questionsmedicales.fr
États, signes et symptômes pathologiques
Signes et symptômes
Manifestations neurologiques
Vessie neurologique
Vessie neurologique : Questions médicales fréquentes
Termes MeSH sélectionnés :
Diagnostic
5
Vessie neurologique
Urodynamique
Cystométrie
Électromyographie
Incontinence urinaire
Rétention urinaire
Imagerie par résonance magnétique
Lésions neurologiques
Symptômes
5
Incontinence urinaire
Douleurs pelviennes
Douleurs abdominales
Dysfonction vésicale
Personnes âgées
Comorbidités
Prévention
5
Prévention
Maladies neurologiques
Mode de vie sain
Hydratation
Éducation des patients
Complications
Suivi médical
Aggravations
Exercices du plancher pelvien
Contrôle vésical
Traitements
5
Médicaments
Thérapies comportementales
Anticholinergiques
Bêta-3 agonistes
Intervention chirurgicale
Traitements conservateurs
Rééducation vésicale
Entraînement à la miction
Cathéters
Dispositifs médicaux
Complications
5
Infections urinaires
Lésions rénales
Infections urinaires
Auto-cathétérisme
Lésions rénales
Vessie neurologique
Facteurs de risque
5
Lésions médullaires
Maladies neurologiques
Âge
Troubles neurologiques
Antécédents médicaux
Accidents vasculaires cérébraux
Sexe
Conditions neurologiques
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"name": "Comment diagnostiquer une vessie neurologique ?",
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"text": "Le diagnostic repose sur l'anamnèse, l'examen clinique et des tests urodynamiques."
}
},
{
"@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'électromyographie."
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},
{
"@type": "Question",
"name": "Quels signes cliniques indiquent une vessie neurologique ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent incontinence, rétention urinaire et mictions fréquentes."
}
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{
"@type": "Question",
"name": "Quel rôle joue l'imagerie dans le diagnostic ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'imagerie, comme l'IRM, aide à identifier les lésions neurologiques sous-jacentes."
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},
{
"@type": "Question",
"name": "Comment évaluer la gravité de la condition ?",
"position": 5,
"acceptedAnswer": {
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"text": "La gravité est évaluée par la fréquence des symptômes et l'impact sur la qualité de vie."
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"@type": "Question",
"name": "Quels sont les symptômes courants de la vessie neurologique ?",
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"@type": "Question",
"name": "La vessie neurologique cause-t-elle des douleurs ?",
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"@type": "Question",
"name": "Comment la vessie neurologique affecte-t-elle la miction ?",
"position": 8,
"acceptedAnswer": {
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"text": "Elle peut entraîner des mictions fréquentes, des fuites ou une incapacité à uriner."
}
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{
"@type": "Question",
"name": "Y a-t-il des symptômes psychologiques associés ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'anxiété et la dépression peuvent survenir en raison des problèmes urinaires."
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},
{
"@type": "Question",
"name": "Les symptômes varient-ils selon l'âge ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent être plus prononcés chez les personnes âgées en raison de comorbidités."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir la vessie neurologique ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention dépend de la gestion des maladies neurologiques sous-jacentes."
}
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{
"@type": "Question",
"name": "Quels conseils de mode de vie peuvent aider ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un mode de vie sain, incluant l'exercice et une bonne hydratation, peut aider."
}
},
{
"@type": "Question",
"name": "L'éducation des patients est-elle importante ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'éducation aide les patients à mieux gérer leurs symptômes et à éviter les complications."
}
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{
"@type": "Question",
"name": "Comment le suivi médical contribue-t-il à la prévention ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi régulier permet d'ajuster les traitements et de prévenir les aggravations."
}
},
{
"@type": "Question",
"name": "Les exercices du plancher pelvien sont-ils bénéfiques ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils renforcent les muscles pelviens et peuvent améliorer le contrôle vésical."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour la vessie neurologique ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent des médicaments, des thérapies comportementales et des interventions chirurgicales."
