RecruitingNot ApplicableNCT05949567

Does Position Influence the Diagnosis of Detrusor Overactivity in a Neurological Population

Does Position Influence the Diagnosis of Detrusor Overactivity in a Neurological Population - a Concordance Study Between Lying and Sitting Position


Sponsor

Assistance Publique - Hôpitaux de Paris

Enrollment

160 participants

Start Date

Apr 2, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

ICS (International Continence Society) recommendations published in 2017 recommend performing urodynamic examinations in the sitting or standing position. These recommendations are based on a review of the literature published in 2008, which has several limitations: heterogeneous populations, old and non-harmonized techniques, and very few neurological patients. It seems appropriate to focus on neurological patients and to examine the influence of position on the detection of detrusor overactivity in these patients. The point here is to reexamine the ICS recommendations, which are not designed for neurological patients. Indeed, many patients suffering from Multiple Sclerosis (MS) or Parkinson's disease are unable to sit or stand for the duration of the urodynamic examination. The investigators would like to assess whether exploring sphincter disorders in the supine position is still interpretable. This would enable us to define ICS good practice recommendations for a neurological population.


Eligibility

Min Age: 18 Years

Inclusion Criteria6

  • Patient with MS or neurologically confirmed Parkinson's disease, with indication for urodynamic assessment - 1st assessment
  • Clinical overactive bladder syndrome with USP overactive bladder sub-score > or = 4 - Age ≥18 years
  • In men: no prostatic hypertrophy on ultrasonography
  • In women: no stress urinary incontinence (SUI); USP SUI subscore ≤ 2
  • Affiliated with a social security scheme (excluding AME).
  • Free and informed written consent

Exclusion Criteria1

  • Opposition to the performance of a Urodynamic exam as part of treatment

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Interventions

OTHERurodynamic exam in sitting and lying position

Urodynamic exam with 1st filling in sitting or lying position. Then , during the same procedure, a second filling in the opposite position of the 1st filling (lying or sitting)


Locations(1)

Physical and Rehabilitation Medicine Pitié Salpêtrière Hospital

Paris, France, France

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NCT05949567


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