Does Position Influence the Diagnosis of Detrusor Overactivity in a Neurological Population
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorAssistance Publique - Hôpitaux de Paris
About this trial
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 criteria
Qualifiers
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
Disqualifiers
Opposition to the performance of a Urodynamic exam as part of treatment
Trial design
Treatments tested in this trial
- urodynamic exam in sitting and lying position
Treatment groups
160 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov