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array:23 [ "pii" => "S0210480608739615" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73961-5" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73961" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2008" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:926-30" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1074 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 647 "PDF" => 420 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480608739627" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73962-7" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73962" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:931-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1106 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 626 "PDF" => 475 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Fístula ureterocutánea tras nefrectomía: aportación de dos casos y revisión de la literatura" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "931" "paginaFinal" => "933" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Ureterocutaneous fistula after nephrectomy: two cases" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F. Vázquez Alonso, F.J. Vicente Prados, M. Pascual Geler, C. Funes Padilla, J.M. Cózar Olmo, M. Tallada Buñuel" "autores" => array:6 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Vázquez Alonso" ] 1 => array:2 [ "nombre" => "F.J." "apellidos" => "Vicente Prados" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Pascual Geler" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Funes Padilla" ] 4 => array:2 [ "nombre" => "J.M." "apellidos" => "Cózar Olmo" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Tallada Buñuel" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739627?idApp=UINPBA00004N" "url" => "/02104806/0000003200000009/v1_201304251914/S0210480608739627/v1_201304251914/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480608739603" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73960-3" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73960" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:916-25" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1306 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 810 "PDF" => 489 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Evaluación económica del tratamiento médico de la hiperplasia benigna de próstata (HBP) en España en atención especializada. Aplicación al costeefectividad de dos fármacos habitualmente utilizados en su tratamiento" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "916" "paginaFinal" => "925" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Economic Evaluation Of Medical Treatment Of Benign Prostatic Hyperplasia (Bph) In The Specialised Care Setting In Spain. Application To The Cost-Effectiveness Of Two Drugs Frequently Used In Its Treatment" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Carballido, J.L. Ruiz-Cerdá, M. Unda, V. Baena, P. Campoy, J. Manasanch, J. Slof" "autores" => array:7 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Carballido" ] 1 => array:2 [ "nombre" => "J.L." "apellidos" => "Ruiz-Cerdá" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Unda" ] 3 => array:2 [ "nombre" => "V." "apellidos" => "Baena" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Campoy" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Manasanch" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Slof" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739603?idApp=UINPBA00004N" "url" => "/02104806/0000003200000009/v1_201304251914/S0210480608739603/v1_201304251914/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Manifestaciones urológicas de los accidentes vásculo-medulares" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "926" "paginaFinal" => "930" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "S. Luján Marco, G. García Fadrique, M. Ramírez Backhaus, S. Arlandis Guzmán, E. Martínez Agulló, J.F. Jiménez Cruz" "autores" => array:6 [ 0 => array:4 [ "nombre" => "S." "apellidos" => "Luján Marco" "email" => array:1 [ 0 => "slujanmarco@comv.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "G." "apellidos" => "García Fadrique" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Ramírez Backhaus" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Arlandis Guzmán" ] 4 => array:2 [ "nombre" => "E." "apellidos" => "Martínez Agulló" ] 5 => array:2 [ "nombre" => "J.F." "apellidos" => "Jiménez Cruz" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Neurourología. Servicio de Urología. Hospital Universitario La Fe.Valencia." "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. S. Luján Marco Unidad de Neurourología. Servicio de Urología. Hospital Universitario La Fe Avda. Campanar, 21 - 46009 Valencia Tel.: 963 862 700" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Urological Findings in Spinal Cord Ischemia" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-03-31" "fechaAceptado" => "2008-04-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88704" "palabras" => array:2 [ 0 => "Urodinámica" 1 => "Accidente vásculo-medular" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88703" "palabras" => array:2 [ 0 => "Urodynamic" 1 => "Spinal cord ischemia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Nuestro objetivo es describir las características anatomoclínicas de los accidentes vasculomedulares, así como los métodos diagnósticos y terapéuticos empleados.</p> <span class="elsevierStyleSectionTitle">Material y Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo desde 1982 hasta 2007, que incluye a 65 pacientes diagnosticados de AVM. Se realizó anamnesis general con exploración neurológica completa y estudio diagnóstico por imagen. La evaluación urodinámica consistió en cistomanometría, estudio de presión flujo y electromiografía del esfínter externo tras la fase de shock medular.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">De los 65 pacientes (27 mujeres-38 hombres), con una mediana de edad de 63 años (15-87 años), 28 pacientes (43%) presentaron lesión alta (superior a T7), 32 (49%)lesión media (entre T7-L2) y 4 (6%) baja (inferior a L2). El debut clínico más frecuente fue la paraplejía fláccida con retención aguda de orina. La etiología del AVM se determinó mediante pruebas de imagen, principalmente Resonancia Magnética. El estudio urodinámico mostró los siguientes resultados: lesión medular alta con hiperactividad vesical (asociando o no disinergia) 9 pacientes (47,4%) y 6 pacientes (31,5%) con arreflexia; lesión medular media con hiperactividad 11 pacientes (47,8%) y con arreflexia 7 pacientes (30,4%); lesión medular baja con hiperactividad un paciente (33%), arreflexia en otro (33%).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">No existe una clara correlación entre el nivel anatómico lesionado y el comportamiento vésicoesfinteriano. Esto es debido a que las lesiones medulares de origen vascular suelen ser incompletas y parcheadas, afectándose diferentes niveles. Es necesario, por tanto, realizar una exhaustiva exploración neurológica y urológica en estos pacientes, para poder establecer el patrón funcional que nos permita indicar el tratamiento idóneo.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Spinal cord ischemia is a circulatory disorder of acute or subacute establishment and neurological clinic of medullar section, usually incomplete. We describe clinical and anatomical characteristics, as well as diagnostic methods and therapeuthic used in these patients.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">since 1987 to 2007, 65 patients were diagnosed of spinal cord ischemia in our hospital. Clinical interview, neurological examination and image study were performed. Urodynamic study was performed after medullar shock phase, including cystometry, pressure flow study and external urinary sphincter electromyography. We have reviewed treatment applied in these patients.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">65 patients (27 women and 38 men), median age 63 years (15-87). 28 patients (43%) presented high lesion (upper to T7), 32 (49%) middle (T7-L2) and 4 (6%) low lesion (below L2). Flaccid paraplegia and acute urinary retention were the most frequent clinical findings at the begining. Aetiology was determined mainly by Magnetic Resonance. Urodynamic study revealed: 9 patients (47,4%) with high spinal cord lesion and detrusor overactivity (with or without dyssynergia), and 6 (31,5%) with arreflexia; 11 patients (47,8%) with middle spinal cord lesion and detrusor overactivity and 7 patients with arreflexia (30,4%); one patient with low spinal cord lesion and detrusor overactivity, and another one with arreflexia (33%).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">there is a good correlation among lesion level and clinical findings in traumatic spinal cord injuries, but this is not the same in spinal cord ischemia. Probably, incomplete and patched lesions in vascular spinal cord injuries could explain this lack of correlation. Therefore, it is mandatory to performe an exhaustive neurological and urological evaluation of these patients in order to select the best treatment and prevent upper urinary tract damage in the future.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Urodynamic patterns following isquemic spinal cord events" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Gomelsky" 1 => "G.E. Lemack" 2 => "K.J. Weld" 3 => "R.R. 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