Resumen
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
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
Título traducido de la contribución | Alteration in the micturition coordination: case report of Fowler’s syndrome. |
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Idioma original | Español |
Páginas (desde-hasta) | 846-851 |
Número de páginas | 6 |
Publicación | Ginecologia y Obstetricia de Mexico |
Volumen | 87 |
N.º | 12 |
DOI | |
Estado | Publicada - dic. 2019 |
Nota bibliográfica
Publisher Copyright:© 2019 Asociacion Mexicana de Ginecologia y Obstetricia. All rights reserved.
Palabras clave
- External urethral sphincter
- Fowler syndrome
- Middle age
- Pelvic Organ Prolapse
- Urinary blader
- Urinary incontinence
- Urinary retention
Tipos de Productos Minciencias
- Artículos de investigación con calidad Q4