Chronic urinary retention and pelvic floor hypertonicity after surgery for endometriosis: A case series
The purpose of this study was to evaluate 4 cases of chronic urinary retention and pelvic floor muscle spasms after surgery for endometriosis. These patients underwent a complete history, physical exam, and diagnostic work- up. The results were analyzed with regards to type and extent of inciting su...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2005-12, Vol.193 (6), p.2133-2137 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Gehrich, Alan P. Aseff, John N. Iglesia, Cheryl B. Fischer, John R. Buller, Jerome L. |
| description | The purpose of this study was to evaluate 4 cases of chronic urinary retention and pelvic floor muscle spasms after surgery for endometriosis.
These 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.
The 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.
Extensive endometriosis surgery may pose a risk for postoperative bladder dysfunction and pelvic floor muscle spasm. |
| doi_str_mv | 10.1016/j.ajog.2005.07.013 |
| format | Article |
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These 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.
The 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.
Extensive endometriosis surgery may pose a risk for postoperative bladder dysfunction and pelvic floor muscle spasm.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2005.07.013</identifier><identifier>PMID: 16325629</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Adult ; Biological and medical sciences ; Chronic Disease ; Chronic pelvic pain ; Electromyography ; Endometriosis ; Endometriosis - surgery ; Female ; Female genital diseases ; Gynecology. Andrology. Obstetrics ; Humans ; Hypertonicity ; Medical sciences ; Nephrology. Urinary tract diseases ; Non tumoral diseases ; Pelvic Floor - physiopathology ; Pelvic floor hypertonicity ; Pelvic Pain - etiology ; Postoperative Complications - physiopathology ; Spasm - physiopathology ; Urethral spasm ; Urinary Bladder - physiopathology ; Urinary retention ; Urinary Retention - etiology ; Urinary Retention - physiopathology ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. Prostate gland ; Urodynamics</subject><ispartof>American journal of obstetrics and gynecology, 2005-12, Vol.193 (6), p.2133-2137</ispartof><rights>2005 Mosby, Inc.</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-37a9d4ecaa82dd297ebecab947b9139cf513969ac5c3ec9794f0064380935893</citedby><cites>FETCH-LOGICAL-c384t-37a9d4ecaa82dd297ebecab947b9139cf513969ac5c3ec9794f0064380935893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajog.2005.07.013$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3550,23930,23931,25140,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17333924$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16325629$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gehrich, Alan P.</creatorcontrib><creatorcontrib>Aseff, John N.</creatorcontrib><creatorcontrib>Iglesia, Cheryl B.</creatorcontrib><creatorcontrib>Fischer, John R.</creatorcontrib><creatorcontrib>Buller, Jerome L.</creatorcontrib><title>Chronic urinary retention and pelvic floor hypertonicity after surgery for endometriosis: A case series</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>The purpose of this study was to evaluate 4 cases of chronic urinary retention and pelvic floor muscle spasms after surgery for endometriosis.
These 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.
The 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.
