Upper and lower urinary tract evaluation of 104 patients with myelomeningocele without adequate urological management

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dc.contributor.author Bruschini, H.
dc.contributor.author Almeida, F. G.
dc.contributor.author Srougi, M.
dc.date.accessioned 2016-01-24T12:41:13Z
dc.date.available 2016-01-24T12:41:13Z
dc.date.issued 2006-06-01
dc.identifier http://dx.doi.org/10.1007/s00345-006-0087-x
dc.identifier.citation World Journal of Urology. New York: Springer, v. 24, n. 2, p. 224-228, 2006.
dc.identifier.issn 0724-4983
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/28939
dc.description.abstract To evaluate the upper and lower urinary tract and revise the urodynamic parameters on myelomeningocele patients without adequate urological management. 104 myelomeningocele patients without previous adequate urological management were assessed by clinical, urodynamic and imaging evaluation. the urodynamic.data were correlated with the status of the upper urinary tract (UUT). Thirty patients presented with vesico-ureteral reflux. Six patients presented signs of UUT damage without reflux. the cystometry showed detrusor overactivity (DO), poor compliance, increased bladder capacity and normal cystometry in 48, 49, 2 and 1% of the patients, respectively.Detrusor leak point pressure (DLPP) over 40 cm H2O was associated with UUT damage. Patients with decrease on functional bladder capacity (FBC) <= 33% had more renal scars than their counterparts (P = 0.01). Overall, urological untreated myelomeningocele patients have 26% of kidney damage. DLPP >= 40cmH(2)O and decrease in FBC <= 33% are associated with greater UUT damage. DO and poor compliance are predominant and pose similar risk of UUT damage. en
dc.format.extent 224-228
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartof World Journal of Urology
dc.rights Acesso restrito
dc.subject urodynamic en
dc.subject neurogenic bladder en
dc.subject urinary incontinence en
dc.subject myelomeningocele en
dc.subject spinal dysraphism en
dc.title Upper and lower urinary tract evaluation of 104 patients with myelomeningocele without adequate urological management en
dc.type Artigo
dc.rights.license http://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo, Paulista Sch Med, Div Urol, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Paulista Sch Med, Div Urol, São Paulo, Brazil
dc.identifier.doi 10.1007/s00345-006-0087-x
dc.description.source Web of Science
dc.identifier.wos WOS:000238141300019



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