CC BY 4.0 · European J Pediatr Surg Rep. 2018; 06(01): e77-e80
DOI: 10.1055/s-0038-1672147
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Chronic Urinary Retention due to Fowler's Syndrome

Jan Trachta
1   Department of Paediatric Surgery and Urology, Motol University Hospital, Charles University in Prague, Prague, Czech Republic
,
Johann Wachter
2   Department of Urology, Kaiser-Franz-Josef Spital, Wien, Austria
,
Jan Kriz
1   Department of Paediatric Surgery and Urology, Motol University Hospital, Charles University in Prague, Prague, Czech Republic
› Author Affiliations
Further Information

Publication History

06 August 2018

16 August 2018

Publication Date:
18 October 2018 (online)

Abstract

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.

 
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