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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Incontinence, Urinary

Intervention / Treatment
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* Other: Pelvic ultrasound / Urodynamic ultrasound


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Continent women<br>Women with ICI-Q=0 Pelvic ultrasound / Urodynamic ultrasound | Other: Pelvic ultrasound / Urodynamic ultrasound<br>* Gynecological consultation: calculating the score ICI-Q Ultrasound consultation: pelvic ultrasound Urodynamic ultrasound during a Valsalva manoeuvers<br>|
| Experimental: Incontinent women<br>Women with ICI-Q≥1 Pelvic ultrasound / Urodynamic ultrasound | Other: Pelvic ultrasound / Urodynamic ultrasound<br>* Gynecological consultation: calculating the score ICI-Q Ultrasound consultation: pelvic ultrasound Urodynamic ultrasound during a Valsalva manoeuvers<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | 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 |