<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852017000500339</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación clínica y urodinámica de la disfunción vesical diabética]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical and urodynamic evaluation of diabetic bladder dysfunction]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Viveros-Elías]]></surname>
<given-names><![CDATA[JM.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-González]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gaxiola-Robles]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-González]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,aff1  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Central de Especialidades Médicas Servicio de Reumatología ]]></institution>
<addr-line><![CDATA[La Paz Baja California Sur]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Politécnico Nacional  ]]></institution>
<addr-line><![CDATA[La Paz Baja California Sur]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Autónoma de Nuevo León  ]]></institution>
<addr-line><![CDATA[Monterrey ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2017</year>
</pub-date>
<volume>77</volume>
<numero>5</numero>
<fpage>339</fpage>
<lpage>345</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852017000500339&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852017000500339&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852017000500339&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  la disfunción vesical es una de las complicaciones tardías más comunes de la diabetes, con prevalencia de 20-80%. Esta alteración afecta la calidad de vida, provoca retención, infecciones e incontinencia urinarias, incluso insuficiencia renal. Se caracteriza por disminución de la sensibilidad vesical, hiperactividad e hipocontractilidad del detrusor, y vaciamiento vesical incompleto.  OBJETIVO:  evaluar si el AUA Score y la uroflujometría son efectivos para establecer el diagnóstico de disfunción vesical diabética como métodos simples, no invasivos y de bajo costo.  MATERIALES Y MÉTODOS: estudio descriptivo y trasversal, al que se incluyeron pacientes con diagnóstico de diabetes mellitus de 5 años de evolución, a quienes se les aplicó el cuestionario AUA Score, se efectuó uroflujometría (medición de orina residual) y estudio urodinámico. Se utilizó estadística descriptiva y análisis bivariado (U de Mann-Whitney, t de Student y &#43859;2 ), con un nivel alfa p &lt; 0.05.  RESULTADOS: se registraron 41 pacientes, de los que 63% tuvieron hallazgos urodinámicos de disfunción vesical diabética como: sensibilidad reducida (27%), hiperactividad del detrusor (42%), hipocontractilidad del detrusor (38%) y vaciamiento incompleto (73%). El AUA Score, Qmax en la uroflujometría libre e índice de eficiencia vesical no demostraron correlación con los hallazgos urodinámicos específicos.  CONCLUSIONES: la disfunción vesical diabética es más frecuente de lo que se piensa. Los estudios urodinámicos invasivos siguen siendo los métodos de elección para establecer el diagnóstico de disfunción vesical, como complicación de la diabetes mellitus.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  Diabetic bladder dysfunction is one of the most common late complications of diabetes, with a prevalence of 20- 80%. It affects quality of life, causing retention, infections, urinaryincontinence, and even kidney failure. Diabetic bladder dysfunction is characterized by reduced bladder sensitivity, detrusor overactivity and hypocontractility, and incomplete bladder voiding.  OBJECTIVE:  The aim of our study was to evaluate whether the AUA Score and uroflowmetry were effective as simple, noninvasive, lowcost methods for diagnosing diabetic bladder dysfunction.  MATERIALS AND METHODS:  A descriptive, cross-sectional study was conducted on patients diagnosed with diabetes mellitus of 5-year progression that were analyzed through the AUA Score questionnaire, uroflowmetry (residual urine measurement), and urodynamic study. Descriptive statistics and bivariate analysis (Mann-Whitney U test, Student&#8217;s t test, and &#43859;2 test) were employed, with a p &lt; 0.05.  RESULTS:  Forty-one patients were registered, 63% of whom had the following urodynamic findings of diabetic bladder dysfunction: reduced sensitivity (27%), detrusor overactivity (42%), detrusor hypocontractility (38%), and incomplete voiding (73%). The AUA Score, Qmax in free uroflowmetry, and Bladder Voiding Efficiency showed no correlation with the specific urodynamic findings.  CONCLUSIONS:  Diabetic bladder dysfunction is more frequent than is commonly thought. Invasive urodynamic studies continue to be the basis of diagnosing bladder dysfunction as a complication of diabetes mellitus.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[disfunción vesical diabética]]></kwd>
<kwd lng="es"><![CDATA[urodinamia]]></kwd>
<kwd lng="es"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="es"><![CDATA[uroflujometría]]></kwd>
<kwd lng="es"><![CDATA[AUA Score]]></kwd>
<kwd lng="en"><![CDATA[Diabetic bladder dysfunction]]></kwd>
<kwd lng="en"><![CDATA[Urodynamics]]></kwd>
<kwd lng="en"><![CDATA[Diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[Uroflowmetry]]></kwd>
<kwd lng="en"><![CDATA[AUA Score]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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