Successful Conservative Management of Triple Pelvic Outlet Functional Obstruction Syndrome with Voiding, Menstrual and Bowel Dysfunctions in an Adolescent Girl with long term follow up

Abstract

Triple pelvic outlet functional obstruction syndrome or dysfunctional elimination syndrome is a collective name given to the urinary, genital and colorectal dysfunction of the psycho-neuro-endocrine-target organs axis origin secondary to congenital and acquired disorders characterized by functional pelvic outlet obstruction in the absence of any somatic neurologic deficits. We wish to report an adolescent girl with a voiding dysfunction leading to recurrent urinary tract infection, vesicoureteral reflux and declining renal function; very painful, heavy and irregular periods and chronic refractory constipation who was successfully managed free of cost remotely by conservative management using biofeedback, dietary, micronutrient and pelvic outlet elimination retraining with a long term follow up over a decade without any recurrence of symptoms.