Abstract
Fowler's syndrome (FS) is a condition in which females face chronic urinary retention with abnormal electromyography (EMG) findings in the absence of structural anomalies. A sacral neuromodulation (SNM) device that restores urinary discharge is often used for treatment. It is advised to turn the device off during pregnancy. This is a case report of a 37-year-old pregnant female suffering from FS. The patient was on SNM and underwent two uneventful pregnancies despite the device being kept on throughout both pregnancies. There were no complications, and a healthy term baby was born on both occasions.
Highlights
Chronic urinary retention, albeit rare, can be very debilitating when present
We present the case of a 37-year-old pregnant female suffering from Fowler's syndrome (FS) who used sacral neuromodulation (SNM) throughout her pregnancy and reported no problems
The manufacturers advise turning the SNM device off as soon as pregnancy is detected, and clinicians typically deactivate the SNM devices during pregnancy in patients suffering from FS [5]
Summary
Albeit rare, can be very debilitating when present. Fowler's syndrome (FS) usually arises post-childbirth or following surgery. We present the case of a 37-year-old pregnant female suffering from FS who used SNM throughout her pregnancy and reported no problems. In 2017, a 37-year-old patient in the first trimester of her pregnancy presented to the urology clinic with urinary retention. Further investigation showed electrode displacement, which is not an uncommon occurrence during pregnancy She was taken to the operation theater for implant readjustment under general anesthesia. In 2019, the patient in the second trimester of her pregnancy presented again with urinary retention, leg pain, and surgical site pain.
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