Extensive endometriosis surgery may pose a risk for postoperative bladder dysfunction and pelvic floor muscle spasm.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Chronic pelvic pain</subject><subject>Electromyography</subject><subject>Endometriosis</subject><subject>Endometriosis - surgery</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Hypertonicity</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Non tumoral diseases</subject><subject>Pelvic Floor - physiopathology</subject><subject>Pelvic floor hypertonicity</subject><subject>Pelvic Pain - etiology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Spasm - physiopathology</subject><subject>Urethral spasm</subject><subject>Urinary Bladder - physiopathology</subject><subject>Urinary retention</subject><subject>Urinary Retention - etiology</subject><subject>Urinary Retention - physiopathology</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. Prostate gland</subject><subject>Urodynamics</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE2L2zAQhkVp6abb_oEeii7tza4s2foovSyhX7DQy96FIo-zCo6UauSF_PuVSWBvvcwwzPOOxEPIx461Hevk10PrDmnfcsaGlqmWdeIV2XTMqEZqqV-TDWOMN0YofUPeIR7WkRv-ltx0UvBBcrMh--1jTjF4uuQQXT7TDAViCSlSF0d6gvmpLqc5pUwfzyfIZaVDOVM3FcgUl7yHGpvqHuKYjlBySBjwG72j3iFQhBwA35M3k5sRPlz7LXn4-eNh-7u5__vrz_buvvFC96URypmxB--c5uPIjYJdHXamVzvTCeOnoVZpnB-8AG-U6SfGZC80M2LQRtySL5ezp5z-LYDFHgN6mGcXIS1opdZSDKavIL-APifEDJM95XCsAmzH7GrXHuxq1652LVO22q2hT9fry-4I40vkqrMCn6-AQ-_mKbvoA75wSghh-Pr69wsHVcVTgGzRB4gexpDBFzum8L9_PAPDipoZ</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>Gehrich, Alan P.</creator><creator>Aseff, John N.</creator><creator>Iglesia, Cheryl B.</creator><creator>Fischer, John R.</creator><creator>Buller, Jerome L.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051201</creationdate><title>Chronic urinary retention and pelvic floor hypertonicity after surgery for endometriosis: A case series</title><author>Gehrich, Alan P. ; Aseff, John N. ; Iglesia, Cheryl B. ; Fischer, John R. ; Buller, Jerome L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-37a9d4ecaa82dd297ebecab947b9139cf513969ac5c3ec9794f0064380935893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Chronic pelvic pain</topic><topic>Electromyography</topic><topic>Endometriosis</topic><topic>Endometriosis - surgery</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Hypertonicity</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Non tumoral diseases</topic><topic>Pelvic Floor - physiopathology</topic><topic>Pelvic floor hypertonicity</topic><topic>Pelvic Pain - etiology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Spasm - physiopathology</topic><topic>Urethral spasm</topic><topic>Urinary Bladder - physiopathology</topic><topic>Urinary retention</topic><topic>Urinary Retention - etiology</topic><topic>Urinary Retention - physiopathology</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><topic>Urodynamics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gehrich, Alan P.</creatorcontrib><creatorcontrib>Aseff, John N.</creatorcontrib><creatorcontrib>Iglesia, Cheryl B.</creatorcontrib><creatorcontrib>Fischer, John R.</creatorcontrib><creatorcontrib>Buller, Jerome L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gehrich, Alan P.</au><au>Aseff, John N.</au><au>Iglesia, Cheryl B.</au><au>Fischer, John R.</au><au>Buller, Jerome L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic urinary retention and pelvic floor hypertonicity after surgery for endometriosis: A case series</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>193</volume><issue>6</issue><spage>2133</spage><epage>2137</epage><pages>2133-2137</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>The purpose of this study was to evaluate 4 cases of chronic urinary retention and pelvic floor muscle spasms after surgery for endometriosis.
These 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.
The 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.
Extensive endometriosis surgery may pose a risk for postoperative bladder dysfunction and pelvic floor muscle spasm.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>16325629</pmid><doi>10.1016/j.ajog.2005.07.013</doi><tpages>5</tpages></addata></record> |
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| ispartof | American journal of obstetrics and gynecology, 2005-12, Vol.193 (6), p.2133-2137 |
| issn | 0002-9378 1097-6868 |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adult Biological and medical sciences Chronic Disease Chronic pelvic pain Electromyography Endometriosis Endometriosis - surgery Female Female genital diseases Gynecology. Andrology. Obstetrics Humans Hypertonicity Medical sciences Nephrology. Urinary tract diseases Non tumoral diseases Pelvic Floor - physiopathology Pelvic floor hypertonicity Pelvic Pain - etiology Postoperative Complications - physiopathology Spasm - physiopathology Urethral spasm Urinary Bladder - physiopathology Urinary retention Urinary Retention - etiology Urinary Retention - physiopathology Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland Urodynamics |
| title | Chronic urinary retention and pelvic floor hypertonicity after surgery for endometriosis: A case series |
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