López-Cruz G, Hernández-Lira I, Calvo-Rodríguez A, Rojas-Pacheco A, Hamdan-Esquivel T, Parodi-Carbajal A

Language: Spanish
References: 17
Page: 47-51
PDF size: 382.15 Kb.

ABSTRACT

Objective: To show the utility of the uroflowmetry in the children with disabilities. Material and Methods: Observational and cross-sectional prospective study, from the 1st. of March 2003 to the 30th. of October 2007. All the patients of the cerebral injury clinic, congenital and genetic disorders, neuromuscular and osteoarticulate disorders; that fulfilled the inclusion criteria. We practiced an uroflowmetry in our patients with a Medical Laborie Technologies UDS64IIs/III equipment. The following variables were studied: Type of flow, maximum flow, average flow, Time of mictión, Time of flow, mictional Volume. The statistical analysis was made with measures of central tendency and frequency tables. Results: 141 patients met our inclusion criteria. The average age was of 8.3 years, the average miction volume was of 127,93 milliliters. The average maximum flow was of 15,40 ml/seg. The average time of flow was of 13,38 seconds. The average of the time of miction was of 13,99 seconds. Conclusion: The uroflowmetry is useful to evaluate subclinical alterations in the mictional mechanics in children with neuromuscular disabilities.

REFERENCES

1. 1.- Salina J, Virseda M. Alta tecnología en urodinámica. Urodinámica integrada. Clin Urol Complutense 1995; 3:317-56.

2. 2.- Hjâlma K, Hoebeke PB de Paepe H. Coger urinary tract dsyfuntion and urodynamics in children. Eur Urol 2000, 38: 655-65.

3. 3.- Kaufman JJ. A New recording urofluwmeter: a simple automatic device for measuring voidein velocity. J urol 1957; 78: 97-9.

4. 4.- Scott R, Mcllhaney JS: The voiding rates in normal male children. J Urol 1959; 82: 224-30.

5. 5.-Holm H. A uroflowmeter and a method for combined pressure and flow measurent.. J Urol 1962, 88: 318-20.

6. 6.- Massey J, Abrames PH. Obstructed voiding in the female. Br J Urol 1988, 61: 36-9.

7. 7.- Fantl JA, Smith PJ, Schneider V, Hurt WG, Dunn LJ. Fluid weight uroflowmetry in women. Am J Obstet Gynecol 1983; 145: 1017-24.

8. 8.- Szabo L, Fegyvrneki S. Maximim and average urine flow rates in normal children the miskole’s nomograms. Br J Urol 1995; 76: 16-20.

9. 9.- Secretaría de Salud Norma Oficial Mexicana. NOM-173-SSA1-1998, para la atención integral de personas con discapacidad.

10. 10.- Declaración de la Asamblea de Rehabilitación Internacional Auckland 1996. (http:/paidos.rediris.es//geneysi/ framlen.htm).

11. 11.- Pfister C, Dacher JN, Gaucher S, Liard-Zmuda A, Grise P, Mitrofanoff. The usefulness of a minimal urodynamic evaluation and pelvic floor biofeedback in children with chronic voiding dysfunction. BJU International 1999; 64: 1054-7.

12. 12.- Zudaire BJ, Robles GJ, Saiz SA, Rioja ZJ, Regojo BJ, Fernandez MJ, López FJ, Rocell CD, Berián PJ. Incontinencia femenina: evaluación urodinámica. Rev Med Univ Navarra 2004; 48(4): 32-6.

13. 13.- Luengo S, San Jose LA, Villar A, Redondo E, Moreno J, Mohamed Z, Resel L. Valoración urodinámica clásica en el diagnóstico y seguimiento de la incontinencia urinaria. Clínicas urológicas de la Complutense 2000; 8: 149-63.

14. 14.- Pohl HG, Beber SB, Borer JG,Diamond DA, Nelly MD, Grant R et al The outcome of voiding dysfunction manager with clean intermitten catheterization in neurologically and anatomically normal children. BJU Int 2002; 89: 923-7.

15. 15.- McKenna LS, McKenna PH. Modern management of nonneurologic. Pediatric oncontinence. JWCN 2004; 31:351-6.

16. 16.- Norgaard JP, vanGool JD, Hjälmas K, Djurhuus JC, Hellstrom AL. Standardization and definitions in lower urinary tract dysfunction in children. BJU 1998; 81(1): 1-16.

17. 17.- Abdol-Mohammad K, Cyrus AY, Omid R, Parvin T, Parvin M. Uroflujometry nomogram in Iranian children aged 7 to 14 years. BCM Urol 2005; 5(3): 1-8.