Neurovesical dysfunction in postural tachycardia syndrome (POTS)

Area of Science:

• Neurology
• Urology

Background:

• Postural tachycardia syndrome (POTS) is a condition affecting the autonomic nervous system.
• Neurovesical dysfunction involves impaired nerve control of bladder function.

Observation:

• A woman with POTS presented with symptoms suggestive of lower urinary tract dysfunction.
• Urodynamic testing confirmed detrusor hyperreflexia, a condition of bladder overactivity.

Findings:

• This is the first documented instance of neurovesical dysfunction in a patient with POTS.
• The patient's condition was successfully managed with anticholinergic medication and a timed voiding schedule.

Implications:

• Lower urinary tract dysfunction may be an underrecognizedcomplication of POTS.
• This case highlights the importance of considering bladder dysfunction in POTS patients.