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What Causes Urine Retention During The Second Trimester?

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Posted on Fri, 27 Nov 2015
Question: What could be causing a 2nd trimester (pregnant), 26 year old to have retention of urine so much so that she is not discharging the urine and it's backing up, causing severe pain?
doctor
Answered by Dr. Manisha Jain (1 hour later)
Brief Answer:
Retroverted uterus

Detailed Answer:
Hello mam, thanks for trusting health care magic.
Most common reason for such a complaint is urinary infection and the other common reason can be bladder stone.
But since as you said all investigations have come normal so these common things are ruled out largely.
Other very less common but possible issue in your case can be acute retroverted uterus causing elongation and compression of urethera.
Visit your gynecologist for examination with special mention to this condition and ask her to look for specific things related to this.
Treatment is basically prevention of infection and at times pessary insertion is needed to correct retroversion.
In case you have any questions about it, I will be glad to answer.
Regards
Dr Manisha
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Manisha Jain (13 hours later)
Thanks so much for your prompt response above. I Just needed a little clarification on the following:

1. What is an Acute Retroverted Uterus that causes elongation and compression of the urethera?

2. What is Pessary insertion?

Thanks Again!
doctor
Answered by Dr. Manisha Jain (11 hours later)
Brief Answer:
Retroversion explained

Detailed Answer:
Usually the uterus is inclined forwards and this grows upwards towards the umblicus and thus no problem occurs but in case it gets inclined backwards (in retroverted uterus) it grows posteriorly and presses the urethera and bladder against the pelvic bones anterior nto the bladder.
Pessary is a kind of ring made of plastic specially designed for making the uterus point anteriorly as it should be so corrects the abnormality and thus relief is obtained.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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What Causes Urine Retention During The Second Trimester?

Brief Answer: Retroverted uterus Detailed Answer: Hello mam, thanks for trusting health care magic. Most common reason for such a complaint is urinary infection and the other common reason can be bladder stone. But since as you said all investigations have come normal so these common things are ruled out largely. Other very less common but possible issue in your case can be acute retroverted uterus causing elongation and compression of urethera. Visit your gynecologist for examination with special mention to this condition and ask her to look for specific things related to this. Treatment is basically prevention of infection and at times pessary insertion is needed to correct retroversion. In case you have any questions about it, I will be glad to answer. Regards Dr Manisha