Incontinence, Urinary
Conditions
Brief summary
This study aims to evaluate the correlation of the ultrasonic functional length of the urethra and the incontinence urinary disorder (IUD). The goal is to predict the severity of the IU by measuring new static and dynamic ultrasound parameters of the urethra.
Detailed description
The urinary incontinence is a disorder which affects 25 to 45% of women. Nowadays, the role of urethral tissue in IUD is not explored although well viewed in perineal ultrasound. Our actual knowledge demonstrates that urodynamic ultrasound is reliable to establish the bladder neck mobility. And the posterior urethral wall mobility was often associated to the stress urinary incontinence. Two elements appeared to indicate the elasticity of the urethral environment: functional length urethral variation and urethral closure angle variation during Valsalva manoeuvres compared to rest. This study aims to evaluate the correlation of the ultrasonic functional length of the urethra and the incontinence urinary disorder for the purpose to predict the severity of this syndrome.
Interventions
OTHERPelvic ultrasound / Urodynamic ultrasound
Gynecological consultation: calculating the score ICI-Q Ultrasound consultation: pelvic ultrasound Urodynamic ultrasound during a Valsalva manoeuvers
Sponsors
CMC Ambroise Paré
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* All patients aged over 18 years addressed to pelvic ultrasound
Exclusion criteria
* Pregnant * Post-partum (under 6 month of childbirth) * Operated for a genitourinary prolapse or/and urinary incontinence * Utero vaginal symptomatic prolapse * Overactive bladder ± UI by * Dysuria * Severe deep pelvic endometriosis * Respiratory failure (Unable to perform the Valsalva manoeuvres) * History of pelvic cancer * Unable to understand the information communicated
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measurement of ultrasonic urethral length | From 3 to 11 days after gynecological consultation | LT total length LF functional length LE funnel urethral length Measurement of the angle between proximal and distal urethra |
Countries
France
Contacts
PRINCIPAL_INVESTIGATORGeorges BADER, MD
CMC Hartmann
Outcome results
None listed