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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Acute Urinary Retention

A 30 years old women present to my clinic with acute urinary retention after 25 days post operative c section.. ultrasound revealed over distension of bladder .. I admit her to the hospital for catheterization after emptying the bladder from urine there was a pure blood in the catheter I did her a bladder wash but there is stool bleeding .. I gave here antibiotics also What s your opinion ?
Mon, 8 Jun 2015
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Urologist,  's  Response
Hello and welcome to HCM.
presence of blood and stool in bladder is suggestive of a vesico-colic fistula.that's,injury to bladder and intestine,commonly colon(large intestine).
As a C-section was performed before 25 days, it's most likely there was a surgical complication then.
She must remain on catheter with antibiotic cover and get tested for exact cause of the fistula.The tests done are a contrast CT scan of abdomen and pelvis and cystoscopy after it.Further treatment will depend on the reports.
do contact me if in any doubt.

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Suggest Treatment For Acute Urinary Retention

Hello and welcome to HCM. presence of blood and stool in bladder is suggestive of a vesico-colic fistula.that s,injury to bladder and intestine,commonly colon(large intestine). As a C-section was performed before 25 days, it s most likely there was a surgical complication then. She must remain on catheter with antibiotic cover and get tested for exact cause of the fistula.The tests done are a contrast CT scan of abdomen and pelvis and cystoscopy after it.Further treatment will depend on the reports. do contact me if in any doubt.