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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"text": "Le diagnostic repose sur l'anamnèse, l'examen clinique et des tests urodynamiques."
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{
"@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."
}
},
{
"@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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"@type": "Question",
"name": "Quels sont les symptômes courants de la vessie neurologique ?",
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"@type": "Question",
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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."
}
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{
"@type": "Question",
"name": "Peut-on prévenir la vessie neurologique ?",
"position": 11,
"acceptedAnswer": {
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"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" :
Targeted lateral pelvic node dissection in the era of total neoadjuvant therapy....
Total mesoesophageal excision (TME) is a promising procedure. Prone position thoracoscopic-assisted TME might be a good choice, even without robust evidence yet. Therefore, it is necessary to explore ...
We retrospectively analyzed the short-term outcomes regarding intraoperative unplanned events, postoperative complications, and lymphadenectomy in 61 patients who underwent prone position thoracoscopi...
Of these sixty-one patients, there were 10, 24 and 27 cases of tumor in the upper, middle, and lower thoracic, respectively. Although there were five cases of unplanned events during surgery, no conve...
The prone position thoracoscopic-assisted TME is a safe procedure that is more conducive to thoracic lymph node dissection, especially for middle and lower mediastinum....
To study the efficacy of octreotide to reduce lymphorrhea and prevent lymphocele after pelvic lymph node excision in gynecological malignancies....
Patients with more than 200 mL of lymph drained per day until postoperative day 3 after pelvic lymph node excision were enrolled. Of the 75 patients, 36 were managed by conservative methods without th...
The total and mean daily amount of lymph produced per patient was significantly lower in the octreotide-treated group than in the untreated group. The duration of drain placement was shorter in the oc...
The injection of octreotide is effective to reduce lymphorrhea and prevent lymphocele after pelvic lymph node excision in gynecological malignancies....
Complete mesocolic excision (CME) of colon cancer is a resection performed along embryological planes to include the completely intact mesentery surrounding the tumour with a high central vascular lig...
Lymphatic drainage from subcostal nodes, along the costal groove, have not previously been characterized as sites for melanoma drainage and metastasis. This study reports a series of patients with sub...
Patients who presented to our institution between 2005 and 2020 with documented cutaneous melanoma and sentinel lymph node biopsy of a subcostal node (sentinel = S), or metastases to subcostal nodes l...
Six patients had subcostal sentinel nodes (SNs). Primary sites included the posterior trunk and lateral chest wall. Subcostal nodes were found under ribs 10-12. Subcostal SNs had at least one dimensio...
Melanoma can metastasize to subcostal lymph nodes and be found at the time of SN biopsy or identified at recurrence. These small nodes are fed by lymphatic channels that run in the neurovascular bundl...
Axillary reverse mapping (ARM) was introduced in 2007 to identify and selectively preserve upper-extremity lymphatics during axillary lymph node surgery to decrease the risk of lymphedema. The patient...
Patients undergoing ALND with or without immediate lymphatic reconstruction (ILR) were enrolled in a prospective trial at two institutional sites between April 2018 and Decemeber 2022. This report ana...
The inclusion criteria were met by 139 patients, who made up the study population (133 with breast cancer and 6 with other disease). Of the breast cancer patients, 99.2% were female, 35.3% (47/133) we...
In the contemporary patient population undergoing ALND, the positivity rate of the ARM LN was relatively high, suggesting that leaving ARM LNs in patients undergoing ALND may not be oncologically safe...
This study evaluated the efficacy of lymphosonography in the identification of sentinel lymph nodes (SLNs) in post neoadjuvant chemotherapy patients with breast cancer scheduled to undergo surgical ex...
Seventy-nine subjects scheduled for breast cancer surgery with SLN excision completed this IRB-approved study, out of which 18 (23%) underwent neoadjuvant chemotherapy before surgery. Subjects underwe...
Seventy-two SLNs were surgically excised from 18 subjects, 29 were positive for blue dye, 63 were positive for radioactive tracer and 57 were positive for Sonazoid. Comparison with blue dye showed tha...
Lymphosonography achieved similar accuracy as radioactive tracer and higher accuracy than blue dye for identifying SLNs. The 15 SLNs positive for malignancy were all identified by lymphosonography....
Metastasis in a nonsentinel lymph node (non-SLN) is an unfavorable independent prognostic factor in cutaneous melanoma (CM). Recent data did suggest potential value of completion lymph node dissection...
This retrospective study enrolled 656 cases of melanoma who underwent sentinel lymph node biopsy at Fudan University Shanghai Cancer Center from 2009 to 2017. We identified 81 SLN + AM patients who un...
Ulceration, Clark level, number of deposits in the SLN (NumDep) and maximum size of deposits (MaxSize) are independent risk factors associated with non-SLN metastases. We developed a scoring system th...
A scoring system that included ulceration, Clark level, MaxSize, and NumDep is reliable and effective for predicting non-SLN metastasis in SLN-positive AM....
To investigate thresholds for lymph node yield (LNY), lymph node density (LND), and pN in patients with oral squamous cell carcinoma in relation to previous findings in the literature....
Retrospective register-based study....
Copenhagen Oral Cavity Squamous Cell Carcinoma database....
Appropriate thresholds for LNY, LND, and pN were determined by areas under the curve and subsequently subjected to multivariate analysis. Five-year overall survival and 3-year recurrence-free survival...
In total, 413 patients diagnosed with oral squamous cell carcinoma were included. In the pN0 cohort, no superior/prognostic LNY cutoff values were detected. In the pN+ cohort, areas under the curve de...
Increased nodal yield, decreased LND, and decreasing number of pN were associated with significantly improved survival outcomes. LNY might serve as a prognosticator of survival as well as a surgical q...
The survival benefit of inguinal lymph node dissection (ILND) vs no ILND in patients with squamous cell carcinoma of the penis (SCCP) and the absence of lymph node invasion is unclear. We addressed th...
We identified lymph node negative SCCP patients who either underwent ILND (pN0) or clinical examination only (cN0). We tested for the effect of ILND vs no ILND on cancer-specific mortality (CSM) in Ka...
Of 2520 SCCP patients, 369 (15%) underwent ILND (pN0) vs 2151 (85%) did not (cN0). The pN0 vs cN0 distribution according to pT stages was as follows: 80 (7%) vs 1092 (93%) in pT1b, and 289 (21%) vs 10...
In pT2-3 stage SCCP, a significantly lower CSM was recorded in lymph node negative patients treated with ILND than in their clinical lymph node negative counterparts who did not undergo ILND....