Indications and added value of videourodynamics in men with spinal cord injury
Abstract Purpose The primary aim of this study was to evaluate the indications and additional information provided by videourodynamic study (VUDS) over urodynamic studies (UDS) in men with spinal cord injury (SCI) and neurogenic lower urinary tract dysfunction (NLUTD). The secondary aim was to deter...
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Wiley
2024-08-01
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| Series: | BJUI Compass |
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| Online Access: | https://doi.org/10.1002/bco2.370 |
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| author | Marc Françot Chloé Lefevre Bénédicte Reiss Marc Lefort Georges Karam Jerome Rigaud Loic Le Normand Alain Ruffion Brigitte Perrouin‐Verbe Marie‐Aimee Perrouin‐Verbe |
| author_facet | Marc Françot Chloé Lefevre Bénédicte Reiss Marc Lefort Georges Karam Jerome Rigaud Loic Le Normand Alain Ruffion Brigitte Perrouin‐Verbe Marie‐Aimee Perrouin‐Verbe |
| author_sort | Marc Françot |
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| description | Abstract Purpose The primary aim of this study was to evaluate the indications and additional information provided by videourodynamic study (VUDS) over urodynamic studies (UDS) in men with spinal cord injury (SCI) and neurogenic lower urinary tract dysfunction (NLUTD). The secondary aim was to determine the added value of VUDS and its impact on bladder management. Materials and Methods Single‐centre retrospective study of all men with SCI who underwent VUDS between 2011 and 2021. Participant characteristics, clinical data and indications for UDS and VUDS as well as bladder management were recorded. The added value of VUDS was defined as additional information not provided by standard UDS that impacted on bladder management (choice of voiding mode, surgical indication or type of surgery). Results Eighty‐eight men with a median age of 52 years were included. In 20 men who were unable to perform self‐catheterisation, the VUDS clarified the nature and extent of the obstruction and enabled targeted surgery to achieve reflex bladder emptying in all of them. VUDS also clarified the type and level of obstruction in 28 patients, enabling targeted surgery in 24. In 11 men, VUDS was performed as part of the preoperative assessment for a Brindley procedure or after this operation if a complication occurred during follow‐up to confirm the need for further surgery or to target surgical revision. Overall, VUDS had added value in 59 patients (67%). Conclusions VUDS had added value over UDS in specific situations; the additional information provided impacted on bladder management in men with SCI and NLUTD. |
| format | Article |
| id | doaj-art-41c5fdbc16df463e90dc90fbcc1c0c47 |
| institution | Kabale University |
| issn | 2688-4526 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | BJUI Compass |
| spelling | doaj-art-41c5fdbc16df463e90dc90fbcc1c0c472024-12-23T12:40:43ZengWileyBJUI Compass2688-45262024-08-015887588310.1002/bco2.370Indications and added value of videourodynamics in men with spinal cord injuryMarc Françot0Chloé Lefevre1Bénédicte Reiss2Marc Lefort3Georges Karam4Jerome Rigaud5Loic Le Normand6Alain Ruffion7Brigitte Perrouin‐Verbe8Marie‐Aimee Perrouin‐Verbe9Department of Urology Nantes University Hospital Nantes FranceDepartment of Physical Medicine and Rehabilitation Nantes University Hospital Nantes FranceDepartment of Physical Medicine and Rehabilitation Nantes University Hospital Nantes FranceDepartment of Physical Medicine and Rehabilitation Nantes University Hospital Nantes FranceDepartment of Urology Nantes University Hospital Nantes FranceDepartment of Urology Nantes University Hospital Nantes FranceDepartment of Urology Nantes University Hospital Nantes FranceUrology Department, Lyon Sud Hospital, Hospices Civils de Lyon, Lyon Cancer Innovation Center (EA 3738 CICLY) Lyon Sud Medical School, University of Lyon 1 Lyon FranceDepartment of Physical Medicine and Rehabilitation Nantes University Hospital Nantes FranceDepartment of Urology Nantes University Hospital Nantes FranceAbstract Purpose The primary aim of this study was to evaluate the indications and additional information provided by videourodynamic study (VUDS) over urodynamic studies (UDS) in men with spinal cord injury (SCI) and neurogenic lower urinary tract dysfunction (NLUTD). The secondary aim was to determine the added value of VUDS and its impact on bladder management. Materials and Methods Single‐centre retrospective study of all men with SCI who underwent VUDS between 2011 and 2021. Participant characteristics, clinical data and indications for UDS and VUDS as well as bladder management were recorded. The added value of VUDS was defined as additional information not provided by standard UDS that impacted on bladder management (choice of voiding mode, surgical indication or type of surgery). Results Eighty‐eight men with a median age of 52 years were included. In 20 men who were unable to perform self‐catheterisation, the VUDS clarified the nature and extent of the obstruction and enabled targeted surgery to achieve reflex bladder emptying in all of them. VUDS also clarified the type and level of obstruction in 28 patients, enabling targeted surgery in 24. In 11 men, VUDS was performed as part of the preoperative assessment for a Brindley procedure or after this operation if a complication occurred during follow‐up to confirm the need for further surgery or to target surgical revision. Overall, VUDS had added value in 59 patients (67%). Conclusions VUDS had added value over UDS in specific situations; the additional information provided impacted on bladder management in men with SCI and NLUTD.https://doi.org/10.1002/bco2.370detrusor sphincter dyssynergiaendoscopic sphincterotomyneurogenic lower urinary tract dysfunctionspinal cord injuryurodynamic studyvideo‐urodynamic study |
| spellingShingle | Marc Françot Chloé Lefevre Bénédicte Reiss Marc Lefort Georges Karam Jerome Rigaud Loic Le Normand Alain Ruffion Brigitte Perrouin‐Verbe Marie‐Aimee Perrouin‐Verbe Indications and added value of videourodynamics in men with spinal cord injury BJUI Compass detrusor sphincter dyssynergia endoscopic sphincterotomy neurogenic lower urinary tract dysfunction spinal cord injury urodynamic study video‐urodynamic study |
| title | Indications and added value of videourodynamics in men with spinal cord injury |
| title_full | Indications and added value of videourodynamics in men with spinal cord injury |
| title_fullStr | Indications and added value of videourodynamics in men with spinal cord injury |
| title_full_unstemmed | Indications and added value of videourodynamics in men with spinal cord injury |
| title_short | Indications and added value of videourodynamics in men with spinal cord injury |
| title_sort | indications and added value of videourodynamics in men with spinal cord injury |
| topic | detrusor sphincter dyssynergia endoscopic sphincterotomy neurogenic lower urinary tract dysfunction spinal cord injury urodynamic study video‐urodynamic study |
| url | https://doi.org/10.1002/bco2.370 |
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