Hinman syndrome: case report

Hinman sendromu yapısal ve nörolojik bir neden olmaksızın eksternal sfinkterin iseme sırasında gevseyememesi ile karakterize bir hastalıktır. Dört yasındaki kız olgu kesik kesik idrar yapma, gece, gündüz ıslak kalma ve tekrarlayan idrar yolu enfeksiyonu yakınmaları ile yatırıldı. Bu yakınmalarının 7 ay önce basladıgı ögrenildi. Fizik muayenesinde glob vezikal saptanan hastanın yapılan batın ultrasonografisinde her iki böbrek pelvisinde dilatasyon, voiding sistoüretrografide mesane kapasitesinde azalma, kontur düzensizligi saptandı, vezikoüreteral reflü gösterilemedi. Ürodinamik çalısmaile detrusor sfinkter dissinerjisi saptandı ve Hinman sendromu tanısı kondu. Olgu ilgi çekici olması nedeniyle literatür esliginde sunuldu.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