Does Position Influence the Diagnosis of Detrusor Overactivity in a Neurological Population
Recruiting now · Not applicable
Conditions studied: Urodynamic Exam, Neurologic Disorder
In brief
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.
Key facts
- Study ID
- NCT05949567
- Run by
- Assistance Publique - Hôpitaux de Paris
- People needed
- 160
- Starts
- 2024-04-02
- Expected to finish
- 2027-04-02
- Last updated by the study team
- 2026-04-17
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- 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
You may not qualify if…
- Opposition to the performance of a Urodynamic exam as part of treatment
Where it is running
- Physical and Rehabilitation Medicine Pitié Salpêtrière Hospital — Paris, France, France (enrolling)
Full record on ClinicalTrials.gov
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