CASE REPORT


Urinary Retention Secondary to Colpocleisis: A Case Report



Elena Soto-Vega1, Yunam Cuan-Baltazar1, Arturo García-Mora2, Carlos Arroyo1, 3, *
1 Escuela de medicina, Universidad Anáhuac Puebla, Av Kepler 2143-765, Col. Reserva Territorial Atlixcayotl, Puebla, C.P 72810, México
2 Servicio de Urología, Hospital Médica Sur, Mexico City, Mexico
3 Servicio de Urología, Hospital Ángeles de Puebla, Puebla, Mexico


© 2021 Soto-Vega et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at Servicio de Urología, Hospital Ángeles de Puebla Av Kepler 2143-765 Col. Reserva Territorial Atlixcayotl Puebla, México C.P 72810; Tel: 52(222)2252453; E-mail: jcakurologia@yahoo.com.mx


Abstract

Introduction:

Pelvic Organ Prolapse (POP) is common in older women, and depending on its extent, it is conservative or surgically treated. Colpocleisis is a technique for POP treatment, in which the vaginal canal is closed, entirely or partially, in order to avoid the protrusion of the pelvic structures, with preservation of the urethral meatus in order to preserve normal micturition.

Clinical Case:

We present a case of a 61-year old woman, who 8 years after a colpocleisis, progressed to urinary retention associated with the progressive scarring of the labia, causing the obstruction of the urethral meatus. The patient underwent a labiaplasty with anterior colpoperineoplasty, with complete normalization of her micturition and sexual activity.

Conclusion:

Long term urinary retention complication has not been previously reported in the literature and should be included as a possible adverse event after colpocleisis.

Keywords: Pelvic organ prolapse, Colpocleisis, Urinary retention, Colpoperineoplasty, Labiaplasty, Normal micturition.