The COVID-19 pandemic led to limit patients' visits to the neuro-urology department. Telemedicine was seen as a pragmatic solution to provide follow-up care. This study aimed to assess the efficiency and satisfaction of a telephone consultation in neuro-urology. Methods: During the pandemic, the scheduled medical visits were converted into telephone consultation. For each teleconsultation, the physician assessed the efficiency and the patient-rated global satisfaction of the teleconsultation. The physician and the patient assessed whether this teleconsultation replaced a physical visit. Results: About 358 neurologic patients were included in the study. The mean efficiency of the telephone consultation was 9.3/10 (±1.5). The mean global satisfaction was 9.0/10 (±1.3). The majority of the patients (52.4%) would prefer a physical consultation. 90.2% might convert some clinic visits to teleconsultations in the future. No agreement was found between the patient and the physician when they were asked if the teleconsultation replaced the physical consultation initially scheduled (weight kappa = 0.02; 95% confidence interval = [−0.06 to 0.11]). Cognitive impairment, difficulty to obtain relevant information, and lack of physical examination were unfavorable to the efficiency of the teleconsultation. Cognitive impairment, embarrassing nature of the teleconsultation, and preference for a physical consultation were unfavorable to satisfaction of the patient. Conclusion: Telemedicine in neuro-urology was associated with a high satisfaction of the patients and was described as efficient by the physicians. Despite this, the majority of the patients reported a preference for physical consultation. The COVID-19 pandemic might be an opportunity to refine our practices in neuro-urology and to develop telemedicine.

Le "postorgasmic illness syndrome" (POIS) ou « syndrome de la maladie post-orgasmique » (SMPO) est un syndrome rare décrit récemment qui regroupe un ensemble de symptômes cliniquesphysiques ou cognitifs-apparaissant électivement après une éjaculation ou un orgasme et pouvant perdurer plusieurs jours. Les étiologies et les mécanismes physiopathologiques du POIS restent discutés. Une allergie à une des protéines composant le liquide séminal ou à une protéine excrétée pendant l'éjaculation, une origine psychosomatique, un équivalent migraineux ou épiletique, et une dysrégulation végétative restent les mécanismes les plus évoqués. Mots-clés : Postorgasmic Illness Syndrome Postorgasmic illness syndrome (POIS) is a rare and recently described syndrome. It gathers a set of clinical symptoms-physical or cognitive-that occur electively after an ejaculation or an orgasm and may last several days. The etiologies and physiopathological mechanisms of POIS remain discussed. An allergy to one of the proteins composing the seminal fluid or to a protein excreted during ejaculation, a psychosomatic origin, a migrainous or epileptic equivalent, and a vegetative dysregulation remain the most evoked mechanisms.

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