A 39-year-old woman with known large uterine fibroids presents to the GP with acute urinary retention. She is in significant discomfort and unable to ...

Question

A 39-year-old woman with known large uterine fibroids presents to the GP with acute urinary retention. She is in significant discomfort and unable to void. On examination, a large pelvic mass is palpable to the level of the umbilicus. Which is the single most appropriate immediate action?

Accepted Answer

Catheterise the bladder and refer urgently to gynaecology

Answer

Prescribe oral tamsulosin and review in 24 hours

Answer

Commence a GnRH agonist and review in 4 weeks

Answer

Advise warm baths and double voiding technique

Answer

Arrange an outpatient pelvic ultrasound

uk-drcog MCQ (SBA): Fibroid Causing Urinary Retention

A 39-year-old woman with known large uterine fibroids presents to the GP with acute urinary retention. She is in significant discomfort and unable to void. On examination, a large pelvic mass is palpable to the level of the umbilicus. Which is the single most appropriate immediate action?