}
},
{
"@type": "Question",
"name": "Les médicaments sont-ils efficaces ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des anticholinergiques et des bêta-3 agonistes peuvent réduire les symptômes."
}
},
{
"@type": "Question",
"name": "Quand envisager une intervention chirurgicale ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "La chirurgie est envisagée si les traitements conservateurs échouent à contrôler les symptômes."
}
},
{
"@type": "Question",
"name": "Quelles thérapies comportementales sont recommandées ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les thérapies incluent la rééducation vésicale et l'entraînement à la miction."
}
},
{
"@type": "Question",
"name": "Y a-t-il des dispositifs médicaux utiles ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des dispositifs comme les cathéters intermittents peuvent aider à gérer la condition."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent infections urinaires, lésions rénales et troubles psychologiques."
}
},
{
"@type": "Question",
"name": "Comment les infections urinaires sont-elles liées ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les infections urinaires sont fréquentes en raison de la rétention urinaire et de l'auto-cathétérisme."
}
},
{
"@type": "Question",
"name": "Les lésions rénales sont-elles une préoccupation ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une vessie neurologique non traitée peut entraîner des lésions rénales graves."
}
},
{
"@type": "Question",
"name": "Quels troubles psychologiques peuvent survenir ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'anxiété et la dépression sont courantes en raison des défis liés à la gestion des symptômes."
}
},
{
"@type": "Question",
"name": "Comment éviter les complications ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi médical régulier et une bonne hygiène peuvent aider à prévenir les complications."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent les lésions médullaires, les maladies neurologiques et les infections."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le risque augmente avec l'âge en raison de la prévalence accrue des troubles neurologiques."
}
},
{
"@type": "Question",
"name": "Les antécédents médicaux jouent-ils un rôle ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents de maladies neurologiques ou d'accidents vasculaires cérébraux augmentent le risque."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque de vessie neurologique ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines conditions neurologiques affectent différemment les hommes et les femmes."
}
},
{
"@type": "Question",
"name": "Les habitudes de vie peuvent-elles augmenter le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des habitudes comme le tabagisme et l'obésité peuvent contribuer à des problèmes neurologiques."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 15/04/2025
Contenu vérifié selon les dernières recommandations médicales
7 publications dans cette catégorie
Affiliations :
Center of Innovation for Veteran-Centered and Value-Driven Care, Rocky Mountain Regional VA Medical Center, Aurora, CO, United States of America.
Department of Medicine, Division of Infectious Diseases, University of Colorado Anschutz Medical Campus, Aurora, CO, United States of America.
6 publications dans cette catégorie
Affiliations :
Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. VA Hospital, Hines, IL, United States of America.
6 publications dans cette catégorie
Affiliations :
Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. VA Hospital, Hines, IL, United States of America.
Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, IL, United States of America.
6 publications dans cette catégorie
Affiliations :
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, United States of America.
Department of Medicine, Center for Research on Healthcare, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States of America.
6 publications dans cette catégorie
Affiliations :
Department of Medicine, Division of Infectious Diseases, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI, United States of America.
Department of Medicine, Division of Infectious Diseases, William S. Middleton VA Hospital, Madison, WI, United States of America.
6 publications dans cette catégorie
Affiliations :
College of Nursing, University of Illinois Chicago, Chicago, IL, United States of America.
6 publications dans cette catégorie
Affiliations :
Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. VA Hospital, Hines, IL, United States of America.
Center for Health Services and Outcomes Research, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America.
5 publications dans cette catégorie
Affiliations :
Spinal Cord Injury/Disorders Service, VA Puget Sound Healthcare System, Seattle, WA, United States of America.
Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA, United States of America.
Publications dans "Vessie neurologique" :
4 publications dans cette catégorie
Affiliations :
Collaborative for Research on Outcomes and Metrics, Silver Spring, Maryland.
Departments of Neurology, Rehabilitation Medicine, and Biostatistics, Bioinformatics & Biomathematics, Georgetown University, Washington, DC.
Publications dans "Vessie neurologique" :
4 publications dans cette catégorie
Affiliations :
Collaborative for Research on Outcomes and Metrics, Silver Spring, Maryland.
