Lower Urinary Tract Dysfunction in Myasthenia Gravis: A Case Report and Literature Review

Lower urinary tract dysfunction often occurs after various neurological disorders and significantly impacts patients' quality of life. Studies on myasthenia gravis (MG) are scarce, and most of them are case reports associated with symptoms such as overactive bladder, incontinence, and urinary retention. The authors present the case of a 68-year-old female patient with a myasthenia gravis diagnosis, followed by Urogynecology Physical Medicine and Rehabilitation for stress urinary incontinence. A urodynamic study performed demonstrated intrinsic sphincter dysfunction with detrusor hypocontractility. She began functional rehabilitation of the pelvic floor without improvement, so she was advised to consider a possible surgical approach. This case report highlights the connection between MG and lower urinary tract dysfunction, underscoring the necessity for increased awareness and customized management strategies for affected patients.