Corrélation entre l’activité électromyographique du plancher pelvien à la toux et les symptômes d’incontinence urinaire à l’effort View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-09

AUTHORS

X. Deffieux, K. Hubeaux, R. Porcher, S. Sheikh Ismael, P. Raibaut, G. Amarenco

ABSTRACT

L’objectif de cette étude est d’étudier s’il existe une corrélation entre la modulation de la réponse musculaire périnéale lors de la toux et différents questionnaires de symptômes et de qualité de vie relatifs à l’incontinence urinaire à l’effort. La population d’étude était constituée de 20 femmes présentant une incontinence urinaire à l’effort et de six femmes continentes. Après avoir été informées et avoir signé un consentement écrit, elles ont rempli les questionnaires de symptômes et de qualité de vie suivants: une version traduite du bristol female LUTS questionnaire (BFLUTS), incontinence impact questionnaire (IIQ) et urogenital distress inventory (UDI), l’échelle de mesure du handicap urinaire (MHU), et le ICIQ-SF (international consultation on incontinence questionnaire short form). Nous avons enregistré de façon concomitante la pression intravésicale et l’activité e’lectromyographique du sphincter anal externe lors d’efforts de toux d’intensité croissante. Il ne semblait pas exister de corrélation entre la valeur de la PCUM (p = 0,91) et la modulation de la réponse réflexe périnéale. II existait une corrélation dans le même sens entre la modulation de la réponse réflexe périnéale et la fréquence des fuites à l’effort (ICIQ-SF q#1 et score total, BFLUTS q#6 et q#7; p = 0,015, 0,048, 0,033 et 0,013 respectivement). Plus la réponse traduisait une sévérité ou une fréquence importante des fuites, plus la modulation s’altérait (affaissement de la sigmoïde). En revanche, on n’a pas observé de corrélation entre les questions portant sur l’impact général des symptômes sur la qualité de vie et la modulation de la réponse réflexe périnéale (BFLUTS q#31 et q#33, p = 0,39 et 0,72 respectivement). Cette étude montre qu’il existe une bonne corrélation entre l’existence d’une anomalie de la modulation de la réponse réflexe périnéale et les symptômes d’incontinence urinaire à l’effort évalués par des questionnaires spécifiques. More... »

PAGES

221-226

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11608-007-0147-8

DOI

http://dx.doi.org/10.1007/s11608-007-0147-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1029587650


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