questionsmedicales.fr
États, signes et symptômes pathologiques
Signes et symptômes
Manifestations urologiques
Symptômes de l'appareil urinaire inférieur
Hypoactivité vésicale
Hypoactivité vésicale : Questions médicales fréquentes
Diagnostic
5
Antécédents médicaux
Maladies neurologiques
Questionnaires
Symptômes urinaires
Symptômes
5
Douleurs abdominales
Rétention urinaire
Qualité de vie
Dépression
Nycturie
Symptômes nocturnes
Prévention
5
Habitudes alimentaires
Santé vésicale
Contrôle du poids
Santé vésicale
Plancher pelvien
Exercices
Traitements
5
Médicaments
Thérapies comportementales
Anticholinergiques
Médicaments
Rééducation vésicale
Contrôle de la miction
Chirurgie
Traitements conservateurs
Acupuncture
Stimulation électrique
Complications
5
Infections urinaires
Calculs vésicaux
Infections urinaires
Rétention d'urine
Lésions rénales
Pression vésicale
Facteurs de risque
5
Âge avancé
Maladies neurologiques
Médicaments
Anticholinergiques
Diabète
Sclérose en plaques
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"@type": "Question",
"name": "Comment diagnostique-t-on l'hypoactivité vésicale ?",
"position": 1,
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"text": "Le diagnostic repose sur l'évaluation des symptômes, des tests urodynamiques et des examens d'imagerie."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer la fonction vésicale ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les tests incluent l'échographie, la cystométrie et l'évaluation du débit urinaire."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une hypoactivité vésicale ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent une difficulté à initier la miction et une sensation de vessie pleine."
}
},
{
"@type": "Question",
"name": "Les antécédents médicaux influencent-ils le diagnostic ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents de maladies neurologiques ou de chirurgie pelvienne peuvent influencer le diagnostic."
}
},
{
"@type": "Question",
"name": "Peut-on utiliser des questionnaires pour le diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des questionnaires sur les symptômes urinaires peuvent aider à évaluer la condition."
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},
{
"@type": "Question",
"name": "Quels sont les symptômes courants de l'hypoactivité vésicale ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent une miction rare, une sensation de vidange incomplète et des fuites urinaires."
}
},
{
"@type": "Question",
"name": "L'hypoactivité vésicale cause-t-elle des douleurs ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut causer des douleurs abdominales ou pelviennes dues à la rétention urinaire."
}
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{
"@type": "Question",
"name": "Comment l'hypoactivité vésicale affecte-t-elle la qualité de vie ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut entraîner des problèmes d'hygiène, d'anxiété et de dépression chez les patients."
}
},
{
"@type": "Question",
"name": "Les symptômes varient-ils selon l'âge ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent être plus prononcés chez les personnes âgées en raison de comorbidités."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes nocturnes associés ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des difficultés à uriner la nuit, appelées nycturie, peuvent survenir."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir l'hypoactivité vésicale ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines mesures préventives incluent le maintien d'une bonne hydratation et l'exercice régulier."
}
},
{
"@type": "Question",
"name": "L'éducation sur la santé urinaire est-elle importante ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'éducation sur la santé urinaire peut aider à prévenir les problèmes vésicaux."
}
},
{
"@type": "Question",
"name": "Les habitudes alimentaires influencent-elles la santé vésicale ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une alimentation équilibrée peut contribuer à une meilleure santé vésicale."
}
},
{
"@type": "Question",
"name": "Le contrôle du poids peut-il aider ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, maintenir un poids santé peut réduire le risque de problèmes vésicaux."
}
},
{
"@type": "Question",
"name": "Les exercices du plancher pelvien sont-ils bénéfiques ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ces exercices renforcent les muscles et améliorent le contrôle de la miction."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour l'hypoactivité vésicale ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent des médicaments, des thérapies comportementales et des interventions chirurgicales."
