Chronic urinary retention is the accumulation of urine in the bladder that results from the inability to pass urine. It is a gradual process and caused by either bladder muscle dysfunction and obstruction. This article describes Fowler`s syndrome which is the commonest cause of urinary retention in women. Fowler`s syndrome Fowler`s syndrome is a type of urethral abnormality which results in bladder outlet obstruction. Fowler's syndrome is typically observed in young women as painless urinary retention with no neurologic or anatomic etiology.
The sensation of pain appears only when the bladder is severely over-distended. The real cause is the failure of urethral sphincter relaxation. Many Fowler`s syndrome patients are observed to be hirsute, obese and have menstrual irregularities. Several clinical evidence suggest an association of Fowler`s syndrome with polycystic ovarian syndrome…