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- W2896501058 abstract "A healthy 31 year old multiparous female presented with acute urinary retention at 12 gestational weeks. Ultrasound showed a markedly retroverted uterus, suggestive of uterine incarceration secondary to a retroverted pregnant uterus. She was managed with an indwelling catheter and prophylatic antibiotics for 3 weeks. She reported feeling a vaginal lump consistent with procidentia with cervix lying 3cm from the introitus. There was skin changes over the cervix consistent with chronic procidentia. Her procidentia was easily reducible but trial of pessaries were unsuccessful throughout her pregnancy. She was referred to our tertiary referral centre for further management and transfer of care for delivery. Her procidentia had worsen to 15-20cm beyond the introitus at 33 gestational weeks, with induration and ulceration of her cervix. She was seen by the physiotherapist and educated on pelvic floor exercises. She induced at 39+1 gestational weeks. A 110mm ring pessary was inserted and artificial rupture of membranes were performed. She progressed to full dilatation within 5 hours, which the pessary was then removed. She had delivered a live female infant within 10 mins of active pushing. Her procidentia was still persistent post-delivery and associated with urinary retention, requiring indwelling catheter on discharge. She was reviewed as an outpatient for trial of voids and pessary insertion but these were unsuccessful. She is currently being managed with intermittent self-catheterisation and awaiting for a follow up appointment to discuss surgical management of her Grade 3 procidentia. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
- W2896501058 created "2018-10-26" @default.
- W2896501058 creator A5075151487 @default.
- W2896501058 date "2018-10-01" @default.
- W2896501058 modified "2023-10-18" @default.
- W2896501058 title "EP22.04: Procidentia throughout pregnancy and postpartum period" @default.
- W2896501058 doi "https://doi.org/10.1002/uog.20083" @default.
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