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Micturition syncope: an atypical case.

A A Eason

    Urology
    |April 1, 1986
    PubMed
    Summary

    Micturition syncope, or fainting during urination, can be linked to urinary tract infections (UTIs). Treating an asymptomatic UTI resolved fainting episodes in a patient, highlighting an unusual UTI symptom.

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    Area of Science:

    • Urology
    • Neurology
    • Infectious Diseases

    Background:

    • Micturition syncope is a vasovagal response typically occurring in the standing position.
    • Standard diagnostic evaluations including physical, electrocardiographic, and electroencephalographic studies are usually unremarkable.

    Observation:

    • A 49-year-old male presented with recurrent episodes of micturition syncope.
    • These syncopal episodes were temporally associated with an asymptomatic urinary tract infection.

    Findings:

    • Resolution of the urinary tract infection through antibiotic treatment led to the complete cessation of micturition syncope episodes.
    • This case is atypical as micturition syncope was the sole presenting symptom of the urinary tract infection.

    Implications:

    • Urinary tract infections should be considered in the differential diagnosis of micturition syncope, even in the absence of typical UTI symptoms.
    • This case underscores the importance of investigating underlying causes for unexplained syncope.

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