Urinary retention after postpartum can be defined as “inability of the patient to pass urine after six hours of postpartum. Objective: To determine the role of catheterization in patients with postpartum urinary retention. Methods: It was multicenter study. Patients from five different hospitals were included in the study. Duration of study was one and half years. Patients suffering from overt postpartum urinary retention who refused self intermittent catheterization were included in the study. Results: Total 68 patients were included in the study from five different teaching hospitals. In Social Security Teaching Hospital 13 patients, in Lady Wallingdon Hospital 32patients, in Lahore General Hospital 13, in Ali Fatima Teaching Hospital 12 and in Central Park Hospital 8 patients were reported. The age of these patients was from 18 to 29 years with a mean age of 21 years (+ 1.6). The duration of catheterization was from 3 to 18 days with mean days was 7 (+ 1.8). Conclusions: In overt type of postpartum urinary retention, early treatment results in saving patients to develop long term urinary complications.
Objective: In the current pandemic of COVID-19 the health care workers are working with social scientist to assist the government policy makers to slow the spread of this disease. These studies are focusing on different social aspects of the disease. A few studies are conducted on the behavior changes in community in response to this pandemic. Study Design: Cross Sectional Survey. Setting: Urology Outpatients Department of Four Hospitals. Period: May 2020. Material & Methods: YouGov behavior change Performa was used for the survey with a 4 points scale from "Not at all" to "Drastic Change". Results: Total 285 patients were included in this study. Among these 191 patients were male while 94 were female. The age range was 50-68 years. Among 285 patients 159 an education level above primary. Among these 285 patients 234 patients (82.1%) belong to urban area while 51 patients (17.9%) belongs to rural area. Regarding change in behavior, 168 patients responded that there is no change, 56 showed a little change, 32 showed significant change and 28 showed drastic change in the habit of hand washing. In change in travel habit 128 mentioned not at all, 84 said a little change, 53 showed significant change and 20 said drastic change. In work from home 120 mentioned not at all, 88 said a little change, 57 showed significant change and 20 said drastic change. In piling of food and medicine 164 mentioned not at all, 96 said a little change and 25 showed significant change while there was no drastic change. In elderly and child care160 mentioned not at all, 68 said a little change and 57 showed significant change while there was no drastic change. In social distancing 160 mentioned not at all, 72 said a little change, 24 showed significant change and 29 said drastic change. In use of face mask 124 mentioned not at all, 132 said a little change, 24 showed significant change and 05 said drastic change. Conclusion: As there is no vaccine for this disease and treatment plans are also under trial so the role of preventive measures increases. The most important preventive measures are wearing of face masks, social distancing and avoidance of unnecessary traveling. As, at present, we can only decrease the spread of disease by adopting preventive measures.
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