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Valeurs urodynamiques
normales
Dr. OEUR Sopagna
DU URODYNAMIQUE (PARIS DESCARTES)
DIU LAPAROSCOPIQUE (PARIS SACLAY)
Pad test
• La limite supérieur <1,4g/h
• 2,1g/h chez des femmes continents.
Débitmétrie
• Hommes de moins de 40ans= Qmax>25ml/s
• Hommes de plus de 60ans= Qmax>15ml/s
• Femmes=Qmax>30 à 35 ml/s
Cystomanométrie
• Remplissage
Capacité cystomanométrique maximale(CCM)=350 à 600ml
Volume à la première sensation= environ 50% de la CCM
Volume au besoin normal= environ 75% de la CCM
Volume au besoin intense= environ 90% de la CCM
Compliance normale= 30ml/cmH2O
Cystomanométrie
• Vidange
Pression détrusorienne maximale=25 à 60 cmH20
Pdet chez l’homme= 40 à 60 cmH2O
Pdet chez la femme= 20 à 40 cmH20
Résidu postmictionnel < 25ml
Index d’obstruction sous-vésicale:
>20=obstructif
<20=non obstructif
20-40=douteux
Pressions de fuite et profilométrie de
pression urétrale
• Pression abdominale de fuite (PAF)> 100cmH20: suggère une
hypermobilité urétrale.
• PAF<60cmH20: suggère une insuffisance sphinctérienne intrinsèque.
• Pression détrusorienne de fuite (PDF)> 40cmH20: une deterioration
du haut appareil est possible.
• Pression de cloture maximale urétrale<20cmH20: suggère une
insuffisance sphinctérienne intrinsèque.

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Valeurs urodynamiques normales

  • 1. Valeurs urodynamiques normales Dr. OEUR Sopagna DU URODYNAMIQUE (PARIS DESCARTES) DIU LAPAROSCOPIQUE (PARIS SACLAY)
  • 2. Pad test • La limite supérieur <1,4g/h • 2,1g/h chez des femmes continents.
  • 3. Débitmétrie • Hommes de moins de 40ans= Qmax>25ml/s • Hommes de plus de 60ans= Qmax>15ml/s • Femmes=Qmax>30 à 35 ml/s
  • 4. Cystomanométrie • Remplissage Capacité cystomanométrique maximale(CCM)=350 à 600ml Volume à la première sensation= environ 50% de la CCM Volume au besoin normal= environ 75% de la CCM Volume au besoin intense= environ 90% de la CCM Compliance normale= 30ml/cmH2O
  • 5. Cystomanométrie • Vidange Pression détrusorienne maximale=25 à 60 cmH20 Pdet chez l’homme= 40 à 60 cmH2O Pdet chez la femme= 20 à 40 cmH20 Résidu postmictionnel < 25ml Index d’obstruction sous-vésicale: >20=obstructif <20=non obstructif 20-40=douteux
  • 6. Pressions de fuite et profilométrie de pression urétrale • Pression abdominale de fuite (PAF)> 100cmH20: suggère une hypermobilité urétrale. • PAF<60cmH20: suggère une insuffisance sphinctérienne intrinsèque. • Pression détrusorienne de fuite (PDF)> 40cmH20: une deterioration du haut appareil est possible. • Pression de cloture maximale urétrale<20cmH20: suggère une insuffisance sphinctérienne intrinsèque.