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1.
Clinics ; 66(2): 189-195, 2011. graf, tab
Artigo em Inglês | LILACS | ID: lil-581500

RESUMO

AIMS: Preservation of renal function in children with congenital neurogenic bladder is an important goal of treatment for the disease. This study analyzed the evolution of renal function in patients with congenital neurogenic bladder. METHODS: We reviewed the records of 58 pediatric patients with respect to the following attributes: gender, age, etiology of neurogenic bladder, reason for referral, medical/surgical management, episodes of treated urinary tract infections, urodynamics, DMSA scintigraphy, weight, height, blood pressure, glomerular filtration rate, microalbuminuria and metabolic acidosis. Statistical analysis was performed, adopting the 5 percent significance level. RESULTS: The mean age at presentation was 4.2 ± 3.5 years. Myelomeningocele was the most frequent etiology (71.4 percent). Recurrent urinary tract infection was the reason for referral in 82.8 percent of the patients. Recurrent urinary tract infections were diagnosed in 84.5 percent of the patients initially; 83.7 percent of those patients experienced improvement during follow-up. The initial mean glomerular filtration rate was 146.7 ± 70.1 mL/1.73 m²/min, and the final mean was 193.6 ± 93.6 mL/1.73 m²/min, p = 0.0004. Microalbuminuria was diagnosed in 54.1 percent of the patients initially and in 69 percent in the final evaluation. Metabolic acidosis was present in 19 percent of the patients initially and in 32.8 percent in the final assessment. CONCLUSIONS: Patient referral to a pediatric nephrologist was late. A reduction in the number of urinary tract infections was observed with adequate treatment, but microalbuminuria and metabolic acidosis occurred frequently despite adequate management.


Assuntos
Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Taxa de Filtração Glomerular/fisiologia , Túbulos Renais/fisiopatologia , Bexiga Urinaria Neurogênica/congênito , Acidose/patologia , Albuminúria/patologia , Métodos Epidemiológicos , Encaminhamento e Consulta/estatística & dados numéricos , Bexiga Urinaria Neurogênica/etiologia , Bexiga Urinaria Neurogênica/fisiopatologia
2.
Bol. Col. Mex. Urol ; 12(2): 130-5, mayo-ago. 1995. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-162048

RESUMO

Se revisaron 20 pacientes con vejiga neurogénica de alto riesgo sometidos a enterocistoplastia. En 16 pacientes (80 por ciento) se realizó aumento vesical con colon sigmoideo, en tres (15 por ciento) con íleo y en uno (5 por ciento) con uréter. Todos experimentaban deterioro preoperatorio de las vías urinarias superiores, que en siete (35 por ciento) mejoró y en 13 (65 por ciento) se estabilizó, y en ninguno progresó. Tenían reflujo 16 pacientes (80 por ciento), que pudo curarse en 15 (94 por ciento). Otros 15 pacientes (80 por ciento) tenían incontinencia urinaria, y actualmente se conservan secos durante periodos de 31/2 a 4 horas. Los estudios cistométricos indicaron mejoría de 300 por ciento en la capacidad vesical, y disminución de 50 por ciento de la presión vesical. La función renal se estabilizó o mejoró en todos los pacientes. Se presentaron complicaciones sólo en cinco casos (20 por ciento), en dos por suboclusión intestinal, en otros dos por infección de vías urinarias sintomática y en uno por litiasis vesical. Estos resultados corroboran que la enterocistoplastia es la mejor opción de tratamiento en vejigas de alto riesgo y deterioro de vías urinarias superiores


Assuntos
Criança , Adolescente , Humanos , Masculino , Feminino , Colo Sigmoide/transplante , Creatinina/sangue , Creatinina/urina , Íleo/transplante , Intestinos/transplante , Complicações Pós-Operatórias , Procedimentos Cirúrgicos Operatórios , Bexiga Urinaria Neurogênica/congênito , Bexiga Urinaria Neurogênica/diagnóstico , Bexiga Urinaria Neurogênica/cirurgia , Incontinência Urinária/cirurgia , Transtornos Urinários/diagnóstico , Transtornos Urinários/fisiopatologia , Refluxo Vesicoureteral/diagnóstico
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