Ten cases reports of acute urinary retention caused by uterine myoma

DOI Web Site

Bibliographic Information

Other Title
  • 子宮筋腫により急性尿閉をきたした10例
  • 症例報告 子宮筋腫により急性尿閉をきたした10例
  • ショウレイ ホウコク シキュウ キンシュ ニ ヨリ キュウセイ ニョウヘイ オ キタシタ 10レイ

Search this article

Description

The incidence of acute urinary retention (AUR) in women is low, with only seven cases reported per 100,000 people, and cases of AUR caused by gynecological diseases are extremely uncommon. Uterine myoma is one cause of AUR ; however, increased frequency of urination is a more common than AUR among urinary tract symptoms caused by enlargement of the uterus. There have previously been some case reports of one-three patients concerning AUR caused by uterine myoma, but there has been no systematic analysis of a large number of AUR patients. We retrospectively examined 10 cases of AUR believed to be caused by uterine myomas, which occurred over the past six years in our department. We examined the clinical background including the circumstances surrounding the disease onset, and considered its pathogenesis. From April 2006 to March 2012, 2032 patients visited our hospital outpatient clinic, which specializes in uterine myoma. Ten of these patients (0.49%) suffered from AUR. The ages of patients ranged from 38 to 51 years, and the uterus size ranged from that of 12 to 21 weeks of gestation. There were seven cases of myomas at the uterine corpus and three cases of myomas at the uterine cervix. In most cases, AUR occurred when the bladder was full of urine, in particular after waking up from sleep. The volume of residual urine ranged from 175 to 1600 ml when AUR occurred. The patients were treated by catheterization, after which AUR did not continue. AUR onset appeared to occur when an enlarged uterine corpus was pushed up or rotated backward by the filled bladder, with extension and narrowing of the urethra occurring, and/or when the urethra was pressed by the cervical fibroids or the cervix of the rotated uterus from behind. There were few repeat occurrences of AUR in the patients after instruction to avoid excessive fluid intake before sleep, and avoid waiting to urinate. It is therefore considered that a single episode of AUR is not an absolute indicator for surgical intervention. [Adv Obstet Gynecol, 66 (2) : 148-154, 2014 (H26.5)]

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top