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CASE REPORT
Year : 2015  |  Volume : 5  |  Issue : 4  |  Page : 231-234

Postpartum urinary retention secondary to suture obliteration of the urethral orifice: A complication of home delivery conducted by an untrained birth attendant


Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria

Correspondence Address:
Dr. Fadimatu Bakari
Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.174678

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Postpartum urinary retention (PPUR) secondary to suture obliteration of the urethral orifice by a traditional birth attendant (TBA) is a condition that may not have been heard of in modern day obstetric practice and has certainly not been reported before in our locality. Several risk factors to developing PPUR have been reported. However, following a careful search of the literature, there was no documented case of PPUR secondary to closure of the urethral orifice by TBA. We report a rare case of a 23-year-old multipara who had spontaneous vaginal delivery that was supervised by a TBA at home. She presented 3 days later with complaints of inability to pass urine, abdominal pain, abdominal swelling, and dribbling of urine on straining. She was evaluated and found to have a distended urinary bladder up to the level of the umbilicus. Pelvic examination revealed a vestibule that was almost completely obliterated up to the urethral orifice with continuous surgical silk suture. The vaginal orifice was also partially obliterated. Urine was noticed to be dribbling from the region of the urethral orifice on straining. Lochia was normal. About 2 L of clear urine was drained from the urinary bladder following cutting of the silk suture and passage of an indwelling size 16F Foley's catheter. The uterus was contracted to 16 weeks pregnancy size following catheterization. She had successful bladder training and was discharged 5 days later.


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