{"id":89050,"date":"2018-03-10T00:14:07","date_gmt":"2018-03-10T00:14:07","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/disfuncion-neurogena-vesicouretral-en-las-ataxias-hereditarias-datos-demograficos-clinicos-y-urodinamicos\/"},"modified":"2018-03-10T00:14:07","modified_gmt":"2018-03-10T00:14:07","slug":"disfuncion-neurogena-vesicouretral-en-las-ataxias-hereditarias-datos-demograficos-clinicos-y-urodinamicos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/disfuncion-neurogena-vesicouretral-en-las-ataxias-hereditarias-datos-demograficos-clinicos-y-urodinamicos\/","title":{"rendered":"Disfuncion neurogena vesicouretral en las ataxias hereditarias: datos demograficos, clinicos y urodinamicos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jes\u00fas M. Diez Rodriguez <\/strong><\/h2>\n<p>En enero de 1998 estaban asociados en espa\u00f1a 268 sujetos at\u00e1xicos, 149 hombres (55,6%) y 119 mujeres (44,4%). De ellos 192 (71,6%) ten\u00edan diagn\u00f3stico de ataxia de friedreich y otros 76 (28,4%) correspond\u00edan a diversas formas de ataxia no friedreich. Las manifestaciones urinarias como s\u00edntoma de presentaci\u00f3n inicial de ataxia fueron excepcionales (3,5%). Sin embargo en el transcurso de la enfermedad un 80% de los pacientes at\u00e1xicos presentaban s\u00edntomas urinarios leves-moderados hacia los 12-14 a\u00f1os. El porcentaje de pacientes refer\u00eda s\u00edndrome urinario mixto (irritativo-obstructivo) en el 65,1% de los casos. El 39,3% de los varones y el 30,1% de las mujeres refer\u00edan disfunci\u00f3n sexual. El trastorno sexual m\u00e1s frecuente en hombres fue la disfunic\u00f3n er\u00e9ctil (30,3%) y enl as mujeres p\u00e9rdida de deseo sexual, alteraciones en el organismo y alteraciones menstruales. El diagn\u00f3stico urodin\u00e1mico m\u00e1s frecuente fue hiperreflexia del detrusor (lesi\u00f3n tipo neurona motora superior) en el 61,7% de los casos, arreflexia o hiporreflexia (lesi\u00f3n tipo neudrona motora inferior) en el 2,5% y estudios normales en el 14,7%. la arreflexia fue m\u00e1s frecuente en varones (35,3%) que en mujeres (11,7%). se observ\u00f3 disinergia v\u00e9sicoefinteriana en el 37,5%. Se demostr\u00f3 una buena correlaci\u00f3n cl\u00ednico-urodin\u00e1mica; clinicamente la hiperreflexia del dtrusor se manifest\u00f3 cons\u00edntomas urinarios irritativos en el 85,7% y s\u00edntomas mixtos en el 14,2%. Los pacientes con arrflexia o hiporreflexia tuvieron como s\u00edntoma asilado m\u00e1s frecuente el esfuerzo miccional en el 75%, seguido de tenesmo vesical en el 62,5%. El 25% de los pacientes con arrflexia tuvieron retenci\u00f3n  aguda de orina.  el estudio urodin\u00e1mico ser\u00eda obligatorio en los varones con ataxia hereditaria en orden a realizar el diagn\u00f3stico diferencial con la obstrucci\u00f3n prost\u00e1tica y el estudio urodin\u00e1mico ser\u00eda aconsejable en enfermos con ataxia hereditaria como test de evaluaci\u00f3n pe<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Disfuncion neurogena vesicouretral en las ataxias hereditarias: datos demograficos, clinicos y urodinamicos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Disfuncion neurogena vesicouretral en las ataxias hereditarias: datos demograficos, clinicos y urodinamicos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jes\u00fas M. Diez Rodriguez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Valladolid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/02\/2001<\/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> Fern\u00e1ndez Del Busto Ernesto<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alfonso Velasco mart\u00edn <\/li>\n<li>Jes\u00fas Rivera ferro (vocal)<\/li>\n<li> Berciano blanco Jos\u00e9 Carlos (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jes\u00fas M. Diez Rodriguez En enero de 1998 estaban asociados en espa\u00f1a 268 sujetos at\u00e1xicos, 149 hombres [&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":[155,9,141,1533,971,12451],"tags":[12654,185515,45052,185514,27930],"class_list":["post-89050","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cirugia","category-cirugia-urologica","category-urologia","category-valladolid","tag-alfonso-velasco-martin","tag-berciano-blanco-jose-carlos","tag-fernandez-del-busto-ernesto","tag-jesus-m-diez-rodriguez","tag-jesus-rivera-ferro"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/89050","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=89050"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/89050\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=89050"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=89050"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=89050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}