Arpita Lahoti*, Surekha Tayade and , Priti Ghanshyam Verma
Introduction/Background: Failure to empty bladder at the volume of 600 mL, a volume at which there is a strong desire to void, is called as urinary retention which is substantially more common in men and rare in women. Presenting complaint and investigations: patient after dilatation and evacuation after missed abortion experienced pain in bilateral flanks and was unable to pass urine. On per abdomen examination, previous Lower segment caesarean section scar was present, bladder was palpable but not tenderness was present. Soft, non-tender abdomen. On Per vaginal examination, uterus was bulky, anteverted and bilateral fornices were free. On admission ultrasonography was done that revealed over distended bladder (volume=600 cubic centimetre). No other abnormalities were seen. No Retained products of conception. further USG, CT scan and MRI was done along with urodynamic studies. The main diagnoses, therapeutics interventions, and outcomes: There was no significant finding seen on CT scan and MRI. urodynamic studies were done which suggested that the cause for urinary retention could be detrusor muscle weakness. catherization was done. Conclusion: Most likely the cause of urinary retention in this case is detrusor muscle weakness which can be secondary to nerve injury. Further studies will be required for the confirmation of the same for which patient is counselled. Although, dilatation and evacuation are a common and simple procedure, complications can happen in some patients. Early diagnosis and proper experience and training of the procedure can prevent such complications.
