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Case Reports in Obstetrics and Gynecology
Volume 2013 (2013), Article ID 161376, 2 pages
http://dx.doi.org/10.1155/2013/161376
Case Report

Arabin Cerclage Pessary as a Treatment of an Acute Urinary Retention in a Pregnant Woman with Uterine Prolapse

Department of Obstetrics and Gynecology, Hospital Universitario y Politécnico La Fe, Torre F Planta 3ª, Bulevar Sur s/n, 46026 Valencia, Spain

Received 14 May 2013; Accepted 17 June 2013

Academic Editors: D. Hochner-Celnikier and K. Takeuchi

Copyright © 2013 Alicia Martínez-Varea et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 35-year-old gravida 7, para 1, and abortus 5 female with hypogastric pain and inability to void urine after 14 + 3 weeks of amenorrhea was examined in the emergency department. One year before, a uterine prolapse had been diagnosed in another hospital. Examination showed a uterine prolapse grade 2 with palpable bladder. The patient was unable to void urine. After a manual reduction of the uterine prolapse, the patient underwent an emergency catheterization for bladder drainage. A Hodge pessary (size 70) was placed, which led to spontaneous micturitions. Due to the persistence of the symptoms the following day, Hodge pessary was replaced by an Arabin cerclage pessary. Although the pessary could be removed from the beginning of the second trimester, due to the uterine prolapse as a predisposing factor in the patient and the uncomplicated progression of pregnancy, it was decided to maintain it in our patient. Therefore, Arabin cerclage pessary allowed a successful pregnancy outcome and was not associated with threatened preterm delivery or vaginal infection.