Base de dados : LILACS
Pesquisa : C10.597.900 [Categoria DeCS]
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Id: biblio-1282913
Autor: Agrimbau Vázquez, J; Burek, C; Campmany, L; de Castro Pérez, F; Di Pinto, D; Gonzaléz, A; López, B; Linares, J M; Naccache, S; Norton, E; Paladino, D; Rabasa, P; Sager, C.
Título: Evaluación del proceso de atención urológica de pacientes pediátricos con mielomeningocele / Evaluation of the urological care process of pediatric patients with myelomeningocele
Fonte: Med. infant;28(1):27-32, Marzo 2021. Tab.
Idioma: es.
Resumo: Introducción: El mielomeningocele (MMC) es una de las malformaciones congénitas más severas compatible con la vida. El 90% de los pacientes presenta vejiga neurogénica que debe ser evaluada y tratada precozmente. Objetivos: Describir la evaluación y tratamiento nefrourológico recibido por pacientes con MMC hasta el momento de la primera consulta en el Hospital Garrahan (periodo pre-ingreso). Describir la evaluación realizada y el tratamiento urológico implementado a partir del ingreso al hospital Garrahan (periodo post-ingreso). Evaluar la prevalencia de Enfermedad Renal Crónica (ERC). Población y Métodos: Se realizó un estudio con diseño clínico analítico, retrospectivo, longitudinal sobre pacientes con MMC de 1 mes a 18 años derivados al Hospital Garrahan para atención ambulatoria en los años 2011 y 2012. Resultados: Se incluyeron115 pacientes. Al momento de la derivación al hospital ("pre-ingreso") 7% de los pacientes habían logrado completar evaluación nefrourológica, (ecografía vesicorenal, urodinamia, Cistouretrografía, Centellograma renal y Creatininemia). Tratamiento: 33% vaciaban vejiga por CIL o vesicostomía y 21% recibían Oxibutinina. A partir del ingreso al seguimiento en el Garrahan 83% lograron completar la evaluación, y en función del resultado de la misma se indicó CIL en 87% y Oxibutinina en el 66% de los pacientes. La prevalencia de ERC al ingreso fue de 43%; la mayoría en estadio I. Conclusiones: La mayoría de los pacientes con MMC fueron derivados al hospital de tercer nivel con evaluaciones urológicas incompletas y sin el tratamiento adecuado de la vejiga neurogénica. El inicio del seguimiento interdisciplinario en un hospital de alta complejidad facilitó la realización de las evaluaciones necesarias y la implementación del tratamiento adecuado (AU)

Introduction: Myelomeningocele (MMC) is one of the most severe congenital malformations compatible with life. Of all the patients, 90% presents with a neurogenic bladder requiring early evaluation and treatment. Objectives: To describe the uronephrological evaluation and treatment received by patients with MMC up to the first consultation at Garrahan Hospital (pre-follow-up period). To describe the urological evaluation and treatment implemented from referral to Garrahan Hospital (follow-up period). To evaluate the prevalence of chronic kidney disease (CKD). Population and Methods: A retrospective, longitudinal study with a clinical, analytical design was conducted in patients with MMC between 1 months and 18 years of age referred to Garrahan Hospital for outpatient care in 2011 and 2012. Results: 115 patients were included. At the time of referral to the hospital ("pre-follow-up") 7% of the patients had undergone complete uronephrological evaluation (kidney-bladder ultrasonography, urodynamic studies, cystourethrography, renal scintigraphy, and creatininemia levels). Treatment: 33% emptied their bladder by CIC or vesicostomy and 21% received oxybutynin. From follow-up initiation at Garrahan Hospital, 83% underwent complete evaluation, and based on the results CIC was indicated in 87% and oxybutynin in 66% of the patients. On admission, prevalence of CKD was 43%; with stage I in the majority of the patients. Conclusions: The majority of the patients with MMC were referred to a third-level hospital with incomplete urological studies and without adequate treatment of the neurogenic bladder. Initiation of interdisciplinary follow-up at a tertiary hospital allowed for the necessary studies and implementation of adequate treatment (AU)
Descritores: Equipe de Assistência ao Paciente
Bexiga Urinaria Neurogênica/diagnóstico
Bexiga Urinaria Neurogênica/etiologia
Bexiga Urinaria Neurogênica/terapia
Meningomielocele/complicações
Meningomielocele/diagnóstico
Meningomielocele/epidemiologia
Insuficiência Renal Crônica/terapia
-Testes de Função Renal
Limites: Humanos
Lactente
Pré-Escolar
Criança
Adolescente
Responsável: AR305.1 - SID - Servicio de Información y Documentación


