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

Producción científica: Contribución a una revistaArtículo en revista científica indexadarevisión exhaustiva

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.

Título traducido de la contribuciónAlteration in the micturition coordination: case report of Fowler’s syndrome.
Idioma originalEspañol
Páginas (desde-hasta)846-851
Número de páginas6
PublicaciónGinecologia y Obstetricia de Mexico
Volumen87
N.º12
DOI
EstadoPublicada - dic. 2019
Publicado de forma externa

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

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