}
},
{
"@type": "Question",
"name": "Les médicaments peuvent-ils aider à traiter cette condition ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des médicaments anticholinergiques peuvent améliorer la contraction de la vessie."
}
},
{
"@type": "Question",
"name": "La rééducation vésicale est-elle efficace ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la rééducation vésicale peut aider à améliorer le contrôle de la miction."
}
},
{
"@type": "Question",
"name": "Quand la chirurgie est-elle envisagée ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "La chirurgie est envisagée lorsque les traitements conservateurs échouent et que les symptômes persistent."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements alternatifs disponibles ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des approches comme l'acupuncture et la stimulation électrique peuvent être explorées."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec l'hypoactivité vésicale ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des infections urinaires, des calculs vésicaux et des lésions rénales."
}
},
{
"@type": "Question",
"name": "L'hypoactivité vésicale peut-elle entraîner des infections ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la rétention d'urine augmente le risque d'infections urinaires."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque de lésions rénales ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une pression accrue dans la vessie peut entraîner des lésions rénales à long terme."
}
},
{
"@type": "Question",
"name": "Les complications psychologiques sont-elles possibles ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'anxiété et la dépression peuvent survenir en raison des problèmes urinaires chroniques."
}
},
{
"@type": "Question",
"name": "Comment les complications affectent-elles le traitement ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent compliquer le traitement et nécessiter des approches plus agressives."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de l'hypoactivité vésicale ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'âge avancé, les maladies neurologiques et les antécédents chirurgicaux."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque d'hypoactivité vésicale ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les hommes peuvent être plus à risque en raison de problèmes prostatiques."
}
},
{
"@type": "Question",
"name": "Les médicaments peuvent-ils augmenter le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains médicaments, comme les anticholinergiques, peuvent aggraver l'hypoactivité vésicale."
}
},
{
"@type": "Question",
"name": "Les maladies chroniques sont-elles un facteur de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des maladies comme le diabète et la sclérose en plaques augmentent le risque."
}
},
{
"@type": "Question",
"name": "Le mode de vie influence-t-il le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un mode de vie sédentaire et une mauvaise alimentation peuvent augmenter le risque."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 07/02/2025
Contenu vérifié selon les dernières recommandations médicales
5 publications dans cette catégorie
Affiliations :
Department of Urology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Publications dans "Hypoactivité vésicale" :
4 publications dans cette catégorie
Affiliations :
Department of Chemical Biology and Applied Chemistry, School of Engineering, Nihon University, Koriyama, Japan.
Publications dans "Hypoactivité vésicale" :
4 publications dans cette catégorie
Affiliations :
Department of Urology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Publications dans "Hypoactivité vésicale" :
4 publications dans cette catégorie
Affiliations :
Department of Urology, Toho University Medical Center Ohashi Hospital, Tokyo, Japan.
Publications dans "Hypoactivité vésicale" :
4 publications dans cette catégorie
Affiliations :
Department of Urology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Publications dans "Hypoactivité vésicale" :
4 publications dans cette catégorie
Affiliations :
Department of Urology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Publications dans "Hypoactivité vésicale" :
4 publications dans cette catégorie
Affiliations :
Department of Pharmacology and Chemical Biology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Publications dans "Hypoactivité vésicale" :
4 publications dans cette catégorie
Affiliations :
Department of Pharmacology and Chemical Biology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Publications dans "Hypoactivité vésicale" :
4 publications dans cette catégorie
Affiliations :
Department of Urology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Department of Pharmacology and Chemical Biology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania.
Publications dans "Hypoactivité vésicale" :
4 publications dans cette catégorie
Affiliations :
Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien 970, Taiwan.
Publications dans "Hypoactivité vésicale" :
3 publications dans cette catégorie
Affiliations :
University of Pittsburgh Medical Center, Department of Urology, Pittsburgh, PA.
