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2002, Number 2-4

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Rev Mex Med Fis Rehab 2002; 14 (2-4)

rologic early attention for prepare irreversible lesions in the tract urinary of children with myelomeningocele

Chavarría MJJ, Parodi CA, Arturo Pichardo EA, Berúmen AE

Language: Spanish
References: 30
Page: 70-75
PDF size: 54.58 Kb.


ABSTRACT

Introduction: It has been demonstrated that from the birth in the children with myelomeningocele, it begins to have high contractile of the detrusor that evolves toward the deterioration of the muscle vesical or detrusor and it produces consequent alterations in the whole tree urinary that every time is more severe and more irreversible. Objectives: 1) To know the risk urology in the children with myelomeningocele that enter to the Centro de Rehabilitación Infantil Teletón (CRIT) of Mexico State. 2) To establish parameters of prevention. Material and methods: It is a descriptive, longitudinal study that includes all the patients between the 0 and the 18 years with myelomeningocele (MM), programmed for the protocol of diagnosis urologist. The study lapse it is understood of June de 1999 to December of the 2000. Results: Of 178 studied children, 113 (63.4%) children were considered of low risk urology. The age average in the first consultation urology in the CRIT was from alone 4.6 years to 2 patients (1.12%) they had been completed the protocol initial urology. The rest of them 78 (69% of this total) they were valued for the first time in our center. The age average in these children was of 3.8 years in its first consultation in the CRIT. 62 children (34.8%) with myelomeningocele they were considered of high risk urology to present reflux vesicoureteral of degrees III to V, hydronefrosis, y/o parameters in the study altered urodynamical. Conclusions: It is important to carry out in early form the attention urology in the children with myelomeningocele due to the high risk of irreversible lesions they take place in the tract urinary.


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