Publications dans "Vessie neurologique" :
3 publications dans cette catégorie
Affiliations :
Department of Rehabilitation Medicine, Georgetown University Medical Center, Washington, DC.
MedStar National Rehabilitation Hospital, Washington, DC.
Publications dans "Vessie neurologique" :
3 publications dans cette catégorie
Affiliations :
Collaborative for Research on Outcomes and -Metrics, Georgetown University, Washington, DC.
Publications dans "Vessie neurologique" :
3 publications dans cette catégorie
Affiliations :
MedStar National Rehabilitation Hospital, Washington, DC.
MedStar Health Research Institute, Hyattsville, MD.
Publications dans "Vessie neurologique" :
3 publications dans cette catégorie
Affiliations :
MedStar National Rehabilitation Hospital, Washington, DC.
MedStar Health Research Institute, Hyattsville, MD.
Publications dans "Vessie neurologique" :
3 publications dans cette catégorie
Affiliations :
Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. VA Hospital, Hines, IL, United States of America.
Publications dans "Vessie neurologique" :
3 publications dans cette catégorie
Affiliations :
Sorbonne université, hôpital Pitié-Salpêtrière, service d'urologie, assistance publique-hôpitaux de Paris, Paris, France. Electronic address: veronique.phe@aphp.fr.
Publications dans "Vessie neurologique" :
3 publications dans cette catégorie
Affiliations :
Département d'urologie, transplantation rénale et andrologie, CHU Rangueil, université Paul-Sabatier, Toulouse, France.
Publications dans "Vessie neurologique" :
3 publications dans cette catégorie
Affiliations :
Department of Urology, Norfolk and Norwich University Hospital, Norwich, UK.
Publications dans "Vessie neurologique" :
3 publications dans cette catégorie
Affiliations :
Department of Urology, HUP La Fe, Valencia, Spain.
Publications dans "Vessie neurologique" :
3 publications dans cette catégorie
Affiliations :
Department of Urology, Charing Cross Hospital, London, UK.
Publications dans "Vessie neurologique" :
There is little debate regarding the workhorse flaps for soft-tissue defects in head and neck reconstruction. However, in certain circumstances, the workhorse flaps are not available or suitable, and ...
The author performed a retrospective review of a single-surgeon experience with alternate soft-tissue flaps performed over a 10-year period....
Overall, 156 alternate soft-tissue free flaps were performed in 155 patients. The distribution of free flaps was 60 ulnar artery perforator (UAP), 28 lateral arm perforator (LAP), 33 medial sural arte...
Reconstructive microsurgeons performing high-volume head and neck reconstruction may need to incorporate alternate donor sites into their armamentarium when the primary workhorse flaps are not suitabl...
Therapeutic, IV....
Radial forearm flap (RFF) is widely used in oral reconstruction. However, the donor-site defect remains the main limit. In this paper, V-shaped kiss RFF (VRFF) is described as a novel technique to imp...
A total of 21 patients who underwent VRFF for oral reconstruction, and 23 patients who underwent conventional RFF from February 2016 to April 2018 were included in this study. Direct comparisons were ...
No skin grafts were used in the VRFF group, and 20 of 21 patients achieved primary healing at donor site, while all patients from the RFF group had skin grafts. And 18 of 23 patients achieved primary ...
VRFF is able to provide a new and simple method to close donor-site defect and realize a better healing in donor site....
Reconstructing complex soft tissue defects of the finger requires both functional and aesthetic aspects. There are many free tissue transfers as suitable options for digital resurfacing. The anterolat...
From May 2009 to March 2018, 10 patients with complete circumferential or semicircumcision defects in the fingers underwent reconstructive procedures that included thinned ALT flap transfer. Finger so...
The ALT flap sizes, averaging 4-9 cm wide and 6-12 cm long, were thinned to 4-7 mm. One perforator was included in the flaps with a pedicle length average of 6.1 cm. The flaps survived entirely in all...