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Id: lil-478287
Autor: Aguiar, Maurício Figueiredo Massulo; Bernardes, Júlio Gulilherme Balieiro; Fonseca, Roberto Cepêda; Borba, Cinthya Coelho; Tavares, Ithana da Silva.
Título: Ampliação vesical e derivação urinária externa continente-técnica de mitrofanoff em paciente com mielomeningocele-relato de caso / Bladder augmentation and extern continnt urinary diversion by mitrofanoff technique in a pacient with myelomeningocele-case report
Fonte: Rev. para. med = Rev. Para. Med. (Impr.);21(2):45-50, abr.-jun. 2007. ilus.
Idioma: pt.
Resumo: Objetivo: relatar um caso em menina de 12 anos, apresentando mielomeningocele com bexiga de baixa complacência e rim único submetida à cirurgia de ampliação vesical e derivação urinária externa continente do tipo Mitrofanoff. Metodologia: relato de caso. Considerações Finais: diferentes abordagens clínicas e cirúrgicas multidisciplinares são aplicadas para o tratamento dessas crianças, visando uma melhor integração no meio social. Os objetivos urológicos do tratamento são: diminuir os riscos de lesão do trato urinário superior, controlar a infecção urinária e promover a continência. Dentre asformas de tratamento cirúrgico empregadas, pode-se utilizar ampliação vesical para bexiga de baixa complacência com derivação externa continente, utilizando, para isso, um conduto cateterizável, que pode ser o apêndice (principio de Mitrofanoff) ou um segmento intestinal reconfigurado.

Objective: Case report 01 a 12-year-old one-kidney girl with myelomeningocele and small bladder capacity in who was perlormed bladder augmentation and extern continent urinary diversion by Mitrolanoff technique. Methodology: Case report. Final COnsiderations: Many clinical and surgical approaches have been used lor the care of those children, to ensure a better integration in social life. The objectives of urological treatment are: to decrease damage of upper urinary tract, to control urinary inlection and to provide continence. Among all surgical techniques, it could be used bladder augmentation and extern continent urinary diversion by Mitrolanoff technique by utilising the appendix as a continent catheterisable conduit. Or reconfigured intestinal segments.
Descritores: Bexiga Urinaria Neurogênica/cirurgia
Incontinência Urinária
Meningomielocele
Urodinâmica
-Derivação Urinária
Limites: Humanos
Feminino
Criança
Tipo de Publ: Relatos de Casos
Responsável: BR3.1 - Biblioteca Central


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Id: biblio-1281736
Autor: Moraes, Arianne Tiemi Jyoboji; Zulim, Marilena Infiesta; Bottini, Dayane Aparecida Moisés Caetano; Higa Júnior, Minoru German; De Assis, Peterson Vieira; Pegorare, Ana Beatriz Gomes de Souza.
Título: Treinamento do assoalho pélvico na retenção urinária decorrente de encefalomielite aguda disseminada / Pelvic floor muscle training in neurogenic bladder due to acute disseminated encephalomyelitis syndrome
Fonte: Fisioter. Bras;20(5):675-680, Outubro 24, 2019.
Idioma: pt.
Resumo: A dengue pode desencadear manifestações neurológicas como a Síndrome de Encefalomielite Aguda Disseminada (ADEM), de caráter inflamatório, desmielinizante, que pode ter dentre as consequências déficits motores e sensitivos, neurite ótica e disfunções vesicais, como a retenção urinária, tornando o indivíduo dependente da realização do cateterismo vesical intermitente (CVI). Desta forma, o objetivo deste estudo é descrever o tratamento fisioterapêutico de uma paciente com retenção urinária, decorrente de Síndrome de ADEM pós-dengue. Paciente do sexo feminino, 52 anos, internada em hospital de média complexidade com diagnóstico de ADEM. Na avaliação inicial apresentava grau de força muscular 3 de membros inferiores e 4 de membros superiores, 2 de musculatura do assoalho pélvico (MAP) e retenção urinária, necessitando realizar CVI. Foram realizados 32 atendimentos com duração de uma hora, incluindo o treinamento do assoalho pélvico em diferentes posturas e eletroestimulação de superfície da MAP com equipamento da marca Ibramed. Paciente recebeu alta hospitalar com evidente melhora da força muscular global e sem necessidade de CVI, apresentando micção voluntária e sem resíduo pós-miccional, favorecendo a prevenção de agravos do trato urinário inferior e superior. (AU)

