A clinical case of neurogenic urinary disorder in the postpartum period
https://doi.org/10.58708/2074-2088.2026-2(38)-96-103
Abstract
The article presents an analysis of a clinical case of neurogenic urinary disorder in the postpartum period after spinal analgesia. An analytical review of the literature on modern approaches to the problem of bladder dysfunction (hypofunction) in the postpartum period, the most common clinical manifestation of which is postpartum urinary retention, has been conducted. The multifactorial pathogenesis of this complication includes neuromuscular damage, mechanical obstruction, the effect of anesthesia, and pain syndrome. Modern research makes it possible to clearly identify risk groups (instrumental labour, epidural anesthesia, prolonged labour, large fetus), which allows doctors to conduct targeted screening. The introduction of early detection protocols (ultrasound scanning, urine volume measurement) and unified treatment approaches can minimize risks and ensure a favourable long-term prognosis for patients with this complication. The literature data is illustrated by our own observation of the successful management of a patient with bladder hypofunction in the postpartum period.
About the Authors
Yu. A. LyzikovaBelarus
E. A. Eynysh
Belarus
E. G. Malaeva
Belarus
A. S. Knyazyuk
Belarus
I. O. Vakulchik
Belarus
L. I. Vakulchik
Belarus
References
1. Postpartum urinary retention: an expert review / A. Nutaitis [et al.] // Am J Obstet Gynecol. – 2023. – Vol. 228, No. 1. – P. 14–21.
2. Association of obstetric risk factors with postpartum urine retention after vaginal delivery / A. Hanif [et al.] // Med Forum Mon. – 2024. – Vol. 35, No. 10. – P. 74–77.
3. Intrapartum and postpartum bladder management: the poor relation of modern obstetrics / F. E. M. Mulder [et al.] // Obstet Gynaecol. – 2023. – Vol. 25, No. 2. – P. 87–95.
4. Kelly, L. Protracted postpartum urinary retention: risk factors, treatment, and effect on pelvic floor dysfunction / L. Kelly, B. D. O´Leary, D. P. Keane // Ir Med J. – 2025. – Vol. 118, No. 2. – P. 20–22.
5. Postpartum urinary retention: what are the sequelae? A long-term study and review of the literature / A. Groutz [et al.] // Int Urogynecol J. – 2022. – Vol. 33, No. 6. – P. 1601–1608.
6. Yip, S. K. Management of postpartum urinary retention / S. K. Yip, D. Sahota, A. M. Z. Chang // Int J Gynecol Obstet. – 2006. – Vol. 92, No. 3. – P. 207–212.
7. Siddique, M. Peripartum urinary incontinence and overactive bladder / M. Siddique, L. Hickman, L. Giugale // Obstet Gynecol. – 2025. – Vol. 146, No. 4. – P. 466–472.
8. The occurrence and factors associated with overt urinary retention among postpartum women after vaginal delivery with labor epidural analgesia / S. Li [et al.] // Int J Gen Med. – 2023. – Vol. 16. – P. 5333–5341.
9. Prolonged second stage of labor in delivery using epidural analgesia is a risk factor for postpartum urinary retention / K. Miyamoto [et al.] // J Obstet Gynaecol Res. – 2024. – Vol. 50, No. 3. – P. 424–429.
10. Wu, Y. Use of opioids and epidural anaesthesia in labor analgesia as important risk factors for apparent postpartum urinary retention: a case-control study / Y. Wu, J. Bao // Arch Esp Urol. – 2024. – Vol. 77, No. 6. – P. 632–637.
11. Association between obstetrical anal sphincter injury and postpartum urinary retention: a contemporary nationwide cohort study / J. Stairs [et al.] // Int Urogynecol J. – 2022. – Vol. 33, No. 12. – P. 3473–3479.
12. Risk factors for postpartum urinary retention: an updated systematic review and meta-analysis / L. Li [et al.] // Int J Gynaecol Obstet. – 2025. – Vol. 168, No. 1. – P. 10–24.
13. The risk factors of postpartum urinary retention for women by vaginal birth: a systematic review and meta-analysis / X. Yin [et al.] // Int Urogynecol J. – 2024. – Vol. 35, No. 9. – P. 1745–1755.
14. Risk factors and management of postpartum urinary retention: a scoping review / D. R. Paola [et al.] // Int J Urol Nurs. – 2022. – Vol. 16, No. 2. – P. 87–104.
15. The effectiveness and safety of intrapartum or postpartum catheterization in the prevention of postpartum urinary retention: a scoping review / H. T. Chen [et al.] // Int Urogynecol J. – 2024. – Vol. 35, No. 7. – P. 1337–1346.
16. Intermittent vs continuous catheterization for postpartum urinary retention: a multicenter randomized controlled trial / G. Bachar [et al.] // Am J Obstet Gynecol MFM. – 2023. – Vol. 5, No. 10. – Article 101084.
Review
For citations:
Lyzikova Yu.A., Eynysh E.A., Malaeva E.G., Knyazyuk A.S., Vakulchik I.O., Vakulchik L.I. A clinical case of neurogenic urinary disorder in the postpartum period. Medical and Biological Problems of Life Activity. 2026;(2):96-103. (In Russ.) https://doi.org/10.58708/2074-2088.2026-2(38)-96-103
JATS XML







