Reproductibility of Cystometry in Multiple Sclerosis Patient

February 23, 2018 updated by: Gérard Amarenco, Pierre and Marie Curie University
This study evaluates the reproductibility (quantitative and qualitative) of cystometry in mutiple sclerosis patients.

Study Overview

Status

Completed

Conditions

Detailed Description

Some studies have evaluated the reproductibility of urodynamics in women with stress incontinence, and demonstrated a poor reproductibility of urodynamic parameters for a part of the studies and a good reproductibility for the others. There is only three studies investigating the reproductibility of repeated cystometries in patients with overactive detrusor and neurogenic lower tract dysfunction. The most common etiology in these studies is spinal cord injury. Only one article includes MS patients with lower urinary tract symptoms (22 patients among 226 with other etiologies).

The aim of this study was to assess the short term reproductibility in multiple sclerosis patients with qualitative and quantitative urodynamic data.

The authors conducted a prospective analysis in our Neuro-urology department of a University Hospital . All patient with Multiple Sclerosis referred for urinary disorders, coming for a urodynamic evaluation with multiple cystometries during the study were included if they had a detrusor overactivity for a filling of 300 ml or less on the first cystometry. The main exclusion criteria were a significate difference between the filling volume during the study and the volume truly of water truly collected after catheterization, an urinary tract infection, or an other acute disease.The investigators performed a first cystometry and looked for a detrusor overactivity, if the investigators discovered an involuntary detrusor contraction for a filling of 300 ml or less, the authors realized two others cystometries (filling rate of 50 mL/min) after informed consent. The volume and pressure at which the first and the maximal involuntary detrusor contraction, MCC were documented.

Study Type

Observational

Enrollment (Actual)

31

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Paris, France
        • Service de Neuro-urology, hôpital Tenon

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 99 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Multiple sclerosis patients with overactive detrusor consulting in neurobiology center.

Description

Inclusion Criteria:

  • All patient with Multiple Sclerosis referred for urinary disorders,
  • coming for a urodynamic evaluation with multiple cystometries during the study - detrusor overactivity for a filling of 300 ml or less on the first cystometry.

Exclusion Criteria:

  • significate difference between the filling volume during the study and the volume truly of water truly collected after catheterization,
  • an urinary tract infection,
  • an other acute disease.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Reproductibility of urodynamic Capacity Cystometric Maximum (CCM)
Time Frame: 1 Day : during the urodynamic assessment
Reproductibility of Capacity cystometric maximum (in ml) in the three cystometries evaluated using an intra class correlation
1 Day : during the urodynamic assessment
Reproductibility of urodynamic : Pressure maximum
Time Frame: 1 Day : during the urodynamic assessment
Reproductibility of Pressure Maximum (in cmH2O) in the three cystometries evaluated using an intra class correlation
1 Day : during the urodynamic assessment
Reproductibility of urodynamic : Pressure of the first involuntary detrusor contraction (IDC)
Time Frame: 1 Day : during the urodynamic assessment
Reproductibility of pressure of the first involuntary detrusor contraction (in cmH2O) in the three cystometries evaluated using an intra class correlation
1 Day : during the urodynamic assessment
Reproductibility of urodynamic : volume of filling for the first IDC
Time Frame: 1 Day : during the urodynamic assessment
Reproductibility of volume of filling for the first involuntary detrusor contraction (in cmH2O) in the three cystometries evaluated using an intra class correlation
1 Day : during the urodynamic assessment

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Comparaison of urodynamic parameters between naive treatment patient and non naive treatment patients
Time Frame: 1 Day : during the urodynamic assessment
Comparaison urodynamic parameters (CCM, Maximum pressure, volume filling of the first IDC, pressure of the first IDC) using a T student test
1 Day : during the urodynamic assessment

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

July 2, 2017

Primary Completion (Actual)

November 1, 2017

Study Completion (Actual)

January 1, 2018

Study Registration Dates

First Submitted

February 11, 2018

First Submitted That Met QC Criteria

February 23, 2018

First Posted (Actual)

March 1, 2018

Study Record Updates

Last Update Posted (Actual)

March 1, 2018

Last Update Submitted That Met QC Criteria

February 23, 2018

Last Verified

February 1, 2018

More Information

Terms related to this study

Other Study ID Numbers

  • P. GREEN 0001

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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