Dengue can trigger neurological manifestations such as Acute Disseminated Encephalomyelitis (ADEM), with inflammatory, demyelinating condition, which may have, among the consequences, motor and sensory deficits, optic neuritis and bladder dysfunctions, such as urinary retention, making the individual dependent on intermittent bladder catheterization (IBC). Therefore, the objective of this study was to describe the physiotherapeutic treatment of a patient with urinary retention, due to ADEM syndrome after dengue. A 52-year-old female patient admitted to a hospital of medium complexity with a diagnosis of ADEM. In the initial evaluation, she presented a degree 3 of muscular strength in the lower limbs and 4 in the upper limbs, 2 in pelvic floor musculature (PFM) and urinary retention, requiring IBC. We performed 32 one hour sessions, including pelvic floor muscle training in different positions and surface electrostimulation of PFM with Ibramed brand equipment. Patient was discharged with evident improvement of global muscle strength and without IBC, presenting voluntary voiding and without post void residual, favoring the prevention of lower and upper urinary tract injuries. (AU)
Descritores: Retenção Urinária
Diafragma da Pelve
Encefalomielite Aguda Disseminada
-Micção
Bexiga Urinaria Neurogênica
Dengue
Força Muscular
Limites: Humanos
Tipo de Publ: Relatos de Casos
Responsável: BR1561.1 - Biblioteca Virtual AMMG


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Id: lil-794677
Autor: Konstantinidis, Charalampos; Kratiras, Zisis; Samarinas, Michael; Skriapas, Konstantinos.
Título: Optimal bladder diary duration for patients with suprapontine neurogenic lower urinary tract dysfunction
Fonte: Int. braz. j. urol;42(4):766-772, July-Aug. 2016. tab.
Idioma: en.
Resumo: ABSTRACT Purpose: To identify the minimum bladder diary's length required to furnish reliable documentation of LUTS in a specific cohort of patients suffering from neurogenic urinary dysfunction secondary to suprapontine pathology. Materials and Methods: From January 2008 to January 2014, patients suffering from suprapontine pathology and LUTS were requested to prospectively complete a bladder diary form for 7 consecutive days. Micturitions per day, excreta per micturition, urgency and incontinence episodes and voided volume per day were evaluated from the completed diaries. We compared the averaged records of consecutive days (2-6 days) to the total 7 days records for each patient's diary, seeking the minimum diary's length that could provide records comparable to the 7 days average, the reference point in terms of reliability. Results: From 285 subjects, 94 male and 69 female patients enrolled in the study. The records of day 1 were significantly different from the average of the 7 days records in every parameter, showing relatively small correlation and providing insufficient documentation. Correlations gradually increased along the increase in diary's duration. According to our results a 3-day duration bladder diary is efficient and can provide results comparable to a 7 day length for four of our evaluated parameters. Regarding incontinence episodes, 3 days seems inadequate to furnish comparable results, showing a borderline difference. Conclusions: A 3-day diary can be used, as its reliability is efficient regarding number of micturition per day, excreta per micturition, episodes of urgency and voided volume per day.
Descritores: Bexiga Urinária/fisiopatologia
Bexiga Urinaria Neurogênica/fisiopatologia
Registros Médicos
Sintomas do Trato Urinário Inferior/fisiopatologia
-Fatores de Tempo
Micção
Estudos Prospectivos
Bexiga Urinária Hiperativa/urina
Pessoa de Meia-Idade
Limites: Humanos
Masculino
Feminino
Adulto
Idoso
Adulto Jovem
Responsável: BR1.1 - BIREME


