Servicios Personalizados
Revista
Articulo
Español (pdf)
Artículo en XML
Referencias del artículo
Traducción automática
Enviar artículo por emailIndicadores
Citado por SciELO 
Accesos
Links relacionados
Similares en
SciELO
Compartir
Permalink
Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
GOMEZ-LONDONO, Mauricio et al. Alteration in the micturition coordination: case report of Fowler’s syndrome. Ginecol. obstet. Méx. [online]. 2019, vol.87, n.12, pp.846-851. Epub 30-Ago-2021. ISSN 0300-9041. https://doi.org/10.24245/gom.v87i12.3283.
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.
Palabras llave : Fowler syndrome; External urethral sphincter; Middle age; Urinary blader; Urinary incontinence; Urinary retention; Pelvic Organ Prolapse.