Publications dans "Hypoactivité vésicale" :
3 publications dans cette catégorie
Affiliations :
Bristol Urological Institute, University of Bristol, Bristol, United Kingdom.
Publications dans "Hypoactivité vésicale" :
3 publications dans cette catégorie
Affiliations :
Department of Urology, National Center for Geriatrics and Gerontology, Obu, Japan.
Publications dans "Hypoactivité vésicale" :
3 publications dans cette catégorie
Affiliations :
Department of Clinical Pharmacology and Urology, Nishi-Kumamoto Hospital, SOUSEIKAI, Kumamoto, Japan.
Publications dans "Hypoactivité vésicale" :
3 publications dans cette catégorie
Affiliations :
Department of Urology, China Rehabilitation Research Centre, Rehabilitation School of Capital Medical University, Beijing, China.
University of Health and Rehabilitation Sciences, Qingdao, Shandong, China.
Publications dans "Hypoactivité vésicale" :
3 publications dans cette catégorie
Affiliations :
Department of Urology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Publications dans "Hypoactivité vésicale" :
3 publications dans cette catégorie
Affiliations :
Beaumont Health System, Oakland University-William Beaumont School of Medicine, Royal Oak MI 48073, USA. Electronic address: Michael.chancellor@Beaumont.Org.
Publications dans "Hypoactivité vésicale" :
2 publications dans cette catégorie
Affiliations :
Department of Urology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Publications dans "Hypoactivité vésicale" :
2 publications dans cette catégorie
Affiliations :
Department of Urology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Publications dans "Hypoactivité vésicale" :
2 publications dans cette catégorie
Affiliations :
Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, No. 21, Sec. 2, Nanya S. Rd., Banqiao Dist., New Taipei City, 220216, Taiwan.
Graduate School of Biotechnology and Bioengineering, Yuan Ze University, No. 135, Yuandong Rd., Zhongli Dist., Taoyuan City, 320315, Taiwan.
Publications dans "Hypoactivité vésicale" :
Underactive bladder (UAB) is a prevalent but under-researched lower urinary tract symptom that typically occurs alongside detrusor underactivity (DU). Unlike UAB, DU is a urodynamic diagnosis which th...
This study aims to present age-stratified prevalence of women with lower urinary tract symptoms (LUTS) but without cystocele and predict detrusor underactivity (DU) or bladder outlet obstruction (BOO)...
The coexisting overactive-underactive bladder (COUB) syndrome could be related to the increased urethral resistance caused by severe pelvic organ prolapse (POP). We aimed to evaluate the clinical and ...
This retrospective study analyzed all patients who underwent POP repair between 2008 and 2013, excluding women with a history of pelvic floor surgery. Patients were divided into COUB and non-COUB acco...
A total of 533 women underwent POP surgery. Preoperatively, patients with COUB had more severe anterior compartment prolapse (Pelvic Organ Prolapse Quantification staging system Aa point, P = 0.008) a...
POP is a valid pathogenetic model for COUB development. POP repair induced a significant decrease in COUB symptoms with low opening detrusor pressure resulting as the only independent predictor of pos...
To evaluate the efficacy and safety of intravesical electrical stimulation (IVES) performed with a novel device in patients with underactive bladder (UAB)....
This was a multicentre, prospective, single-blind, randomized controlled clinical trial of patients with UAB in China. Eligible patients were randomly assigned in a 1:1 ratio to receive conventional I...
In the full analysis set (FAS), the mean (sd) PVR changes in the trial and control groups at 4 weeks were -97.1 (107.5) mL and -10.5 (86.7) mL, respectively (P < 0.01). Similar results were obtained i...
The results of this clinical study strongly demonstrate that UAB patients benefit from this novel IVES device. More research is needed to validate the clinical utility of this device....
Detrusor underactivity/underactive bladder (DU/UAB) is a disease with great unmet needs and no current approved drug treatment. Extracorporeal shock wave therapy (ESWT) has been shown to improve regen...
