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Intérêt de l’exploration du système nerveux autonome dans les troubles vésicosphinctériens

Benefits of exploring the autonomic nervous system in the presence of lower urinary tract symptoms

  • Article de Synthèse / Review Article
  • Published:
La Lettre de médecine physique et de réadaptation

Résumé

L’innervation de l’appareil urinaire est sous le contrôle principal du système nerveux autonome (SNA), cependant, celui-ci reste peu exploré dans l’analyse des troubles vésicosphinctériens (TVS). Les tests cardiovasculaires du SNA tels que le ratio 30:15 ou la recherche d’hypotension orthostatique sont pourtant de réalisation simple. La perturbation de deux de ces tests confirme une dysautonomie lorsqu’elle est suspectée, qu’elle soit périphérique (diabète par ex.) ou centrale.

Abstract

The neurological control of the lower urinary tract is mainly due to the autonomic nervous system (ANS), however, this one remains often unexplored in the analysis of lower urinary tract symptoms (LUTS). The analysis of the ANS function is simple to accomplish by means of cardiovascular tests such as the 30: 15 ratio or the blood pressure response to standing. The disturbance of two tests confirms an autonomic dysfunction, with a peripheral origin (e.g. diabetes) or with a central origin.

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Authors and Affiliations

  1. UMR S731, faculté de médecine, Er 6 UPMC Univ Paris 06, F-75013, Paris, France

    K. Hubeaux, M. Jousse, D. Verollet & G. Amarenco

  2. Service de rééducation neurologique et d’explorations périnéales, AP-HP, groupe hospitalier universitaire Est, hôpital Rothschild, Paris, F-75012, France

    K. Hubeaux, P. Raibaut, F. Le Breton, M. Jousse, D. Verollet & G. Amarenco

Authors
  1. K. Hubeaux
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  2. P. Raibaut
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  3. F. Le Breton
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  4. M. Jousse
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  5. D. Verollet
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  6. G. Amarenco
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Correspondence to K. Hubeaux.

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Hubeaux, K., Raibaut, P., Le Breton, F. et al. Intérêt de l’exploration du système nerveux autonome dans les troubles vésicosphinctériens. Lett Med Phys Readapt 26, 74–80 (2010). https://doi.org/10.1007/s11659-010-0224-1

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  • DOI: https://doi.org/10.1007/s11659-010-0224-1

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