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Prolapse with urinary retention — DRCOG MCQ

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HardUrogynaecologyProlapse with urinary retentionDRCOG

A 74-year-old woman with known prolapse presents with suprapubic pain and inability to pass urine for 10 hours. Examination shows a large prolapse beyond the introitus. When should this patient be referred?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Arrange urgent assessment for urinary retention and prolapse reduction

Prolapse complicated by acute urinary retention requires urgent assessment, bladder drainage and consideration of prolapse reduction or pessary. Routine review is unsafe when the bladder is distended. Pelvic floor exercises may help long term but do not relieve acute retention. Benign prolapse can still cause urgent complications.

Reference: NICE NG123