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Campo DC | Valor | Idioma |
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dc.contributor.author | Castro, Néviton Matos de | - |
dc.contributor.author | Freitas, Daniel M. | - |
dc.contributor.author | Rodrigues Junior, Waldyr | - |
dc.contributor.author | Muniz, André Luís Nunes | - |
dc.contributor.author | Oliveira, Paulo | - |
dc.contributor.author | Carvalho Filho, Edgar Marcelino de | - |
dc.creator | Castro, Néviton Matos de | - |
dc.creator | Freitas, Daniel M. | - |
dc.creator | Rodrigues Junior, Waldyr | - |
dc.creator | Muniz, André Luís Nunes | - |
dc.creator | Oliveira, Paulo | - |
dc.creator | Carvalho Filho, Edgar Marcelino de | - |
dc.date.accessioned | 2014-09-09T15:52:38Z | - |
dc.date.available | 2014-09-09T15:52:38Z | - |
dc.date.issued | 2007 | - |
dc.identifier.issn | 1677-5538 | - |
dc.identifier.uri | http://repositorio.ufba.br/ri/handle/ri/15964 | - |
dc.description | p. 238-245 | pt_BR |
dc.description.abstract | OBJECTIVE:To describe urodynamic abnormalities in HTLV-1 infected individuals presenting urinary symptoms and verify if these findings and quality of life (QOL) evaluation correlate with overall neurological impairment. MATERIALS AND METHODS: From January/2001 to May/2004, 324 HTLV-1 seropositive subjects were evaluated to determine the occurrence of urinary symptoms. Urodynamic testing was performed in those who complained of frequency, urgency, or incontinence. They went through a complete clinical, neurological, and urological examination to investigate symptoms and signs of myelopathy. Neurological disability was assessed by Expanded Disability Status Scale (EDSS). RESULTS: From the 324 patients evaluated, 78 underwent the urodynamic testing. Fifty-seven individuals were females (73.1%) and age ranged from 23 to 76 years (mean = 48.7 years; SD ± 11.6). Urodynamic testing was abnormal in 63 patients (80.8%). The major abnormality was detrusor overactivity (DO), observed in 33 individuals (33/63; 52.4%), followed by detrusor-external sphincter dyssynergia (DESD), diagnosed in 15 subjects (15/63; 25.4%). HAM/TSP patients had significantly more DESD than the HTLV-I carriers (p = 0.005; OR = 5.5; CI: 1.6 to 19.4). QOL was severely compromised in HAM/TSP patients. CONCLUSIONS: Prominent urodynamic abnormalities were identified in individuals genuinely considered as HTLV-I carriers, suggesting an early compromise of the urinary tract; whereas HAM/TSP patients presented urodynamic findings, which posed a potential risk to the upper urinary tract (dyssynergia). Urodynamic evaluation should be performed in all HTLV-I-infected individuals with voiding complaints. | pt_BR |
dc.language.iso | en | pt_BR |
dc.rights | Acesso Aberto | pt_BR |
dc.source | http://dx.doi.org/10.1590/S1677-55382007000200016 | pt_BR |
dc.subject | Human T-lymphotropic virus 1 | pt_BR |
dc.subject | Paraparesis | pt_BR |
dc.subject | Tropical spastic | pt_BR |
dc.subject | Urinary tract | pt_BR |
dc.subject | Urinary bladder | pt_BR |
dc.subject | Neurogenic | pt_BR |
dc.title | Urodynamic features of the voiding dysfunction in HTLV-1 infected individuals | pt_BR |
dc.title.alternative | International Brazilian Journal of Urology | pt_BR |
dc.type | Artigo de Periódico | pt_BR |
dc.identifier.number | v. 33, n. 2 | pt_BR |
Aparece nas coleções: | Artigo Publicado em Periódico (Faculdade de Medicina) |
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Arquivo | Descrição | Tamanho | Formato | |
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1677-55382007000200016.pdf | 74,34 kB | Adobe PDF | Visualizar/Abrir |
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