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An objective score to predict upper tract deterioration in myelodysplasia.

Publication ,  Journal Article
Galloway, NT; Mekras, JA; Helms, M; Webster, GD
Published in: J Urol
March 1991

Bladder dysfunction in myelodysplasia may present a significant hazard to the upper tract and a threat to kidney function. Urodynamic features of high leak pressure and detrusor-sphincter dyssynergia have been associated with an increased risk. We have developed an objective score to describe urodynamic findings in myelodysplasia. The score includes consideration of bladder compliance, detrusor contractility and reflux, in addition to leak pressure and sphincter behavior. In 171 myelodysplastic patients a significant correlation was demonstrated between the score and upper tract studies at the time of urodynamics and the score and the management decision. Of 73 myelodysplasia patients with normal upper tracts at the first urodynamics study hydronephrosis later developed in 14. The score was a potent predictor of outcome (p = 0.0006).

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Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

March 1991

Volume

145

Issue

3

Start / End Page

535 / 537

Location

United States

Related Subject Headings

  • Vesico-Ureteral Reflux
  • Urology & Nephrology
  • Urodynamics
  • Urinary Bladder, Neurogenic
  • Urinary Bladder
  • Risk Factors
  • Predictive Value of Tests
  • Neural Tube Defects
  • Male
  • Hydronephrosis
 

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Galloway, N. T., Mekras, J. A., Helms, M., & Webster, G. D. (1991). An objective score to predict upper tract deterioration in myelodysplasia. J Urol, 145(3), 535–537. https://doi.org/10.1016/s0022-5347(17)38389-1
Galloway, N. T., J. A. Mekras, M. Helms, and G. D. Webster. “An objective score to predict upper tract deterioration in myelodysplasia.J Urol 145, no. 3 (March 1991): 535–37. https://doi.org/10.1016/s0022-5347(17)38389-1.
Galloway NT, Mekras JA, Helms M, Webster GD. An objective score to predict upper tract deterioration in myelodysplasia. J Urol. 1991 Mar;145(3):535–7.
Galloway, N. T., et al. “An objective score to predict upper tract deterioration in myelodysplasia.J Urol, vol. 145, no. 3, Mar. 1991, pp. 535–37. Pubmed, doi:10.1016/s0022-5347(17)38389-1.
Galloway NT, Mekras JA, Helms M, Webster GD. An objective score to predict upper tract deterioration in myelodysplasia. J Urol. 1991 Mar;145(3):535–537.
Journal cover image

Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

March 1991

Volume

145

Issue

3

Start / End Page

535 / 537

Location

United States

Related Subject Headings

  • Vesico-Ureteral Reflux
  • Urology & Nephrology
  • Urodynamics
  • Urinary Bladder, Neurogenic
  • Urinary Bladder
  • Risk Factors
  • Predictive Value of Tests
  • Neural Tube Defects
  • Male
  • Hydronephrosis