Hallazgos urodinámicos en pacientes con enfermedad de Charcot-Marie-Tooth con síntomas del tracto urinario inferior
| Autor: | V. Martínez Barea, L. Mateu Arrom, Olga Mayordomo, C. Errando Smet, J. Palou Redorta, C. Gutierrez Ruiz |
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| Rok vydání: | 2020 |
| Předmět: |
Stress incontinence
medicine.medical_specialty medicine.diagnostic_test Urology department business.industry Urology Urinary system 030232 urology & nephrology Urinary incontinence Neurological examination Retrospective cohort study Disease medicine.disease 03 medical and health sciences 0302 clinical medicine Lower urinary tract symptoms Internal medicine medicine medicine.symptom business |
| Zdroj: | Actas Urológicas Españolas. 44:34-40 |
| ISSN: | 0210-4806 |
| DOI: | 10.1016/j.acuro.2019.07.004 |
| Popis: | Introduction Our aim was to describe the lower urinary tract symptoms (LUTS) and urodynamic findings in Charcot-Marie-Tooth (CMT) disease patients referred to our Urology Department. Methods Retrospective study of those patients with CMT disease diagnosed at the Neurology Department of our Tertiary Hospital and referred to our Urology Department since 2008 due to LUTS. We reviewed their clinical charts regarding the age at CMT disease diagnosis, type of CMT disease and the presence of other comorbidities which could cause LUTS. We collected data on the characterization of LUTS, findings of neurological examination and urodynamic findings. Results Seven patients were referred to our department due to the presence of LUTS. They were 3 male and 4 female, with median age at the moment of LUTS onset of 55 (29–67) years and median time from the diagnosis of the neuropathy to the onset of LUTS was 14 (1–37) years. Voiding symptoms were referred by 5 patients and urinary incontinence by 3 patients. Two patients presented recurrent urinary tract infection. Six urodynamic tests were performed which showed a neurogenic acontractile detrusor in 2 patients, detrusor underactivity in one patient, a delayed opening time in one patient, a neurogenic detrusor overactivity in one patient and a urodynamic stress incontinence in one patient. In one patient the urodynamic test was normal. Conclusions Most of CMT patients with LUTS complained from voiding symptoms. Several urodynamic findings could be observed mostly during the voiding phase. We recommend performing urodynamic tests in CMT patients presenting with LUTS seeking for treatment or in those with related complications. |
| Databáze: | OpenAIRE |
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