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Id: biblio-1280987
Autor: Pacheco, Janaina Cabral; Dias, Cristiane; Vogel, Beatriz; Pereira, Fabio Dutra; Zaidan, Patrícia.
Título: Análise da eletroestimulação transcutânea e percutânea do nervo tibial para tratamento da bexiga hiperativa em Parkinsonianos: revisão sistemática / Analysis of transcutaneous and percutaneous tibial nerve electrostimulation for treatment of overactive bladder in Parkinsonians: systematic review
Fonte: Fisioter. Bras;19(5):723-730, Dez 25, 2018.
Idioma: pt.
Resumo: Parkinson é uma doença de sintomas motores e não motores, podendo incluir neste último, a bexiga neurogênica, que se caracteriza por sintomas de urgência, com ou sem urge-incontinência, normalmente acompanhada de polaciúria e noctúria. Objetivo: Analisar a eletroestimulação transcutânea e a percutânea do nervo tibial para tratamento da bexiga hiperativa em Parkinsonianos. Metodologia: Foram incluí­dos todos os artigos que mencionaram o tratamento da bexiga hiperativa, com eletroestimulação transcutânea e percutânea do tibial posterior, em pacientes com Parkinson. Realizou-se a busca de março a novembro de 2017, nas bases de dados US National Library of Medicine (MEDLINE), Scientific Eletronic Library Online (SciELO), Physiotherapy Evidence Database (PEDro), Biblioteca Virtual em Saúde (BVS) e Google acadêmico, sem limites de data. Foram utilizados como descritores contidos nos Descritores em Ciências da Saúde (DeCS) as palavras-tí­tulo: bexiga hiperativa, Parkinson e eletroestimulação transcutânea e percutânea do tibial posterior. Foram utilizados como descritores contidos no Medical Subject Headings (MeSH) as palavras-tí­tulo: overactivity bladder, Parkinson"™s disease, electrical stimulation transcutaneous, percutaneous electrical stimulation. Resultados: Dos 8 artigos recuperados, 1 estava duplicado e 2 foram excluí­dos por não estarem disponí­veis, restando cinco artigos: 2 ECRs, 2 experimentais e 1 estudo piloto. Conclusão: a terapia de eletroestimulação tibial, tanto transcutânea, quanto percutânea, se mostra benéfica para tratamento da bexiga hiperativa, em pacientes com Parkinson, porém, se faz necessário a realização de novos estudos, principalmente os de intervenção, para padronização do método. (AU)

Parkinson's disease is a disease of motor and non-motor symptoms, and may include neurogenic bladder, which is characterized by urgency symptoms, with or without urge incontinence. Objective: To analyze the transcutaneous and percutaneous electrostimulation of the tibial nerve for treatment of overactive bladder in Parkinsonians. Methodology: All articles mentioning the treatment of overactive bladder, with transcutaneous and percutaneous electrostimulation of the posterior tibial, were included in patients with Parkinson's disease. The search was carried out from March to November 2017, in the databases National Library of Medicine (Medline), Scientific Electronic Library Online (SciELO), Physiotherapy Evidence Database (PEDro), Virtual Health Library (VHL) and Google academic, without date limits. The descriptors included were: hyperactive bladder, Parkinson's and transcutaneous and percutaneous electrostimulation of the posterior tibial. The descriptors included in the Medical Subject Headings (MeSH) were: overactivity bladder, Parkinson's disease, electrical stimulation transcutaneous, percutaneous electrical stimulation. Results: Of the 8 articles retrieved, 1 was duplicated and 2 were excluded because they were not available, leaving five articles: 2 RCTs, 2 experimental and 1 pilot study. Conclusion: Transcutaneous and percutaneous tibial electrostimulation therapy is beneficial for the treatment of overactive bladder in patients with Parkinson disease. However, it is necessary to carry out new studies, especially interventional ones, to standardize the method. (AU)
Descritores: Nervo Tibial
Estimulação Elétrica Nervosa Transcutânea
Estimulação Elétrica
Bexiga Urinária Hiperativa
-Doença de Parkinson
Bexiga Urinaria Neurogênica
Limites: Humanos
Tipo de Publ: Revisão
Revisão Sistemática
Responsável: BR1561.1 - Biblioteca Virtual AMMG


