Fowler’s Syndrome

About

  • Caused by spasms of the external urethral sphincter (a band of muscle that opens and closes at the exit of the bladder)
  • Affects young women (under the age of 30), leading to urinary retention

Potential Causes

  • Unknown 
  • Often seen in women who have had a surgical procedure, childbirth, opiate exposure or an infection/illness

Symptoms

  • Inability to urinate
  • Inability to feel that the bladder is full
  • Abnormality of the urethra 
  • Dysuria (painful/difficult urination)
  • Stomach pain
  • Polycystic ovaries
  • EMG abnormality

Diagnosis

  • Rule out more common causes of urinary retention
  • Determine how much urine the bladder can hold 
  • Concentric Needle Electromyography (EMG): Will often show a characteristic abnormality

Treatment

  • Sacral Neuromodulation (SNM) Therapy: A device is implanted in the body to help stimulate the nerves to the bladder