Clinical Outcomes of Arabin Pessary Usage for Acute Urinary Retention and Uterine Prolapse during Pregnancy: A Case Report in Southeast Asia

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Quek Yek Song
Carla Cai Zi
Tok Sin Lei Lei
Jamiyah Binti Hassan


Acute urinary retention (AUR) is a rare obstetric emergency that requires prompt intervention before the development of irreversible maternal and foetal complications. To our knowledge, there is no published large-scale clinical trial on Arabin cerclage pessary usage in the combined issues of AUR and uterine prolapse in pregnancy. This case report describes the case of a 29-year-old gravida 2 para 1 woman with intrauterine pregnancy at 13 weeks of amenorrhea presented to the emergency department with suprapubic pain and inability to void. She has no past history of urogynaecological complaint and was subsequently catheterized with a Foley catheter. Within the next 12 hours, she presented with the same complaint. Gynaecological examination revealed grade 1 uterine prolapse with cystocele. A repeated catheterization for bladder drainage was done followed by insertion of an Arabin cerclage pessary due to the persistence of symptoms. Her symptoms resolved immediately without any complications and recurrence. She then delivered at term via lower segment caesarean section (LSCS). Therefore, Arabin cerclage pessary insertion could be used in pregnancy for woman with acute urinary retention and uterine prolapse beside its official indication.

Arabin cerclage pessary, pregnancy, acute urinary retention, uterine prolapse

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Song, Q. Y., Zi, C. C., Lei, T. S. L., & Hassan, J. B. (2020). Clinical Outcomes of Arabin Pessary Usage for Acute Urinary Retention and Uterine Prolapse during Pregnancy: A Case Report in Southeast Asia. Asian Research Journal of Gynaecology and Obstetrics, 3(1), 12-15. Retrieved from
Case Report


Ramsey S, Palmer M. The management of female urinary retention. International Urology and Nephrology. View at Publisher View at Google Scholar • View at Scopus. 2006;38(1):533-5.

Chauleur C, Vulliez L, Seffert P. Acute urine retention in early pregnancy resulting from fibroid incarceration: Proposition for management. Fertility and Sterility. 2008; 90(4):1190.e7-1198.
DOI: 10.1016/j.fertnstert.2007.10.008

Varea AM, Alfonso FN, Almela VJ, Marin AP. Arabin cerclage pessary as treatment of an acute urinary retentionin pregnant woman with uterine prolapse. Hindawi Publishing Corporation: Case Report in Obstetrics and Gynaecology. 2013;(2).
DOI: 10.1155/2013/161376

Nelson MS. Acute urinary retention secondary to an incarcerated gravid uterus. American Journal of Emergency Medicine, 1986;4(3):231.
DOI: View at Google Scholar • View at Scopus

Myers DL, Scotti RJ. Acute urinary retention and the incarcerated, retroverted, gravid uterus: A case report. Journal of Reproductive Medicine for the Obstetrician and Gynecologist. 1995;40(6):487-90.

Devoe RW. Acute urinary retention in pregnancy, report of a case. California Medicine. 1956;85(2):112-3.

Han C, Wang C, Han L, Liu G, Li H, She F, Xue F & Wang Y. Incarceration of the gravid uterus: a case report and literature review. BMC Pregnancy Childbirth. 2019; 19(408).

Clare CA. Urinary retention in the case of retroverted uterus in pregnancy. Obstet Gynaecol Cases Rev. 2020;7(2):163.

Chen JS, Chen SCC, Lu CL, Yang HY, Wang P, et al. Acute urinary retention during pregnancy: A nationwide population- based cohort study in Taiwan. Medicine. 2016;95(13):e3265.
DOI: 10.1097/MD.0000000000003265

Yohannes P. Ultrasound in acute urinary retention and retroverted gravid uterus. Ultrasound in Obstetrics and Gynecology. 2004;23(5):427.

Maharaj D, Gajanayaka M. Acute urinary retention in pregnancy: A case presentation and review of the literature. European Clinics in Obstetrics and Gynaecology. 2008;2008(3).
DOI: 10.1007/s11296-008-0079-z

Biardear X, Corcos J. Intermittent catheterization in neurologic patients: update on genitourinary tract infection and urethral trauma. Annals of Physical and Rehabilitation Medicine. 2016;59(2016): 125-129.

Pessaries used during pregnancy. Cerclage pessary in place.

Dr.Arabin GmnH & Co. KG. Products: ARABIN® Cerclage Pessary perforated.

Arabin B, Alfirevic Z. Cervical pessaries for prevention of spontaneous preterm birth: Past, present and future. Ultrasound Obstet Gynecol. 2013;42(1):390-9.