Does Position Influence the Diagnosis of Detrusor Overactivity in a Neurological Population
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.
Study identifier: NCT05949567. Status: RECRUITING. Phase: NA.
Eligibility
Criteria: Inclusion Criteria: * 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 Criteria: * Opposition to the performance of a Urodynamic exam as part of treatment
- Minimum age: 18 Years
Participating locations
- Physical and Rehabilitation Medicine Pitié Salpêtrière Hospital, Paris, France
Study records are sourced from ClinicalTrials.gov. Confirm current eligibility, recruiting status, and locations in the official record.