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Recurrent urinary retention

Author: RxPG, Posted on Friday, September 17 @ 00:00:00 IST by RxPG  

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Gynecology

A 55- year -old woman has recurrent urinary retention after a hysterectomy done for huge fibroid. The most likely cause is:
1. Atrophic and stenotic urethra.
2. Lumbar disc prolapse.
3. Injury to the bladder neck.
4. Injury to the hypogastric plexi.


Answer
4. Injury to the hypogastric plexi.

Reference
Shaw 12th Edition Diseases of Urinary System Pg-132

Quality
Spotter

Status
Repeat

QTDF
Shaw

Discussion
Radical Operations like Wertheims Hysterectomy involve extensive dissection causing denervation of the bladder, leaving the patient with an insensitive bladder comparable to neurological bladder

Explanation
1. Atrophic and stenotic urethra follows surgeries on the bladder neck for a fistula.
2. Lumbar disc prolapse is not related to this question.
3. Injury to the bladder neck is not common in Hysterectomy.
4. Injury to the hypogastric plexi.


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