Chronic urinary retention and pelvic floor hypertonicity after surgery for endometriosis: A case series

Alan P. Gehrich, Gehrich AP, Aseff JN, John N. Aseff, Iglesia CB, Cheryl B. Iglesia, John R. Fischer, Jerome L. Buller, Buller JL
American journal of obstetrics and gynecology · 2005 · vol. 193(6) , pp. 2133–2137 · doi:10.1016/j.ajog.2005.07.013 · PMID:16325629 · W2053886286
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Four women undergoing extensive endometriosis surgery developed chronic urinary retention and pelvic floor hypertonicity, with neurodiagnostic testing revealing neuropathy in all cases.

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Abstract

ObjectiveThe purpose of this study was to evaluate 4 cases of chronic urinary retention and pelvic floor muscle spasms after surgery for endometriosis.Study designThese patients underwent a complete history, physical exam, and diagnostic work- up. The results were analyzed with regards to type and extent of inciting surgery, diagnostic findings, postoperative recovery, and treatment success.ResultsThe patients' mean age was 39.5 years and all had undergone various surgical interventions for endometriosis. In addition to urinary retention, all developed debilitating pelvic floor muscle spasm postoperatively. Physical exam revealed pelvic floor hypertonicity and urodynamics indicated hypoactive detrusor contractility. Neurodiagnostic testing gave evidence of neuropathy in all subjects.ConclusionExtensive endometriosis surgery may pose a risk for postoperative bladder dysfunction and pelvic floor muscle spasm.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Pelvic Floor Postoperative Complications Spasm Urinary Retention Adult Chronic Disease Electromyography Endometriosis Female Humans Pelvic Floor Pelvic Pain Pelvic Pain Postoperative Complications Spasm Urinary Bladder Urinary Bladder Urinary Retention Urinary Retention

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (9)

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