• 1 Universiti Kuala Lumpur Royal College of Medicine Perak
  • 2 International Islamic University Malaysia


Urinary retention rarely affects women. In obstructive retention the source must be determined and treated to allow the patient to void normally. A common anatomic cause of urinary retention is extrinsic compression due to a pelvic mass. In addition, obstruction can also be seen in women with pelvic organ prolapse. Haematocolpos and uterine fibroids have also been documented as causes of acute urinary retention.

The following cases of female urinary retention highlight the need to consider haematocolpos in the adolescent girl who has not attained menarche and fibroids in the older female.