Is Postpartum Urinary Retention a Neurogenic Phenomenon?

Alexandriah N. Alas, Eric A. Hurtado

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Postpartum urinary retention (PUR) can be classified as covert, those with postvoid residuals higher than 150 cm3, or overt, those unable to void 6 hours after vaginal delivery or after removal of a catheter after cesarean section. There is limited data and research on the mechanism of PUR. However, it has been suggested that there is a neurological component to the development of PUR. This includes disruption of the afferent system through analgesic blockade, crush or stretch injuries to the pudendal nerve during delivery, and impairment of neurotransmitters required for proper signal transduction. However, it is likely that the causes of PUR are multifactorial, and that physiologic changes of pregnancy and trauma from childbirth play a critical role.

Original languageEnglish (US)
Pages (from-to)318-324
Number of pages7
JournalCurrent Bladder Dysfunction Reports
Volume10
Issue number4
DOIs
StatePublished - Dec 1 2015
Externally publishedYes

Keywords

  • Bladder outlet obstruction
  • Postpartum
  • Urinary retention
  • Voiding dysfunction

ASJC Scopus subject areas

  • Biochemistry
  • Molecular Biology

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