Management involves bladder drainage; this could be continuous or by intermittent self-catheterization as there is no evidence of one being more effective than the other [37]. The role of prophylactic antibiotics during treatment is debatable. Though a distressing condition, the prognosis is normally good with few published data on long-term sequelae. Overstretching of the bladder wall can result in severe detrusor damage followed by voiding dysfunction and rarely bladder rupture but no increase prevalence of urinary stress incontinence [36]. Pregnant women should be encouraged to pass urine regularly in labour with early use of catheterization when they fail on multiple attempts.
Silent PUR is defined as a postvoid residual >150 ml after delivery or removal of urethral catheter. It affects a significant proportion of women after delivery but the significance of this is not known [38]. Most women are willing to put up with their lower urinary tract symptoms when they are reassured that they are likely to resolve soon after delivery.