Mise en évidence des différences de gestion des vessies neurologiques existantes entre urologues et médecins spécialisés en médecine physique et de réhabilitation : enquête réalisée auprès de 383 spécialistes

Denys, Pierre; Soler, J.-M.; Fatton, B.; Rischmann, P.; Yelnik, A.; Aegerter, Philippe; Saidji-Domingo, Nabila-Yasmine; Chartier‐Kastler, Emmanuel

doi:10.1016/j.lpm.2011.09.035

Cited by 5 publications

(3 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent studies in the UK showed an increase in adherence to the guidelines in recent years. A French survey observed that routine follow-ups including UDS were performed by 56% of urologists and 83% of physiatrists, most often annually [ 60 , 61 , 62 ].…”

Section: Discussionmentioning

confidence: 99%

The Utility of Urodynamic Studies in Neuro-Urological Patients

Perrin

Corcos

2023

Biomedicines

View full text Add to dashboard Cite

Introduction: The utility of a clinical tool lies in its clinical performance evaluation and describes the relevance and usefulness of that tool in a medical setting. The utility of urodynamic and video-urodynamic studies in the management of specific urodynamic profiles in the diagnosis, treatment, and prognostic approach in neuro-urological patients is the focus of the current review. Methods: For this narrative review, a PubMed® search was performed by cross-referencing the keywords “urodynamics”, “neurogenic bladder”, “utility”, “clinical utility” and “clinical performance” with various terms related to the management of neurogenic lower urinary tract dysfunction. Clinical practice guidelines and landmark reviews from the most renowned experts in the field were also used. Analysis: Assessment of the utility of urodynamic study was performed during the diagnostic, therapeutic and prognostic steps of the neuro-urological patients’ management. We focused on its clinical performance in the identification and evaluation of several unfavorable events, such as neurogenic detrusor overactivity, detrusor-sphincter dyssynergia, elevated detrusor leak point pressure and the presence of vesico-ureteral reflux, which may be indicators for a higher risk for the development of urological comorbidities. Conclusion: Despite the paucity of existing literature assessing the utility of urodynamic study—specifically video-urodynamic study—in neuro-urological patients, it does remain the gold standard to assess lower urinary tract function precisely in this patient category. With regard to its utility, it is associated with high clinical performance at every step of management. The feedback on possible unfavorable events allows for prognostic assessment and may lead us to question current recommendations.

show abstract

Section: Discussionmentioning

confidence: 99%

The Utility of Urodynamic Studies in Neuro-Urological Patients

Perrin

Corcos

2023

Biomedicines

View full text Add to dashboard Cite

show abstract

“…[ 21 22 ] A survey from France showed that routine follow-up urodynamics was performed by 56% of urologists and 83% of physiatrists, most often on an annual basis. [ 23 ] However, only 12% urologists in the Netherlands performed routine follow-up urodynamics despite European Association of Urology (EAU) guidelines recommendations. [ 24 ]…”

Section: Adherence To Clinical Guidelinesmentioning

confidence: 99%

Follow-up urodynamics in patients with neurogenic bladder

Sinha

2017

Indian J Urol

View full text Add to dashboard Cite

Introduction:Neurogenic bladder patients are at long-term risk of secondary upper urinary tract damage. Symptoms are unreliable and follow-up urodynamics is the only method of ascertaining safety of bladder pressures. This review examines the recommendations, shortcomings and utilization of existing guidelines. The evidence with regard to follow-up urodynamics in different settings relevant to neurogenic bladder is evaluated and an algorithm is proposed.Methods:A pubmed search was conducted for studies on follow-up urodynamics in patients with neurogenic bladder. Additional search was made of secondary sources including reviews and guidelines.Results:The need for follow-up urodynamics should be considered in all patients undergoing an initial assessment and weighed against the risks. Existing guidelines, while unanimous in their recommendation of its utilization, give scant details regarding its incorporation in clinical management. Follow-up urodynamics can document efficacy and identify the need for escalation of therapy in patients on intermittent catheterization and antimuscarinics. Patients with spinal injury, spinal dysraphism and anorectal malformations are at higher risk for upper tract damage. Follow-up urodynamics can help identify patients suitable for intravesical botulinum and mark those destined for failure. Patients undergoing augmentation cystoplasty may be candidates for less aggressive urodynamic follow-up.Conclusions:Neurogenic bladder is managed by a broad cross-section of physicians. Clear recommendations and a management algorithm are important for improving patient care. Follow-up urodynamics can identify patients at risk, prevent renal dysfunction and improve the quality of life. There is an urgent need for more evidence on this important subject.

show abstract

“…In another survey study from France, urologists preferred follow up every six months, and annual upper tract imaging and urodynamics was recommended by 56% 15 . In a survey of twelve SCI treatment centers in the United Kingdom and Ireland, most of the centers saw patients annually and performed annual upper tract imaging, but most did not obtain routine UDS and there was a significant amount of variability from center to center 16 .…”

Section: Commentmentioning

confidence: 99%

Urological Surveillance and Medical Complications after Spinal Cord Injury in the United States

Cameron

Lai

Saigal

et al. 2015

Urology

View full text Add to dashboard Cite

Objectives To evaluate national patterns of urologic follow up after SCI and the occurrence and predictors of urological complications. Methods This retrospective cohort study utilized a 5% sample of Medicare data 2007–2010. The minimum adequate urologic surveillance was defined as a: urologist visit; serum creatinine; and upper urinary tract imaging study within the two year period. Each patient was classified to their most severe complication in a multivariate linear regression model. Results Among the 7162 patients with SCI, the majority were functionally paraplegic (82.4%) and Caucasian (80.9%). 4.9% received no screening studies over the two year period, 70.5% received some, but not all screening and 24.6% received all three screening tests. Patients travelled a mean of 21.3 ±27.5 miles to receive care. A total of 35.7% of patients saw a urologist during the two year period, 48.6% had some form of upper tract evaluation, with the majority being CT scans and 90.7% had serum creatinine. Fully 35.8% of all patients had a minor complication during their two year follow up. 17.1% had a moderate complication and 8.0% had a severe complication. In our prediction model, patient factors that correlated with increased complications included male gender, African American race, paraplegia and receiving some or all of the NGB recommended screening. Patient distance of travel to their treating physician (urologist or physiatrist) did not affect the rate of complications. Conclusions Most patients with SCI are not receiving the recommended screening for urological complications which are common in this population.

show abstract

Mise en évidence des différences de gestion des vessies neurologiques existantes entre urologues et médecins spécialisés en médecine physique et de réhabilitation : enquête réalisée auprès de 383 spécialistes

Cited by 5 publications

References 26 publications

The Utility of Urodynamic Studies in Neuro-Urological Patients

The Utility of Urodynamic Studies in Neuro-Urological Patients

Follow-up urodynamics in patients with neurogenic bladder

Urological Surveillance and Medical Complications after Spinal Cord Injury in the United States

Contact Info

Product

Resources

About