Syncope is a clinical presentation which is a transient loss of consciousness for a short period of time. Micturition (or post-micturition) syncope is fainting during or immediately after micturition due to a severe drop in blood pressure. Micturition syncope is most common in elderly men and usually occurs at night after a deep sleep. Paraganglioma of the urinary bladder are tumors of chromaffin tissue originating from the sympathetic innervations of the urinary bladder wall and are extremely rare. Paraganglioma of the urinary bladder
is one of the causes of micturition syncope in early postmenopausal women who usually present with severe dysuria, hypertension and post-micturition syncope with elevated Plasma and Urinary metanephrine levels. In our case it is a silent paraganglioma of the urinary bladder that presented only with severe dysuria, hypertension and post-micturition syncope with normal Plasma and urinary catecholamine levels.
In this report we analyse the clinical presentation, investigations and management of bladder pheochromocytoma.
Keywords: Micturition syncope; Bladder pheochromocytoma.