The small thinned ALT perforator flap can be an excellent option for full circumferential or semicircumferential soft tissue defects of the finger. Follow-up showed this as an excellent alternative fo...
Increased lifespan and the improvement of medical treatment have given rise to research in reconstructive procedures in elderly patients. Higher postoperative complication rates, longer rehabilitation...
Patients were divided into two groups (YOUNG 0-59 years; OLD > 60 years). The endpoint was the survival of flaps and their dependence on patient- and surgery-specific parameters using multivariate ana...
A total of 110 patients (OLD...
The results confirm that free flap surgery can be indicated as a safe method for the elderly. Perioperative parameters such as two flaps in one surgery and transfusion regimens must be considered as r...
Free flap reconstruction for postoperative tissue defects in oral and maxillofacial tumors is a critical component of reconstructive surgery. Identifying risk factors for flap necrosis is essential fo...
To explore the clinical outcome of a free great toe nail flap (GTNF) combined with a second toe tissue flap (STTF) for fully shaped finger reconstruction (FSFR). From January 2013 to January 20, 2019,...
The goals of heel reconstruction are functional and aesthetic. Primarily due to the particular function of the heel in supporting the entire weight of the body while standing, these goals can be achie...
Between July 2010 and September 2016, 13 patients underwent soft tissue reconstruction of the heel with anterolateral thigh flap, lateral arm flap, superficial circumflex iliac artery perforator flap,...
There were 8 cases of anterolateral thigh flap (61.5%), 2 cases of lateral arm flap (15.3%), 2 cases of superficial circumflex iliac artery perforator flap (15.3%), and 1 case of temporalis muscle fla...
This article suggests that various free flaps can be considered as reliable options in heel reconstruction, resulting in acceptable functional and aesthetic outcomes....
Durable and resilient soft tissue reconstruction of vast defects of the extremities or the torso....
Reconstruction of disproportionately large defects, particularly in cases of simultaneous bone and joint reconstruction....
History of surgery or irradiation of upper back and axilla, impossibility of surgery under lateral positioning; relative contraindications in wheelchair users, hemiplegics, or amputees....
General anesthesia and lateral positioning. First, the parascapular flap is harvested, with the initial skin incision made medially in order to identify the medial triangular space and the circumflex ...
Postoperative anticoagulation with low-molecular-weight heparin under anti-Xa monitoring (semitherapeutic in normal-risk and therapeutic in high-risk cases). Hourly clinical assessment of flap perfusi...
Between 2013 and 2018, 74 conjoined latissimus dorsi and parascapular flaps were transplanted to cover vast defects of the lower (n = 66) and upper extremity (n = 8). The mean defect size was 723 ± 48...
Free flaps are widely used for the repair of soft tissue defects in the lower limbs, but there is still a specific rate of necrosis. Few clinical retrospective studies have analyzed the nontechnical r...
Clinical data from 244 cases of soft tissue defects of the leg or foot that were repaired with a free flap from January 2011 to June 2020 were retrospectively analyzed. The flap results were divided i...
Of the 244 flaps, 32 suffered from partial or total necrosis, and 212 completely survived. Univariate analysis showed that age, smoking history, soft tissue defect site, and time from injury to flap c...
The risk of flap necrosis was significantly increased when the soft tissue defect was located in the proximal leg, the time from injury to flap coverage was >7 days, and the patient had a moderate-to-...
Microsurgery has become standard of care for increasingly complex techniques in tissue harvest, replantation, reconstruction, allotransplantation, and supermicrosurgery on submillimetric vessels. As t...
The Symani Surgical System (Medical Microinstruments, S.p.A, Calci, Pisa, Italy), a robotic platform designed for microsurgery, was used in a robot-assisted microsurgical free flap reconstruction usin...
The procedure was completed successfully, with vessels fully patent immediately following and 20 minutes after anastomosis. The flap was viable, no re-exploration of the anastomosis was necessary post...
This novel, dedicated robotic platform with wristed microsurgical instruments was shown to be feasible for carrying out robot-assisted anastomosis of veins and arteries less than 0.8 mm in diameter, i...