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Prediction of the Severity of Female SUI by Measuring New Static and Dynamic Ultrasound Parameters of the Urethra

Not Applicable
Completed
Conditions
Incontinence, Urinary
Registration Number
NCT03566121
Lead Sponsor
CMC Ambroise Paré
Brief Summary

This study aims to evaluate the correlation of the ultrasonic functional length of the urethra and the incontinence urinary disorder (IUD). The goal is to predict the severity of the IU by measuring new static and dynamic ultrasound parameters of the urethra.

Detailed Description

The urinary incontinence is a disorder which affects 25 to 45% of women. Nowadays, the role of urethral tissue in IUD is not explored although well viewed in perineal ultrasound. Our actual knowledge demonstrates that urodynamic ultrasound is reliable to establish the bladder neck mobility. And the posterior urethral wall mobility was often associated to the stress urinary incontinence. Two elements appeared to indicate the elasticity of the urethral environment: functional length urethral variation and urethral closure angle variation during Valsalva manoeuvres compared to rest. This study aims to evaluate the correlation of the ultrasonic functional length of the urethra and the incontinence urinary disorder for the purpose to predict the severity of this syndrome.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
50
Inclusion Criteria
  • All patients aged over 18 years addressed to pelvic ultrasound
Exclusion Criteria
  • Pregnant
  • Post-partum (under 6 month of childbirth)
  • Operated for a genitourinary prolapse or/and urinary incontinence
  • Utero vaginal symptomatic prolapse
  • Overactive bladder ± UI by
  • Dysuria
  • Severe deep pelvic endometriosis
  • Respiratory failure (Unable to perform the Valsalva manoeuvres)
  • History of pelvic cancer
  • Unable to understand the information communicated

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Measurement of ultrasonic urethral lengthFrom 3 to 11 days after gynecological consultation

LT total length LF functional length LE funnel urethral length Measurement of the angle between proximal and distal urethra

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

CMC Hartmann

🇫🇷

Neuilly-sur-Seine, France

Centre Echographie Obstétricale

🇫🇷

Paris, France

CMC Hartmann
🇫🇷Neuilly-sur-Seine, France

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