Fowler's syndrome

From WikiMD's Food, Medicine & Wellness Encyclopedia

Fowler's syndrome is a rare medical condition characterized by the inability to pass urine normally due to the failure of the bladder's sphincter muscle to relax. This condition predominantly affects young women and can lead to significant urinary retention and associated complications.

Presentation[edit | edit source]

Fowler's syndrome typically presents in women in their twenties and thirties. The primary symptom is difficulty in urinating, which can lead to a complete inability to void. Patients may experience a sensation of bladder fullness, discomfort, and pain due to urinary retention. In severe cases, this can result in hydronephrosis and urinary tract infections.

Pathophysiology[edit | edit source]

The exact cause of Fowler's syndrome is not well understood. It is believed to involve a dysfunction of the bladder's sphincter muscle, which fails to relax during the process of urination. This dysfunction may be related to abnormal muscle activity or nerve signaling. Some studies suggest a possible link to hormonal changes, as the condition often manifests in young women.

Diagnosis[edit | edit source]

Diagnosis of Fowler's syndrome is typically made through a combination of patient history, physical examination, and specialized tests. Urodynamic testing is often used to assess bladder function and sphincter activity. Electromyography (EMG) of the sphincter muscle may also be performed to detect abnormal muscle activity.

Treatment[edit | edit source]

Treatment options for Fowler's syndrome vary depending on the severity of the condition. Conservative management may include bladder training and pelvic floor exercises. In more severe cases, medical interventions such as the use of catheterization to relieve urinary retention may be necessary. Some patients may benefit from sacral neuromodulation, a procedure that involves the implantation of a device to stimulate the nerves controlling the bladder.

Prognosis[edit | edit source]

The prognosis for Fowler's syndrome varies. Some patients may experience spontaneous improvement, while others may have persistent symptoms requiring ongoing management. Early diagnosis and appropriate treatment are crucial in preventing complications such as kidney damage and recurrent infections.

Related Pages[edit | edit source]

Categories[edit | edit source]


Resources[edit source]

Latest articles - Fowler's syndrome

PubMed
Clinical trials

Source: Data courtesy of the U.S. National Library of Medicine. Since the data might have changed, please query MeSH on Fowler's syndrome for any updates.



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Contributors: Prab R. Tumpati, MD