Gynaecological pathology in women with Fowler's syndrome

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Roopali KarmarkarSohier Elneil

Abstract

To assess the prevalence of gynaecological pathologies in women with Fowler's syndrome (FS) which is characterised by chronic urinary retention (CUR) secondary to failure of urethral sphincter to relax and allow normal voiding. This was a case control study conducted at a tertiary referral centre specialised in managing women with FS. There were 41 patients with FS in the study group with CUR without mechanical obstruction of the urethra or neurological problem. All patients had raised maximum urethral closure pressure on urethral pressure profile, high urethral sphincter volume on ultrasound and complex repetitive discharges on eletromyography of the urethral sphincter. Normal voiding was established in these women after treatment with sacral neuromodulation. Fifty women without voiding dysfunction acted as control group. Data was obtained by using standard questionnaire for both the groups. Information was collected regarding gynaecological pathologies such as endometriosis, polycystic ovarian syndrome, menstrual abnormalities, ovarian cysts and subfertility and also regarding previous pregnancies. Analysis was performed using SPSS software from IBM Corporation. At least one gynaecological pathology was present in 33 (80%) pa...Continue Reading

References

Jul 2, 1999·Brain : a Journal of Neurology·C J Fowler
Dec 18, 2001·The Journal of Urology·Michael J SwinnClare J Fowler
Dec 17, 2008·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Efrat Mazor-DrayEyal Sheiner
Sep 10, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Gregory D McClainJohn Kim
Dec 3, 2011·Obstetrics and Gynecology Clinics of North America·Fred M Howard
Feb 3, 2012·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·H Law, P Fiadjoe
Nov 19, 2013·BJU International·Karlien PeetersFrank Van Der Aa

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Citations

Apr 4, 2021·International Journal of Environmental Research and Public Health·Jacek K SzymańskiGrzegorz Jakiel
Mar 28, 2021·BJU International·Suzanne M BiersUNKNOWN BAUS Section of Female, Neurological and Urodynamic Urology

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