Coming from a background training in clinical neurophysiology I developed the clinical field of Uro-Neurology and established a department of that name at the National Hospital in 1987. Concerned primarily with the neural control of the bladder and how it is affected in neurological disease, my particular clinical interest has been in treatments and methods of improving continence in patients with neurological problems. The majority of patients seen in the department have multiple sclerosis but I have had a particular interest also in multiple system atrophy and urinary retention in young women. Indeed a disorder underlying that latter problem has is eponymously named “Fowler’s syndrome”. I have also been involved in research and treatment of neurogenic sexual dysfunction and the department is now staffed by a neurologist, urologist, uro-gynaecologist and gastroenterologist - so that most problems of pelvic organ dysfunction can be addressed. I and my colleagues have recently written and edited a book “Pelvic Organ Dysfunction in Neurological Disease”

My research has been carried out in the Institute of Neurology and has included clinical trials, studies of how treatments work, and investigation of better methods of management. . 

In 2010 I was awarded the St Peter’s Medal by the British Association of Urological Surgeons.

I retired from full time clinical work in July 2010 but retain research interests and performs uro-neurophysiological investigations once a week