2@mail.ru
Acute urinary retention is inability to void spontaneously despite a distended urinary bladder. It is a common complication in the early postoperative period. It most frequently occurs after surgical interventions involving the pelvic zone and perineum, but may also develop as a complication of spinal or epidural anesthesia. Standard treatment for this condition includes placement of an indwelling urethral catheter and/or the use cholinomimetic drugs.
The purpose — clinical testing of reflexotherapy as a treatment method for acute urinary retention.
Material and methods. Twenty-six patients, including seven after failed conventional treatment, were treated using our developed method.
Results. The therapy was successful in all patients. The mean number of procedures was 2.48 ± 0.23 per course. No adverse events were recorded.
Conclusions. The proposed reflexotherapy course is an effective and safe method for the treatment of postoperative acute urinary retention.
Key words: acute urinary retention, bladder atony, reflex therapy, acupuncture.
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