Daño renal diagnosticado por gammagrafía en pacientes pediátricos con vejiga neurogénica secundaria a mielomeningocele y su comparación con el patrón de funcionamiento vesical mediante urodinamia en el Hospital Roberto Gilbert Elizalde durante el año 2015 - 2016.

Abstract

Background:The neurogenic bladder is a pathology characterized by loss of bladder function due to total or partial disruptionof the pathways, micturition centers or nerves that reach it. Objective:To determine the association of renal damage diagnosed by scintigraphy in pediatric patients with neurogenic bladder secondary to myelomeningocele and its comparison with the pattern of bladder function by urodynamics at the Roberto Gilbert Elizalde Hospital during 2015-2016 Materials and methods:An observational, descriptive and correlational research was developed. Population and sample:the 61 cases in pediatric age with neurogenic bladder secondary to myelomenigocele, in the Roberto Gilbert Elizalde Hospital during the year 2015 - 2016. Variables:bladder dysfunction, renal failure, age, sex, scintigraphy, urea and creatinine. Frequencies, percentages and correlations were determined using the SPSS 22.0 statistical program. Results:males predominated (60.7%), with a mean age of 7.39 years. 32.8% of patients had chronic renal failure. The most frequent neurogenic bladder pattern according to urodynamics was detrusor dyssynergy (62.3%). The mean value of urea was 28.5 mg / dL and the mean creatinine levelwas 0.93 mg / dL. A statistically significant relationship was found between the presence of chronic renal failure (by scintigraphy) and the type of bladder dysfunction (by urodimania) (p <0.05). Conclusions:patients with detrusor dyssynergy had more renal impairment than those with detrusor hyperreactivity.