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Id: biblio-1012308
Autor: Welk, Blayne.
Título: Editorial comment: Cross-cultural adaptation and validation of the neurogenic bladder symptom score questionnaire for brazilian portuguese
Fonte: Int. braz. j. urol;45(3):615-616, May-June 2019.
Idioma: en.
Descritores: Bexiga Urinaria Neurogênica
Comparação Transcultural
-Traduções
Brasil
Inquéritos e Questionários
Limites: Humanos
Tipo de Publ: Comentário
Editorial
Responsável: BR1.1 - BIREME


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Srougi, Miguel
Battistella, Linamara Rizzo
Bruschini, Homero
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Id: biblio-1012315
Autor: Cintra, Lisley Keller Liidtke; Bessa Júnior, José de; Kawahara, Victor Ikky; Ferreira, Thereza Phitoe Abe; Srougi, Miguel; Battistella, Linamara Rizzo; Souza, Daniel Rubio de; Bruschini, Homero; Gomes, Cristiano Mendes.
Título: Cross-cultural adaptation and validation of the neurogenic bladder symptom score questionnaire for brazilian portuguese
Fonte: Int. braz. j. urol;45(3):605-614, May-June 2019. tab.
Idioma: en.
Resumo: ABSTRACT Objective: To cross-culturally adapt and check for the reliability and validity of the neurogenic bladder symptom score questionnaire to Brazilian Portuguese, in patients with spinal cord injury and multiple sclerosis. Materials and Methods: The questionnaire was culturally adapted according to international guidelines. The Brazilian version was applied in patients diagnosed with neurogenic bladder due to spinal cord injury or multiple sclerosis, twice in a range of 7 to 14 days. Psychometric properties were tested such as content validity, construct validity, internal consistency, and test-retest reliability. Results: Sixty-eight patients participated in the study. Good internal consistency of the Portuguese version was observed, with Cronbach α of 0.81. The test-retest reliability was also high, with an Intraclass Correlation Coefficient of 0.86 [0.76 - 0.92] (p<0.0001). In the construct validity, the Pearson Correlation revealed a moderate correlation between the Portuguese version of the NBSS and the Qualiveen-SF questionnaire (r = 0.66 [0.40-0.82]; p <0.0001). Conclusions: The process of cross-cultural adaptation and validation of the NBSS questionnaire for the Brazilian Portuguese in patients with neurogenic lower urinary tract dysfunction was concluded.
Descritores: Bexiga Urinaria Neurogênica/diagnóstico
Comparação Transcultural
Inquéritos e Questionários/normas
Avaliação de Sintomas/normas
-Psicometria
Qualidade de Vida
Padrões de Referência
Fatores Socioeconômicos
Brasil
Reprodutibilidade dos Testes
Análise de Variância
Avaliação de Sintomas/métodos
Idioma
Pessoa de Meia-Idade
Limites: Humanos
Masculino
Feminino
Adulto
Idoso
Adulto Jovem
Tipo de Publ: Estudo de Validação
Responsável: BR1.1 - BIREME


