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"headline": "Diagnostic sur Vessie neurologique",
"description": "Comment diagnostiquer une vessie neurologique ?\nQuels tests sont utilisés pour évaluer la fonction vésicale ?\nQuels signes cliniques indiquent une vessie neurologique ?\nQuel rôle joue l'imagerie dans le diagnostic ?\nComment évaluer la gravité de la condition ?",
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"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Vessie neurologique",
"description": "Quels sont les principaux facteurs de risque ?\nL'âge influence-t-il le risque ?\nLes antécédents médicaux jouent-ils un rôle ?\nLe sexe influence-t-il le risque de vessie neurologique ?\nLes habitudes de vie peuvent-elles augmenter le risque ?",
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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."
}
},
{
"@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."
}
},
{
"@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."
}
},
{
"@type": "Question",
"name": "Comment évaluer la gravité de la condition ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "La gravité est évaluée par la fréquence des symptômes et l'impact sur la qualité de vie."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes courants de la vessie neurologique ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent incontinence, urgences urinaires et douleurs pelviennes."
}
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{
"@type": "Question",
"name": "La vessie neurologique cause-t-elle des douleurs ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des douleurs pelviennes ou abdominales peuvent survenir en raison de la dysfonction."
}
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{
"@type": "Question",
"name": "Comment la vessie neurologique affecte-t-elle la miction ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut entraîner des mictions fréquentes, des fuites ou une incapacité à uriner."
}
},
{
"@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."
}
},
{
"@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."
}
},
{
"@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."
}
}
]
}
]
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In neurologically intact children with constipation and lower urinary tract symptoms, treatment of constipation frequently results in improved or resolved lower urinary tract symptoms. The impact of t...
A review of patients with NGB who underwent a cecostomy was performed. Inclusion criteria required UDS within 12 months before and after Chait tube placement and no change in clean intermittent cathet...
8 children met inclusion criteria, including 5 girls and 3 boys, with a mean (range) age of 8.5 years (5-13). All children were on clean intermittent catheterization and 7 were on anticholinergic medi...
Our data demonstrate that some children with neurogenic bowel and bladder will have improvement in continence and UDS parameters following the initiation of ACE. Despite significant improvement in con...
Neurogenic bladder is a dysfunction in the lower urinary tract due to damage to the nervous system. One of the treatments that has shown important results is transcutaneous neuromodulation. The neurom...
Neurogenic lower urinary tract dysfunction (NLUTD) is common among children with myelomeningocele (MMC). If NLUTD is not appropriately managed, recurrent urinary tract infection (UTI) can persist and ...
We retrospectively analyzed 57 patients with MMC who underwent VUDS and received urological treatments at the hospital, including surgeries, minimally invasive therapies, and conservative management. ...
There were 29 male and 28 female patients with a mean age of 24.1 ± 15.9 years upon enrollment. Patients had dysuria or urinary retention (n = 42, 73.7%), urinary incontinence (n = 40, 70.2%), recurre...
VUDS can be used to comprehensively assess lower and upper urinary tract dysfunction among patients with MMC. To improve NLUTD and prevent complications, minimally invasive therapies or surgical proce...
Mirabegron is a beta-3 adrenergic receptor agonist that received FDA approval in 2021 to treat neurogenic detrusor overactivity (NDO) in children ages three years and older. Despite its safety and eff...
This cost minimization study sought to determine the cost implications from a payor perspective of mirabegron use at different points in the treatment pathway for pediatric NDO....
A Markov decision analytic model was constructed to assess the costs for eight treatment strategies over a 10-year period, using six-month cycles (Table). Five strategies involve mirabegron use as fir...
The least costly strategy involved first-line mirabegron (expected cost $37,954). All strategies involving mirabegron were less costly than the base case ($56,417). On PSA, first-line mirabegron was t...
