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Chronic Urinary Retention due to Fowler's Syndrome
Fowler's syndrome (FS) is a rare cause of chronic urinary retention in teenage girls and young women. We present a case of a 14-year-old girl who presented at our hospital 2 weeks after uncomplicated laparoscopic appendectomy. The girl complained of reduced urinary frequency and prolonged mictu...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6193800/ https://www.ncbi.nlm.nih.gov/pubmed/30473987 http://dx.doi.org/10.1055/s-0038-1672147 |
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author | Trachta, Jan Wachter, Johann Kriz, Jan |
author_facet | Trachta, Jan Wachter, Johann Kriz, Jan |
author_sort | Trachta, Jan |
collection | PubMed |
description | Fowler's syndrome (FS) is a rare cause of chronic urinary retention in teenage girls and young women. We present a case of a 14-year-old girl who presented at our hospital 2 weeks after uncomplicated laparoscopic appendectomy. The girl complained of reduced urinary frequency and prolonged micturition time. Following an acute cystitis 2 months later, she completely lost her ability to void. A comprehensive set of investigations to assess the cause of her urinary retention including a cerebral and spinal magnetic resonance imaging (MRI), and videourodynamics were performed. The diagnostic workup revealed polycystic ovaries and an asensitive and hypotonic bladder with capacity up to 1200 mL and high maximum urethral pressure of 120 cm of water. She did not tolerate clean intermittent catheterization; therefore, a suprapubic catheter was placed. Under this treatment, she suffered recurrent urinary tract infections. Two years later, she was diagnosed with FS on the basis of the medical history, clinical symptoms, and urodynamic findings. Finally, the implantation of a S3 neurostimulator restored her ability to void. |
format | Online Article Text |
id | pubmed-6193800 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-61938002018-11-23 Chronic Urinary Retention due to Fowler's Syndrome Trachta, Jan Wachter, Johann Kriz, Jan European J Pediatr Surg Rep Fowler's syndrome (FS) is a rare cause of chronic urinary retention in teenage girls and young women. We present a case of a 14-year-old girl who presented at our hospital 2 weeks after uncomplicated laparoscopic appendectomy. The girl complained of reduced urinary frequency and prolonged micturition time. Following an acute cystitis 2 months later, she completely lost her ability to void. A comprehensive set of investigations to assess the cause of her urinary retention including a cerebral and spinal magnetic resonance imaging (MRI), and videourodynamics were performed. The diagnostic workup revealed polycystic ovaries and an asensitive and hypotonic bladder with capacity up to 1200 mL and high maximum urethral pressure of 120 cm of water. She did not tolerate clean intermittent catheterization; therefore, a suprapubic catheter was placed. Under this treatment, she suffered recurrent urinary tract infections. Two years later, she was diagnosed with FS on the basis of the medical history, clinical symptoms, and urodynamic findings. Finally, the implantation of a S3 neurostimulator restored her ability to void. Georg Thieme Verlag KG 2018-01 2018-10-18 /pmc/articles/PMC6193800/ /pubmed/30473987 http://dx.doi.org/10.1055/s-0038-1672147 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Trachta, Jan Wachter, Johann Kriz, Jan Chronic Urinary Retention due to Fowler's Syndrome |
title | Chronic Urinary Retention due to Fowler's Syndrome |
title_full | Chronic Urinary Retention due to Fowler's Syndrome |
title_fullStr | Chronic Urinary Retention due to Fowler's Syndrome |
title_full_unstemmed | Chronic Urinary Retention due to Fowler's Syndrome |
title_short | Chronic Urinary Retention due to Fowler's Syndrome |
title_sort | chronic urinary retention due to fowler's syndrome |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6193800/ https://www.ncbi.nlm.nih.gov/pubmed/30473987 http://dx.doi.org/10.1055/s-0038-1672147 |
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