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array:23 [ "pii" => "S0210480606735173" "issn" => "02104806" "doi" => "10.1016/S0210-4806(06)73517-3" "estado" => "S300" "fechaPublicacion" => "2006-01-01" "aid" => "73517" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2006" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2006;30:675-83" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1290 "formatos" => array:3 [ "EPUB" => 4 "HTML" => 684 "PDF" => 602 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480606735185" "issn" => "02104806" "doi" => "10.1016/S0210-4806(06)73518-5" "estado" => "S300" "fechaPublicacion" => "2006-01-01" "aid" => "73518" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2006;30:684-91" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1448 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 793 "PDF" => 647 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Síntomas del tracto urinario inferior en la mujer y afectación de la calidad de vida. Resultados de la aplicación del King’s Health Questionnaire" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "684" "paginaFinal" => "691" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Lower urinary tract symptoms in women and impact on quiality of life. results of the application of the king’s health questionnaire" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "M. Espuña Pons" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Espuña Pons" ] ] ] 1 => array:2 [ "autoresLista" => "M. Puig Clota" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Puig Clota" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480606735185?idApp=UINPBA00004N" "url" => "/02104806/0000003000000007/v1_201304251821/S0210480606735185/v1_201304251821/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480606735161" "issn" => "02104806" "doi" => "10.1016/S0210-4806(06)73516-1" "estado" => "S300" "fechaPublicacion" => "2006-01-01" "aid" => "73516" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2006;30:667-74" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1456 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 867 "PDF" => 583 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Validez de las pruebas utilizadas en el diagnóstico inicial y su concordancia con el diagnóstico final en pacientes con sospecha de hiperplasia benigna de próstata" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "667" "paginaFinal" => "674" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Validity Of Tests For Initial Diagnosis And Its Concordance With Final Diagnosis In Patients With Suspected Benign Prostatic Hyperplasia" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Carballido Rodríguez, X. Badia Llach, A. Gimeno Collado, L. Regadera Sejas, R. Dal-Ré Saavedra, M. Guilera Sardá" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Carballido Rodríguez" ] 1 => array:2 [ "nombre" => "X." "apellidos" => "Badia Llach" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Gimeno Collado" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "Regadera Sejas" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Dal-Ré Saavedra" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Guilera Sardá" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480606735161?idApp=UINPBA00004N" "url" => "/02104806/0000003000000007/v1_201304251821/S0210480606735161/v1_201304251821/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Litiasis urinaria en adultos con mielomeningocele" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "675" "paginaFinal" => "683" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "J. Salinas Casado" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Salinas Casado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Unidad de Urodinámica. Servicio de Urología. Hospital Clínico Universitario San Carlos. Madrid" "etiqueta" => "<span class="elsevierStyleSup">*1</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "autoresLista" => "F. Verdú Tartajo, F. Herranz Amo, J.M. Díez Cordero, R. Durán Merino, C. Hernández Fernández" "autores" => array:5 [ 0 => array:4 [ "nombre" => "F." "apellidos" => "Verdú Tartajo" "email" => array:1 [ 0 => "ferverdu@pulso.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Herranz Amo" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Díez Cordero" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Durán Merino" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "Hernández Fernández" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología. Hospital Universitario Gregorio Marañón. Madrid. *" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Dr.F.Verdú Tartajo Sangenjo, 19 - 3º Izda. 28034 Madrid" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Urinary calculi in myelomeningocele adults" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-03-17" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec87949" "palabras" => array:5 [ 0 => "Mielomeningocele" 1 => "Adultos" 2 => "Litiasis urinaria" 3 => "Cálculos renales" 4 => "Calculos vesicales" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec87950" "palabras" => array:5 [ 0 => "Myelomeningocele" 1 => "Adults" 2 => "Urolithiasis" 3 => "Renal stones" 4 => "Bladder calculi" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción y objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los avances en el tratamiento de los nacidos con mielomeningocele (MMC) han logrado un gran aumento en su supervivencia, permitiéndoles una longevidad nunca antes alcanzada, pero todavía son escasos los datos concernientes a los problemas urológicos que estos enfermos plantean durante su vida adulta. Hemos evaluado las características de la litiasis urinaria en adultos nacidos con MMC así como los tratamientos empleados en la misma.</p> <span class="elsevierStyleSectionTitle">Material Y MétodoS</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Revisamos 52 pacientes nacidos con MMC de entre 18 y 40 años, atendidos durante los últimos 14 años en nuestro hospital, con una media de seguimiento de 6,7 años.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se diagnosticaron de litiasis urinaria 10 pacientes (19,2%). tres formaron cálculos renales (5,7%), y uno de ellos, junto con 7 pacientes más, desarrollaron cálculos vesicales (15,3%). el nivel neurológico fue ??l2 en 3 casos, l2- s1 en 5, y ??s1 en otros dos. el tipo de disfunción neurógena del tracto urinario inferior fue de lesión múltiple pura de neurona motora inferior en 6 casos, de neurona motora superior en 1, lesión múltiple mixta en otro, no pudiéndose valorar en el restante. dos pacientes tenían una ampliación vesical y uno de estos junto con otros 3 pacientes era portador de ams-800 no funcionantes. la litiasis vesical se trató endoscopicamente en 14 ocasiones y mediante cistolitotomía suprapúbica en 4, junto a la retirada de ams-800 en 3 de ellas. un paciente expulsó un pequeño cálculo. en un paciente fueron necesarias 2 litotricias extracorpóreas y 2 nefrolitotomías percutáneas. tres pacientes tuvieron múltiples recidivas.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La litiasis urinaria es frecuente en los adultos con MMC. Determinadas características de estos pacientes, junto con su configuración anatómica y algunos tratamientos empleados en ellos, ocasionan problemas de diagnostico, tratamiento y prevención de los cálculos que forman.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction and objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">the improvements in the management of newborns with myelomeningocele (MMC) have obtained a big increase in survival, allowing them to get longevity like never before, but data regarding urologic diseases during adult age are still missing. We herein evaluate the features of urinary lithiasis in adults born with MMC and the therapies used for its treatment.</p> <span class="elsevierStyleSectionTitle">Material And Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">we review 52 patients diagnosed at birth of MMC, between 18 and 40 years old, treated in our institution, with a mean follow-up of 6.7 years.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">10 patients (19.2%) were diagnosed of urolithiasis. three developed kidney calculi and one of them, with 7 more patients, developed bladder calculi (15.3%). the neurological level was ??l2 in 3 cases, l2-s1 in 5, and ??s1 in the other two. the type of neurogenic dysfunction of inferior urinary tract was multiple lesion of lower motor neurone in 6 cases, upper motor neurone in 1 case, multiple mixed lesion in 1 case and in case it was impossible to determine. two patients had a bladder augmentation procedure and one of these with other 3 patients had a non-functional ams-800 artificial urinary sphincter. bladder stones were treated endoscopically in 14 procedures and by suprapubic cystolithotomy in 4 procedures, combined with removal of ams-800 in 3 of them. one patient spontaneously passed a small stone. in one case, 2 eswl and 2 percutaneous nephrolithotomies were needed. three patients developed multiple recurrences during follow-up.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">urinary lithiasis is common in adults with MMC. Some distinct features of these patients, together with their anatomical configuration and some therapies used in them, cause diagnostic, therapeutic and prophylaxis issues for the calculi they may develop.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Myelodysplasia. Problems of long-term survival and social function" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D.B. Shurtleff" 1 => "P.W. Hayden" 2 => "W.H. Chapman" 3 => "A.B. Broy" 4 => "M.L. 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