Neurourol. Urodynam. 32: 242249, 2013. (c) 2012 Wiley Periodicals, Inc.”
“Aims To evaluate urodynamic parameters in myelomeningocele patients with native bladders and after augmentation, continence rates and check the longevity of these parameters after lower urinary tract (LUT) reconstruction. Methods A retrospective review of adult myelomeningocele patients with UDS. Results 118 adult patients with NGB secondary to myelomeningocele were identified.

58/118 (49.1%) had UDS performed in our clinic: 18/58 (31%) after prior reconstruction (Augment group) and 40/58 (69%) during click here annual urologic follow up (NoSx group). Urodyanmic findings after augmentation included: Pdet@MCC 31.1

(195)cmH2O, MCC 495.9ml, NDO in 3/18 (16.7%), mean DLPP 54.0 (4860)cmH2O and mean ALPP 39.6 (20110)cmH2O in 5/18 with an incompetent sphincter. Patients in NoSx group had the following findings: Pdet@MCC of 39.6 (160)cmH2O, MCC 407.5ml, 18/40 (45%) had NDO, mean DLPP of 48.1 (1595)cmH2O and mean ALPP=51 (1778)cmH2O BI-2536 in 10/40 with incompetent sphincter. In the NoSx group, 19/40 (47.5%) had normal bladder compliance. Mean time from the surgery to UDS was 10.4 years. Continent patients in the NoSx group had a significantly higher MCC than incontinent patients in the same group (475 vs. 352ml, P=0.029). 8/17 (47.1%) continent patients in NoSx group had normal UDS. Conclusions Most patients after augmentation maintain low bladder pressures for more than 10 years. Close long-term follow up should be maintained, especially in those patients

that have not had prior augmentation. Urinary incontinence may be secondary to poor sphincteric function in patients with and without prior augmentation. Moreover, we should continue PR-171 chemical structure to follow patients after reconstruction as elevated detrusor pressures can still be seen. Strict follow up after LUT reconstruction still continues to be important. Neurourol. Urodynam. 32: 250253, 2013. (c) 2012 Wiley Periodicals, Inc.”
“Background: Quality of life is an umbrella concept that refers to all aspects of a person’s life, including health status and well-being. While health status measure focuses on the impact of the disease on physical functioning, well-being represents the self-representation of the emotional states related to the disease itself. Objectives: The objective of this study was to evaluate the psychological well-being and its determining factors in a real-life chronic obstructive pulmonary disease (COPD) population and to evaluate if patients with a different well-being differ in illness perception, health status and alexithymia.