Denys P, Soler J-M, Fatton B, Rischmann P, Yelnik A, Aegerter P, Saidji-Domingo N-Y, Chartier-Kastler E
Service de médecine physique et de réadaptation, hôpital Raymond-Poincaré, 92380 Garches, France.
Prog Urol. 2012 Jul;22(9):540-8. doi: 10.1016/j.purol.2012.02.004. Epub 2012 Apr 11.
To design and run a survey aiming at investigating urologists' and physiatrists' clinical practices in France when managing neurogenic bladder patients.
Three thousand one hundred and eighty questionnaires were sent to the members of four French societies involved in treating neurogenic bladder dysfunction. Questions were focused on consultations, clinical follow-up and patient management.
Two hundred and seventy-four urologists and 109 physiatrists completed the questionnaire. The frequency of systematic follow-up differed between urologists (6 months) and physiatrists (12 months). Upper urinary tract imaging and systematic urodynamic follow-up were usually performed yearly. The latter was carried out by 56% urologists and 83% physiatrists. Urinary retention was essentially treated by intermittent catheterization. Less than 15% of urologists and physiatrists were treating bacteriuria. Symptomatic urinary infections were treated for 11 to 12 days (men) and for 8 to 9 days (women). To treat their patients, both specialists used self-catheterization education and botulinum toxin A injections.
Our survey showed differences in approach between urologists and physiatrists in the management of patients with neurogenic bladder dysfunction. Their clinical practice was most of the time in line with national and international guidelines.
设计并开展一项调查，旨在探究法国泌尿外科医生和物理治疗师在管理神经源性膀胱患者时的临床实践。
向四个参与治疗神经源性膀胱功能障碍的法国协会成员发送了3180份问卷。问题集中在会诊、临床随访和患者管理方面。
274名泌尿外科医生和109名物理治疗师完成了问卷。泌尿外科医生（6个月）和物理治疗师（12个月）的系统随访频率有所不同。上尿路影像学检查和系统性尿动力学随访通常每年进行一次。后者由56%的泌尿外科医生和83%的物理治疗师进行。尿潴留主要通过间歇性导尿治疗。不到15%的泌尿外科医生和物理治疗师治疗菌尿症。有症状的泌尿系统感染男性治疗11至12天，女性治疗8至9天。为治疗患者，两位专家都采用了自我导尿教育和肉毒杆菌毒素A注射。
我们的调查显示，泌尿外科医生和物理治疗师在管理神经源性膀胱功能障碍患者的方法上存在差异。他们的临床实践大多符合国家和国际指南。
