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Year : 2016  |  Volume : 6  |  Issue : 4  |  Page : 237-239

Postpartum urinary retention mimicking Fowler's syndrome: A case report

1 Urology Division, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
2 Department of Obstetrics and Gynaecology, Barrau Dikko Teaching Hospital, Kaduna State University, Kadunsa, Nigeria

Correspondence Address:
Dr. M Ahmed
Division of Urology, Department of Surgery, ABU/ABUTH, Zaria
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ais.ais_3_17

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Urinary retention (UR) is relatively uncommon in women; however, it may occur following childbirth and is termed as postpartum urinary retention (PPUR). PPUR has been variably defined as the abrupt onset of painful or painless inability to completely micturate, requiring urinary catheterization, over 12 hours after giving birth or unable to void spontaneously within 6 hours of vaginal delivery. This is a case of a 22-year-old woman presenting with 12 days history of intractable UR following spontaneous vaginal delivery and repair of episiotomy. The UR persisted despite repeated trial without catheter (TWOC) and bladder training. The absence of an identifiable cause and the failure of the bladder neck to open on micturating cystourethrogram (MCUG) lead to the suspicion of Fowler's syndrome thus the patient was referred to our urology unit. She was seen with an indwelling urethral catheter and there was no significant finding on evaluation except the presence of hard, impacted feces in the rectum. She had rectal enema with evacuation of feces and was able to void spontaneously without catheter. Normal voiding was maintained at 2 months of follow-up.

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