Litiasis urinaria en adultos con mielomeningocele
Urinary calculi in myelomeningocele adults
J. Salinas Casado*
*1 Unidad de Urodinámica. Servicio de Urología. Hospital Clínico Universitario San Carlos. Madrid
F. Verdú Tartajo1
, F. Herranz Amo, J.M. Díez Cordero, R. Durán Merino, C. Hernández Fernández
Autor para correspondencia
Servicio de Urología. Hospital Universitario Gregorio Marañón. Madrid. *
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"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. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 0 | 2 | 2 |
| 2024 Octubre | 0 | 7 | 7 |
| 2024 Septiembre | 0 | 2 | 2 |
| 2024 Agosto | 0 | 1 | 1 |
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| 2024 Marzo | 0 | 30 | 30 |
| 2024 Febrero | 0 | 9 | 9 |
| 2024 Enero | 0 | 10 | 10 |
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| 2023 Noviembre | 0 | 32 | 32 |
| 2023 Octubre | 0 | 33 | 33 |
| 2023 Septiembre | 0 | 18 | 18 |
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| 2023 Abril | 0 | 7 | 7 |
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| 2023 Febrero | 0 | 4 | 4 |
| 2023 Enero | 0 | 4 | 4 |
| 2022 Diciembre | 0 | 3 | 3 |
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| 2022 Octubre | 0 | 7 | 7 |
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| 2022 Agosto | 0 | 7 | 7 |
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| 2022 Abril | 0 | 16 | 16 |
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| 2022 Febrero | 0 | 2 | 2 |
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| 2021 Noviembre | 0 | 2 | 2 |
| 2021 Septiembre | 0 | 1 | 1 |
| 2021 Agosto | 0 | 3 | 3 |
| 2021 Julio | 0 | 3 | 3 |
| 2021 Junio | 0 | 8 | 8 |
| 2021 Mayo | 0 | 16 | 16 |
| 2021 Abril | 0 | 52 | 52 |
| 2021 Marzo | 0 | 96 | 96 |
| 2021 Febrero | 0 | 4 | 4 |
| 2021 Enero | 0 | 1 | 1 |
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| 2020 Septiembre | 0 | 7 | 7 |
| 2020 Agosto | 0 | 6 | 6 |
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| 2020 Mayo | 0 | 3 | 3 |
| 2020 Abril | 1 | 2 | 3 |
| 2020 Marzo | 0 | 2 | 2 |
| 2020 Febrero | 0 | 2 | 2 |
| 2020 Enero | 0 | 12 | 12 |
| 2019 Diciembre | 0 | 19 | 19 |
| 2019 Noviembre | 0 | 1 | 1 |
| 2019 Octubre | 0 | 3 | 3 |
| 2019 Septiembre | 0 | 2 | 2 |
| 2019 Julio | 0 | 5 | 5 |
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| 2019 Mayo | 0 | 56 | 56 |
| 2019 Abril | 0 | 22 | 22 |
| 2019 Febrero | 0 | 1 | 1 |
| 2019 Enero | 0 | 2 | 2 |
| 2018 Diciembre | 0 | 3 | 3 |
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| 2018 Octubre | 0 | 9 | 9 |
| 2018 Julio | 1 | 0 | 1 |
| 2018 Febrero | 1 | 3 | 4 |
| 2018 Enero | 2 | 7 | 9 |
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| 2017 Noviembre | 3 | 12 | 15 |
| 2017 Octubre | 4 | 5 | 9 |
| 2017 Septiembre | 4 | 16 | 20 |
| 2017 Agosto | 4 | 2 | 6 |
| 2017 Julio | 3 | 3 | 6 |
| 2017 Junio | 4 | 19 | 23 |
| 2017 Mayo | 9 | 5 | 14 |
| 2017 Abril | 10 | 5 | 15 |
| 2017 Marzo | 7 | 12 | 19 |
| 2017 Febrero | 9 | 10 | 19 |
| 2017 Enero | 6 | 10 | 16 |
| 2016 Diciembre | 15 | 13 | 28 |
| 2016 Noviembre | 20 | 10 | 30 |
| 2016 Octubre | 23 | 19 | 42 |
| 2016 Septiembre | 12 | 11 | 23 |
| 2016 Agosto | 9 | 11 | 20 |
| 2016 Julio | 12 | 7 | 19 |
| 2016 Junio | 11 | 10 | 21 |
| 2016 Mayo | 6 | 15 | 21 |
| 2016 Abril | 7 | 21 | 28 |
| 2016 Marzo | 8 | 13 | 21 |
| 2016 Febrero | 12 | 17 | 29 |
| 2016 Enero | 7 | 25 | 32 |
| 2015 Diciembre | 9 | 15 | 24 |
| 2015 Noviembre | 10 | 9 | 19 |
| 2015 Octubre | 13 | 6 | 19 |
| 2015 Septiembre | 8 | 10 | 18 |
| 2015 Agosto | 8 | 5 | 13 |
| 2015 Julio | 5 | 6 | 11 |
| 2015 Junio | 3 | 3 | 6 |
| 2015 Mayo | 10 | 7 | 17 |
| 2015 Abril | 6 | 11 | 17 |
| 2015 Marzo | 4 | 6 | 10 |
| 2015 Febrero | 6 | 9 | 15 |
| 2015 Enero | 9 | 9 | 18 |
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| 2014 Noviembre | 3 | 4 | 7 |
| 2014 Octubre | 11 | 5 | 16 |
| 2014 Septiembre | 10 | 4 | 14 |
| 2014 Agosto | 7 | 0 | 7 |
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| 2014 Junio | 4 | 0 | 4 |
| 2014 Mayo | 3 | 1 | 4 |
| 2014 Abril | 4 | 1 | 5 |
| 2014 Marzo | 0 | 4 | 4 |
| 2014 Febrero | 1 | 0 | 1 |
| 2014 Enero | 7 | 1 | 8 |
| 2013 Diciembre | 5 | 2 | 7 |
| 2013 Noviembre | 12 | 4 | 16 |
| 2013 Octubre | 2 | 11 | 13 |
| 2013 Septiembre | 5 | 12 | 17 |
| 2013 Agosto | 2 | 4 | 6 |
| 2013 Julio | 3 | 0 | 3 |
| 2006 Junio | 286 | 0 | 286 |
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