title: [Continuing neurologic assessment in myelodysplasia].
abstract: OBJECTIVE
  Myelodysplasia produces a neurological lesion with unpredictable urodynamic sequelae. The present study describes our experience in 18 patients with myelodysplasia and vesicourethral dysfunction.
  
  
  METHODS
  The study comprised 18 patients (11 males and 7 females) with myelodysplasia and vesicourethral dysfunction. Patient median age was 15.7 years (range 7 months-57 years) and the mean follow-up was 20 months (range 7-47 months). After physical and neurological examination, all patients underwent a complete urodynamic evaluation, including selective electromyography of the periurethral sphincter and videocystography. The urodynamic studies were repeated regularly during follow-up.
  
  
  RESULTS
  14 patients (67.7%) showed a lower motor neuron vesicourethral dysfunction; 2 (11.1%) had upper motor neuron lesion and 2 (11.1%) mixed motor neuron lesion. During the study period, no alterations were observed in the urodynamic pattern of patients with upper or mixed motor neuron lesions, but 9 patients (64.2%) with lower motor neuron lesions showed changes in the urodynamic pattern compared with the first evaluation, with alterations in bladder compliance being the most frequent.
  
  
  CONCLUSIONS
  Alterations in bladder compliance may arise from neurogenic and nonneurogenic factors. Our findings indicate the need for close urodynamic surveillance of patients with myelodysplasia and vesicourethral dysfunction.
authors: Servicio de Urología, Hospital Universitario Nuestra Señora del Pino, Universidad de Las Palmas de Gran Canaria, España.
authors: M A
authors: MA
authors: Rapariz González
authors: J
authors: J
authors: Salinas Casado
authors: J A
authors: JA
authors: Belón-López Tomasetti
authors: F
authors: F
authors: Begara Morillas
authors: S
authors: S
authors: Isorna Martínez
authors: L
authors: L
authors: Resel Estévez
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009436:Neural Tube Defects / Q000150:complications* / Q000503:physiopathology; D014522:Urethral Diseases / Q000209:etiology* / Q000503:physiopathology; D001745:Urinary Bladder Diseases / Q000209:etiology* / Q000503:physiopathology; D014563:Urodynamics
vernacular_title: Evaluación neurourológica continuada en la mielodisplasia.