This is the first study to compare costs across multiple strategies involving mirabegron to treat pediatric NDO. Mirabegron use likely yields cost savings for the payor: the least costly strategy invo...
Use of mirabegron for the treatment of pediatric NDO is likely associated with cost savings as compared to treatment pathways without mirabegron. Expansion of payor coverage for mirabegron, as well as...
A novel device, the cystomanometer, was developed for home bladder pressure monitoring in patients with neurogenic bladder....
To report initial experience and proof of concept with home use of the cystomanometer....
Patients were asked to use the device twice daily for two weeks....
Fourteen patients with neurogenic bladder were enrolled....
The cystomanometer initially functioned well and transmitted data to a smartphone and to the hospital server. However, over 50% of devices broke....
We report the first home use of a handheld electronic cystomanometer with wireless data transmission to a smartphone and hospital database....
Botulinum neurotoxin A (BoNT-A) is a treatment option for neurogenic lower urinary tract dysfunctions (NLUTD) and idiopathic overactive bladder (OAB) in adults. Recently, its use has gained popularity...
A comprehensive search in PubMed, Scopus, and Web of Science databases was performed from articles published up to September 2024. Both prospective and retrospective single-cohort or comparative studi...
Forty-one full-text manuscripts were selected of which 26 focused on children with NLUTD, 13 on idiopathic OAB, and two on both conditions. Overall, 1521 patients were included of whom 715 were male, ...
Several uncontrolled or comparative studies provided significative evidence of the clinical benefit and safety of BoNT-A administration in children in terms of UI relief and improvement of urodynamic ...
The human bladder has been long thought to be sterile until that, only in the last decade, advances in molecular biology have shown that the human urinary tract is populated with microorganisms. The r...
Neurogenic bladder is a common source of morbidity in patients with spina bifida and can cause renal damage. Medical management may include imaging, urodynamic studies (UDS), laboratory testing, clean...
We searched multiple databases and screened articles for inclusion using PRISMA-ScR guidelines. Included studies reported clinical outcomes of any aspect of proactive or expectant neurogenic bladder m...
Ultimately, 74 articles were included for review including 67 cohort studies, 4 cross-sectional studies, 2 sequential cohort studies, and 1 randomized control trial. Eleven studies directly compared m...
Our review identified a broad body of literature about optimal management of neurogenic bladder. Existing studies vary greatly in terms of treatment protocols, measured outcomes, and management recomm...
Detrusor pressure-volume relationship evaluation by urodynamics provides useful clinical information; however, it is invasive, and requires specific installations. An alternative technique proposed by...
A prospective observational study was conducted. 20 patients (11 females and 9 male) previously diagnosed with neurogenic bladder were included. All participants underwent simultaneously a urodynamic ...
From the 20 correlations, between detrusor bladder pressure (PDET) and abdominal bioimpedance determinations (ZABD), obtained for all participants, 16 evidenced significant results over 90% (p < 0.05)...
A significantly high correlation between abdominal bioimpedance determinations and the detrusor bladder pressures was evidenced. These results should be confirmed in a larger group of participants....
Management of the neurogenic bladder is variable, complex, and often requires a demanding bladder care regimen which may present caregiver burdens that are unique among chronic disease. While research...
To characterize the experience of those caring for children with neurogenic bladders, with a focus on unexpected burdens and challenges....
In light of limited existing research, a qualitative research methodology was selected to explore the caregiver experience. Semi-structured phone interviews were conducted with primary caregivers of c...
Twenty-five caregivers were interviewed (20 in English, 5 in Spanish), at which point thematic saturation was reached. Three primary themes emerged surrounding the topic of unexpected challenges: 1. H...
Caregivers of children with neurogenic bladder report their role is more difficult than they anticipated it would be. Catheterization represents a particularly burdensome task, and recurrent infection...
This study represents an initial qualitative characterization of the experience caring for a child with neurogenic bladder. This is a key first step in understanding how caregivers make decisions for ...