HİNMAN SENDROMU: OLGU SUNUMU

Year 2005, Volume: 6 Issue: 3, 43 - 45, 01.12.2005

Pamir Gülez Murat Hızarcıoğlu Ertan Kayserili Hurşit Apa Funda Tayfun Aykut Kefi

Abstract

Hinman sendromu yapısal ve nörolojik bir neden olmaksızın eksternal sfinkterin işeme sırasında gevşeyememesiile karakterize bir hastalıktır.Dört yaşındaki kız olgu kesik kesik idrar yapma, gece, gündüz ıslak kalma ve tekrarlayan idrar yolu enfeksiyonuyakınmaları ile yatırıldı. Bu yakınmalarının 7 ay önce başladığı öğrenildi. Fizik muayenesinde glob vezikalsaptanan hastanın yapılan batın ultrasonografisinde her iki böbrek pelvisinde dilatasyon, voidingsistoüretrografide mesane kapasitesinde azalma, kontur düzensizliği saptandı, vezikoüreteral reflügösterilemedi. Ürodinamik çalışma ile detrusor sfinkter dissinerjisi saptandı ve Hinman sendromu tanısı kondu.Olgu ilgi çekici olması nedeniyle literatür eşliğinde sunuldu

Keywords

Hinman sendromu, fonksiyonel işeme bozukluğu, ürodinamik bulgular

Hinman Syndrome: Case Report

Abstract

Hinman syndrome, also called detrusor-sphincter dyssynergia is characterized by failure of the external sphinchter to relax during voiding in the absence of a definable structural and neurological cause. A four year-old girl was admitted hospital with the complaints of intermittant stream, daytime wetting and recurrent urinary tract infections. It was learned that these complaints had begun seven months ago. Globe vesicale was found in the physical examination; and abdominal ultrasonography revealed bilateral renal pelvic dilatation and decreased capasity; and irregular contour of bladder were detected in the voiding cystourethrogram but vesicoureteral reflux was not found. Detrussor sphyncter dyssynergia was determined according to the results of urodynamic studies and she was diagnosed as Hinman syndrome. This case was presented with a reviev of the literature since it was interesting.

Keywords

Hinman syndrome, functional voiding disorder, urodynamic evidence

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