Alteración en la coordinación miccional: reporte de caso del síndrome de Fowler

Mauricio Gómez-Londoño; Luis Guillermo Echavarría-Restrepo; Carolina Arango-Montoya; Juan Carlos Castaño-Botero; Daniel Sanín-Ramírez

doi:10.24245/gom.v87i12.3283

Alteración en la coordinación miccional: reporte de caso del síndrome de Fowler

Translated title of the contribution: Alteration in the micturition coordination: case report of Fowler’s syndrome.

Mauricio Gómez-Londoño
, Luis Guillermo Echavarría-Restrepo
, Carolina Arango-Montoya
, Juan Carlos Castaño-Botero
, Daniel Sanín-Ramírez

Gynecology and Obstetrics

Research output: Contribution to scientific journal › Article in an indexed scientific journal › peer-review

Abstract

BACKGROUND: Fowler’s syndrome is a rare phenomenon mainly in young women in reproductive age with abnormal, repeated contractions in the external urethral sphincter without a neurological disease. CLINICAL CASE: 51-year-old woman with pelvic organ prolapse, symptoms of vaginal bulge and difficult micturition. A videourodynamic study was done showing intermittent waveform, detrusor hypoactivity and uncoordinated micturition without incontinence, suggestive of Fowler’s syndrome. The patient underwent therapy for sphincter relaxation and sacral neuromodulation with good response. In the follow up with clinical improvement, referring being satisfied after micturition. CONCLUSIONS: Micturition is a complex process that needs integrity of the lower urinary tract and synergy between this and the central nervous system, autonomous and somatic. Failure in any of these structures can result in an obstructive pattern.

Translated title of the contribution	Alteration in the micturition coordination: case report of Fowler’s syndrome.
Original language	Spanish
Pages (from-to)	846-851
Number of pages	6
Journal	Ginecologia y Obstetricia de Mexico
Volume	87
Issue number	12
DOIs	https://doi.org/10.24245/gom.v87i12.3283
State	Published - Dec 2019

Bibliographical note

Publisher Copyright:
© 2019 Asociacion Mexicana de Ginecologia y Obstetricia. All rights reserved.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Types Minciencias

Artículos de investigación con calidad Q4

Access to Document

10.24245/gom.v87i12.3283

Cite this

@article{d5f0bdf838814fdab754f66fa7698889,

title = "Alteraci{\'o}n en la coordinaci{\'o}n miccional: reporte de caso del s{\'i}ndrome de Fowler",

abstract = "BACKGROUND: Fowler{\textquoteright}s syndrome is a rare phenomenon mainly in young women in reproductive age with abnormal, repeated contractions in the external urethral sphincter without a neurological disease. CLINICAL CASE: 51-year-old woman with pelvic organ prolapse, symptoms of vaginal bulge and difficult micturition. A videourodynamic study was done showing intermittent waveform, detrusor hypoactivity and uncoordinated micturition without incontinence, suggestive of Fowler{\textquoteright}s syndrome. The patient underwent therapy for sphincter relaxation and sacral neuromodulation with good response. In the follow up with clinical improvement, referring being satisfied after micturition. CONCLUSIONS: Micturition is a complex process that needs integrity of the lower urinary tract and synergy between this and the central nervous system, autonomous and somatic. Failure in any of these structures can result in an obstructive pattern",

keywords = "External urethral sphincter, Fowler syndrome, Middle age, Pelvic Organ Prolapse, Urinary blader, Urinary incontinence, Urinary retention",

author = "Mauricio G{\'o}mez-Londo{\~n}o and Echavarr{\'i}a-Restrepo, \{Luis Guillermo\} and Carolina Arango-Montoya and Casta{\~n}o-Botero, \{Juan Carlos\} and Daniel San{\'i}n-Ram{\'i}rez",

year = "2019",

month = dec,

doi = "10.24245/gom.v87i12.3283",

language = "Espa{\~n}ol",

volume = "87",

pages = "846--851",

journal = "Ginecologia y Obstetricia de Mexico",

issn = "0300-9041",

publisher = "Asociacion Mexicana de Ginecologia y Obstetricia",

number = "12",

}

Alteración en la coordinación miccional: reporte de caso del síndrome de Fowler. / Gómez-Londoño, Mauricio ; Echavarría-Restrepo, Luis Guillermo; Arango-Montoya, Carolina et al.
In: Ginecologia y Obstetricia de Mexico, Vol. 87, No. 12, 12.2019, p. 846-851.

Research output: Contribution to scientific journal › Article in an indexed scientific journal › peer-review

TY - JOUR

T1 - Alteración en la coordinación miccional

T2 - reporte de caso del síndrome de Fowler

AU - Gómez-Londoño, Mauricio

AU - Echavarría-Restrepo, Luis Guillermo

AU - Arango-Montoya, Carolina

AU - Castaño-Botero, Juan Carlos

AU - Sanín-Ramírez, Daniel

PY - 2019/12

Y1 - 2019/12

N2 - BACKGROUND: Fowler’s syndrome is a rare phenomenon mainly in young women in reproductive age with abnormal, repeated contractions in the external urethral sphincter without a neurological disease. CLINICAL CASE: 51-year-old woman with pelvic organ prolapse, symptoms of vaginal bulge and difficult micturition. A videourodynamic study was done showing intermittent waveform, detrusor hypoactivity and uncoordinated micturition without incontinence, suggestive of Fowler’s syndrome. The patient underwent therapy for sphincter relaxation and sacral neuromodulation with good response. In the follow up with clinical improvement, referring being satisfied after micturition. CONCLUSIONS: Micturition is a complex process that needs integrity of the lower urinary tract and synergy between this and the central nervous system, autonomous and somatic. Failure in any of these structures can result in an obstructive pattern

AB - BACKGROUND: Fowler’s syndrome is a rare phenomenon mainly in young women in reproductive age with abnormal, repeated contractions in the external urethral sphincter without a neurological disease. CLINICAL CASE: 51-year-old woman with pelvic organ prolapse, symptoms of vaginal bulge and difficult micturition. A videourodynamic study was done showing intermittent waveform, detrusor hypoactivity and uncoordinated micturition without incontinence, suggestive of Fowler’s syndrome. The patient underwent therapy for sphincter relaxation and sacral neuromodulation with good response. In the follow up with clinical improvement, referring being satisfied after micturition. CONCLUSIONS: Micturition is a complex process that needs integrity of the lower urinary tract and synergy between this and the central nervous system, autonomous and somatic. Failure in any of these structures can result in an obstructive pattern

KW - External urethral sphincter

KW - Fowler syndrome

KW - Middle age

KW - Pelvic Organ Prolapse

KW - Urinary blader

KW - Urinary incontinence

KW - Urinary retention

UR - https://www.scopus.com/pages/publications/85140099733

U2 - 10.24245/gom.v87i12.3283

DO - 10.24245/gom.v87i12.3283

M3 - Artículo en revista científica indexada

AN - SCOPUS:85140099733

SN - 0300-9041

VL - 87

SP - 846

EP - 851

JO - Ginecologia y Obstetricia de Mexico

JF - Ginecologia y Obstetricia de Mexico

IS - 12

ER -

Alteración en la coordinación miccional: reporte de caso del síndrome de Fowler

Abstract

Bibliographical note

UN SDGs

Types Minciencias

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