{"id":139835,"date":"2026-01-12T17:49:17","date_gmt":"2026-01-12T17:49:17","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/alteraciones-miccionales-en-la-esclerosis-multiple\/"},"modified":"2026-01-12T17:49:17","modified_gmt":"2026-01-12T17:49:17","slug":"alteraciones-miccionales-en-la-esclerosis-multiple","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/alteraciones-miccionales-en-la-esclerosis-multiple\/","title":{"rendered":"Alteraciones miccionales en la esclerosis multiple"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Rodriguez Perez Antonio  J. <\/strong><\/h2>\n<p>En la esclerosis multiple la afectacion desmielinizante de vias y centros neurologicos miccionales son los responsables de fallos en las fases miccionales, traduciendose en sintomas y\/o disfunciones urodinamicas (vejigas neurogenas). El diagnostico de estos trastornos, favorecido por el conocimiento actual de la neurofisiolog\u00eda miccional y por la urodinamica, ha mejorado el tratamiento fisiopatologico de estos pacientes.  nos propusimos revisar la clinica miccional y los hallazgos urodinamicos de 58 pacientes afectos de esclerosis multiple, asi como confirmar la eficacia del tratamiento realizado.  el 91,3% de los enfermos presento clinica miccional dominando la etiquetada como irritativa en la mitad de ellos. Todos los asintomaticos (8,7%) pertenecian al grupo de enfermos con menor tiempo de enfermedad. La afectacion neurologica piramidal condiciono el predominio de clinica irritativa y mixta, siendo la obstructiva mas frecuente en los casos de afectacion predominantemente cerebelosa.  cerca del 90% de las urodinamicas fueron anormales existiendo una mayor afectacion cuantitativa del detrusor que del esfinter; la mitad de estos enfermos asociaron ambos defectos siendo los detrusores hiperreflexicos y los esfinteres hipertonicos los mas frecuentes.  en los cistogramas, la hiperreflexia del detrusor fue el hallazgo mas frecuente duplicando a los hiporreflexicos y normales. La hiperreflexia se asocio claramente a sintomas irritativos, a un mayor tiempo de enfermedad y a la afectacion piramidal. La electromiografia perineal y el perfil uretral de presiones revelaron disfunciones asfinterianas en mas del 50% de pacientes, siendo los hipertonicos los mas numerosos, seguidos a gran distancia de los disinergicos. Los trastornos esfinterianos, a diferencia de los detrusorianos, presentaron una relacion inversa con el tiempo de enfermedad y con los grados de afectacion neurologica. Todas las disfunciones esfinterianas se acompa\u00f1ar<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Alteraciones miccionales en la esclerosis multiple<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Alteraciones miccionales en la esclerosis multiple <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Rodriguez Perez Antonio  J. <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1992<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Salvador Morales Mendez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  De Las Mulas Bejar Mar\u00eda no <\/li>\n<li>Federico Rodriguez Rubio (vocal)<\/li>\n<li>Armando Zuloaga Gomez (vocal)<\/li>\n<li>Antonio Leal Lopez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rodriguez Perez Antonio J. En la esclerosis multiple la afectacion desmielinizante de vias y centros neurologicos miccionales [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[155,9,139,1880,384,10715],"tags":[48365,20643,20585,21793,254380,48363],"class_list":["post-139835","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-medicina-interna","category-neurologia","category-patologia-clinica","category-sevilla","tag-antonio-leal-lopez","tag-armando-zuloaga-gomez","tag-de-las-mulas-bejar-maria-no","tag-federico-rodriguez-rubio","tag-rodriguez-perez-antonio-j","tag-salvador-morales-mendez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/139835","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=139835"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/139835\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=139835"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=139835"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=139835"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}