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Id: biblio-1019878
Autor: Nast, Kelly J; Chiang, George; Marietti, Sarah.
Título: Vesicostomy button: how is it placed, in whom, and how is quality of life affected?
Fonte: Int. braz. j. urol;45(4):807-814, July-Aug. 2019. tab, graf.
Idioma: en.
Resumo: ABSTRACT Purpose The vesicostomy button has been shown to be a safe and effective bladder management strategy for short- or medium-term use when CIC cannot be instituted. This study reports our use with the vesicostomy button, highlighting the pros and cons of its use and complications. We then compared the quality or life in patients with vesicostomy button to those performing clean intermittent catheterization. Materials and Methods Retrospective chart review was conducted on children who had a vesicostomy button placed between 2011 and 2015. Placement was through existing vesicostomy, open or endoscopically. We then evaluated placement procedure and complications. A validated quality of life questionnaire was given to patients with vesicostomy button and to a matched cohort of patients performing clean intermittent catheterization. Results Thirteen children have had a vesicostomy button placed at our institution in the 4 year period, ages 7 months to 18 years. Indications for placement included neurogenic bladder (5), non-neurogenic neurogenic bladder (3), and valve bladders (5). Five out of 7 placed via existing vesicostomy had leakage around button. None of the endoscopically placed buttons had leakage. Complications were minor including UTI (3), wound infection (1), and button malfunction/leakage (3). QOL was equal and preserved in patients living with vesicostomy buttons when compared to CIC. Conclusion The vesicostomy button is an acceptable alternative to traditional vesicostomy and CIC. The morbidity of the button is quite low. Endoscopic insertion is the optimal technique. QOL is equivalent in patients with vesicostomy button and those who perform CIC.
Descritores: Qualidade de Vida
Cistostomia/métodos
-Fatores de Tempo
Bexiga Urinaria Neurogênica/cirurgia
Cistostomia/instrumentação
Inquéritos e Questionários
Reprodutibilidade dos Testes
Estudos Retrospectivos
Seguimentos
Resultado do Tratamento
Cateterismo Uretral Intermitente/métodos
Limites: Humanos
Masculino
Feminino
Lactente
Pré-Escolar
Criança
Adolescente
Tipo de Publ: Estudo de Avaliação
Responsável: BR1.1 - BIREME


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Id: biblio-1134270
Autor: Averbeck, Marcio Augusto; Moreno-Palacios, Jorge; Aparicio, Alejandro.
Título: Is there a role for sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction?
Fonte: Int. braz. j. urol;46(6):891-901, Nov.-Dec. 2020. tab, graf.
Idioma: en.
Resumo: ABSTRACT Purpose To review current literature regarding sacral neuromodulation (SNM) for neurogenic lower urinary tract dysfunction (NLUTD) focused on indications, barriers and latest technological developments. Material and Methods A PubMed database search was performed in April 2020, focusing on SNM and various neuro-urological conditions. Results SNM has been increasingly indicated for lower urinary tract dysfunction (LUTD) in neuro-urological patients. Most studies are cases series with several methodological limitations and limited follow-up, lacking standardized definition for SNM clinical success. Most series focused on neurogenic overactive bladder in spinal cord injured (incomplete lesions) and multiple sclerosis patients. Barriers for applying this therapy in neurogenic LUTD were mainly related to magnetic resonance imaging incompatibility, size of the implantable pulse generator (IPG), and battery depletion. Newer technological advances have been made to address these limitations and will be widely available in the near future. Conclusions SNM seems a promising therapy for neurogenic LUTD in carefully selected patients with incomplete lesions. Further studies are still needed to define which subgroups of neurological patients benefit the most from this minimally invasive technique.
Descritores: Bexiga Urinaria Neurogênica/terapia
Terapia por Estimulação Elétrica
-Sacro
Limites: Humanos
Tipo de Publ: Revisão
Responsável: BR1.1 - BIREME


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Id: biblio-1134317
Autor: Averbeck, Marcio Augusto.
Título: Editorial Comment: Long-term effectiveness and complication rates of bladder augmentation in patients with neurogenic bladder dysfunction: A systematic review
Fonte: Int. braz. j. urol;47(1):191-192, Jan.-Feb. 2021.
Idioma: en.
Descritores: Bexiga Urinaria Neurogênica
-Procedimentos Cirúrgicos Urológicos
Urodinâmica
Limites: Humanos
Tipo de Publ: Comentário
Editorial
Responsável: BR1.1 - BIREME



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