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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Continent women | Other | Women with ICI-Q=0 Pelvic ultrasound / Urodynamic ultrasound |
|
| Incontinent women | Experimental | Women with ICI-Q≥1 Pelvic ultrasound / Urodynamic ultrasound |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pelvic ultrasound / Urodynamic ultrasound | Other | Gynecological consultation: calculating the score ICI-Q Ultrasound consultation: pelvic ultrasound Urodynamic ultrasound during a Valsalva manoeuvers |
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of ultrasonic urethral length | LT total length LF functional length LE funnel urethral length Measurement of the angle between proximal and distal urethra | From 3 to 11 days after gynecological consultation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Georges BADER, MD | CMC Hartmann | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CMC Hartmann | Neuilly-sur-Seine | 92200 | France | |||
| Centre Echographie Obstétricale |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39716519 | Result | Mal PA, Metzger U, Cornier E, Bloomfield J, Pizzoferrato AC, Bader G. PRESIUS, Predictive value of sonographic functional urethral length and urethral closure angle for the diagnosis of stress urinary incontinence. Fr J Urol. 2025 Apr;35(4):102848. doi: 10.1016/j.fjurol.2024.102848. Epub 2024 Dec 21. |
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| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| ID | Term |
|---|---|
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| Paris |
| 75116 |
| France |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |