Urinary retention can occur in pregnancy, associated with the enlargement of a retroverted uterus, enlarging fibroid, or a pelvic mass. This retention usually resolves by 16 weeks’ gestation as the uterus grows out of the pelvis, but can be managed meanwhile with either bladder drainage or intermittent self-catheterization. A Smith Hodge pessary may be inserted to maintain anteversion of the uterus and relieve the obstruction of the bladder neck.