To assess ESWT as a treatment of DU/UAB....
Patients with DU/UAB were enrolled in this phase 2 randomized, double-blind, placebo-controlled, physician-initiated study....
The patients were assigned to ESWT (N = 6, 2500 shocks, frequency of four pulses per second, and maximum total energy flow density of 0.25 mJ/mm...
The primary endpoint was the average changes in postvoid residual urine (PVR) from baseline to 4 wk after treatment. Other endpoints included the average changes in 3-d voiding diary, global response ...
The difference in improvement in PVR was -157.8 ml (95% confidence interval [CI]: -380.1, 64.4) versus -6.6 ml (95% CI: -178.1, 164.9) and -77.5 ml (95% CI: -242.1, 87.1) versus 81.8 ml (95% CI: -137....
ESWT was well tolerated with a statistically significant decrease of DU/UAB symptoms and a trend to decrease PVR versus placebo. These results indicate that ESWT may be a promising treatment for DU/UA...
Bladder shock wave therapy was studied in this randomized, double-blind, placebo-controlled study in patients with inadequate bladder emptying (underactive bladder). Bladder shock wave therapy was fou...
The heart and bladder share physiological biomechanical determinants of contraction. Heart failure (HF) and myogenic underactive bladder (mUAB) also share similarities in their pathophysiology. In bot...
Both detrusor underactivity (DU) and bladder outlet obstruction (BOO) can coexist in patients with overactive bladder. Definitions of both DU and BOO are based on pressure-flow study (PFS) data. Howev...
A retrospective review of urodynamics performed at a single institution was conducted. Females with OAB who voided more than 150 mL in both UFM and PFS were included. Parameters from both voiding epis...
A total of 195 patients were included. Overall, mean age was 55 ± 12 years, 90.8% had mixed urinary incontinence, and 39% complained of at least one voiding symptom. Globally, Qmax and BVE correlated ...
Patients with overactive bladder seem to have a systematic discordance between the urine flow of the free and invasive studies. Current definitions of DU and BOO, which are based on the PFS parameters...
There is insufficient evidence for postoperative outcomes of artificial urinary sphincter (AUS) implantation for postprostatectomy incontinence (PPI) with detrusor underactivity (DU). Thus, we assesse...
Medical records of men who underwent AUS implantation for PPI were reviewed. Patients who had bladder outlet obstruction surgery before radical prostatectomy or AUS-related complications that required...
A total of 78 patients with PPI were assessed. The DU group consisted of 55 patients (70.5%) and the non-DU group comprised 23 patients (29.5%). Qmax was lower in the DU group than in the non-DU group...
There was no clinically significant impact of preoperative DU on the outcome of AUS implantation for PPI; thus, surgery can be safely performed in patients with PPI and DU....
To clarify the clinical features of men with nonneurogenic detrusor underactivity (DU) by focusing on storage dysfunction (SD)....
We retrospectively reviewed the clinical and urodynamic data of men with nonneurogenic DU. Patients were divided into two groups according to the presence or absence of SD, such as detrusor overactivi...
Of 212 men with DU, 123 (58.0%) had concomitant SD (SD + DU group), and 89 (42.0%) had only DU (DU-only group). Age, prostate volume, and severity of storage symptoms were significantly higher in the ...
Approximately 60% of men with DU had SD, such as DO and/or reduced BC, whereas the remaining 40% had increased bladder capacity without an increase in detrusor pressure during the storage phase. There...
To review the effect of bladder outlet procedures on urodynamic outcomes and symptom scores in males with detrusor underactivity (DU) or acontractile detrusors (AD)....
We performed a systematic review and meta-analysis of research publications derived from PubMed, Embase, Web of Science, and Ovid Medline to identify clinical studies of adult men with non-neurogenic ...
We included 13 studies of bladder outlet procedures, of which 6 reported decreased and 7 reported improved P...
This review shows that P...