urologue<\/strong> est essentiel pour \u00e9valuer la situation et \u00e9carter les risques de cancer de la prostate.<\/p>\n[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.19.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/adenome-prostate.com\/wp-content\/uploads\/2018\/01\/cap-2.png\u00a0\u00bb alt=\u00a0\u00bbhypertrophie b\u00e9nigne de la prostate\u00a0\u00bb title_text=\u00a0\u00bbhypertrophie b\u00e9nigne de la prostate\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb28px|||||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bbrgba(0,11,48,0.82)\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row custom_padding_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_enable_color=\u00a0\u00bboff\u00a0\u00bb width=\u00a0\u00bb70%\u00a0\u00bb width_tablet=\u00a0\u00bb\u00a0\u00bb width_phone=\u00a0\u00bb100%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb max_width_tablet=\u00a0\u00bb100%\u00a0\u00bb max_width_phone=\u00a0\u00bb100%\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_margin=\u00a0\u00bb|auto|2px|auto|false|false\u00a0\u00bb custom_padding=\u00a0\u00bb23px|0px|23px|0px|true|true\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb30px|30px|30px|30px|true|true\u00a0\u00bb custom_padding_phone=\u00a0\u00bb20px|20px|20px|20px|true|true\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-a7422b2f-47f3-46f2-9b9e-dc87bab6d79c%22:%91%22background_color%22%93}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.19.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bb398a0f83-e635-423c-abd6-baa22f5ba369″ text_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb text_font_size=\u00a0\u00bb15px\u00a0\u00bb header_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_2_font=\u00a0\u00bb|600|||||||\u00a0\u00bb header_2_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_3_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb custom_padding=\u00a0\u00bb|25px||25px|false|true\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n
Origine du probl\u00e8me urinaire due \u00e0 l’ad\u00e9nome prostatique<\/h3>\n
Lorsque la prostate, qui se situe sous la vessie, <\/span>se d\u00e9veloppe, elle exerce une pression sur l\u2019ur\u00e8tre, le canal qui permet l\u2019\u00e9vacuation de l\u2019urine depuis la vessie. Cette compression entra\u00eene un r\u00e9tr\u00e9cissement de l\u2019ur\u00e8tre, ce qui ralentit ou bloque partiellement l\u2019\u00e9coulement de l\u2019urine. En cons\u00e9quence, l\u2019individu peut ressentir des difficult\u00e9s \u00e0 uriner, des envies fr\u00e9quentes d\u2019uriner, une sensation de vidange incompl\u00e8te de la vessie. Son d\u00e9bit urinaire s’affaibli ou m\u00eame parfois une incapacit\u00e9 \u00e0 uriner dans les cas les plus graves.<\/p>\nL\u2019hyperplasie b\u00e9nigne de la prostate est donc \u00e0 l\u2019origine de ces sympt\u00f4mes urinaires obstructifs. Ces sympt\u00f4mes peuvent devenir g\u00eanants et affecter la qualit\u00e9 de vie si aucune intervention n\u2019est effectu\u00e9e.<\/p>\n
<\/ul>\nTroubles sexuels : un jet \u00e9jaculatoire moins important<\/strong><\/span><\/h3>\nL’hypertrophie b\u00e9nigne de la prostate<\/strong> (HBP) peut entra\u00eener plusieurs troubles sexuels, principalement en raison de la compression de l’ur\u00e8tre prostatique et des effets des traitements. Les sympt\u00f4mes incluent :<\/p>\n\n- \n
\n- Dysfonction \u00e9rectile<\/strong> : Difficult\u00e9s \u00e0 maintenir une \u00e9rection, souvent dues aux douleurs ou \u00e0 l’inconfort li\u00e9s aux sympt\u00f4mes urinaires.<\/li>\n
- \u00c9jaculation r\u00e9trograde<\/strong> : Le sperme est redirig\u00e9 vers la vessie, entra\u00eenant une faible \u00e9jaculation.<\/li>\n
- Diminution de la libido<\/strong> : L’inconfort permanent et les r\u00e9veils nocturnes fr\u00e9quents affectent la vie sexuelle et le d\u00e9sir.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
Certains traitements de l’HBP, notamment m\u00e9dicamenteux ou chirurgicaux, peuvent \u00e9galement aggraver ces troubles sexuels.<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb2_5,3_5″ _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb70%\u00a0\u00bb width_tablet=\u00a0\u00bb\u00a0\u00bb width_phone=\u00a0\u00bb100%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb custom_padding=\u00a0\u00bb|27px||27px|false|true\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb2_5″ _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bb86046e7e-b995-487a-999f-a9fb0fcb792a\u00a0\u00bb header_font=\u00a0\u00bb|600|||||||\u00a0\u00bb header_font_size=\u00a0\u00bb47px\u00a0\u00bb header_2_font=\u00a0\u00bb|600|||||||\u00a0\u00bb header_2_font_size=\u00a0\u00bb37px\u00a0\u00bb custom_margin=\u00a0\u00bb|||0px|false|false\u00a0\u00bb border_width_right=\u00a0\u00bb2px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n
Ad\u00e9nome prostatique : quel diagnostic et examen clinique ?<\/h2>\n
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Bien que les sympt\u00f4mes soient souvent associ\u00e9s \u00e0 un ad\u00e9nome de la prostate<\/strong>, il est essentiel de confirmer le diagnostic pour choisir le traitement m\u00e9dical<\/strong> le plus appropri\u00e9. Notre centre adapte le processus en fonction de facteurs comme la taille de l\u2019hypertrophie prostatique<\/strong> et la fr\u00e9quence des troubles mictionnels.<\/p>\nTout d\u2019abord, nos sp\u00e9cialistes \u00e9valuent l\u2019hypertrophie par une \u00e9chographie<\/strong> pour examiner la glande prostatique<\/strong> et les voies urinaires<\/strong>. Ensuite, une d\u00e9bitm\u00e9trie<\/strong> est r\u00e9alis\u00e9e pour \u00e9valuer la g\u00eane urinaire, et un dosage du PSA est effectu\u00e9 pour exclure toute tumeur<\/strong> potentielle. Si un risque de cancer est suspect\u00e9, une IRM<\/strong> est prescrite pour une analyse approfondie.<\/p>\nLorsque le chirurgien confirme que l\u2019ad\u00e9nome est responsable des sympt\u00f4mes, un angioscanner<\/strong> est r\u00e9alis\u00e9 pour pr\u00e9parer l\u2019intervention chirurgicale<\/strong>. Cette proc\u00e9dure permet de planifier l\u2019ablation partielle de l\u2019ad\u00e9nome prostatique<\/strong> en pr\u00e9servant autant que possible le tissu prostatique<\/strong> environnant.<\/p>\n<\/h3>\n<\/h3>\n<\/h3>\nEchographie de la prostate<\/h3>\n
L’\u00e9chographie de l’appareil urinaire est un examen facultatif dans le bilan initial. En revanche, elle est recommand\u00e9e en pr\u00e9op\u00e9ratoire de l\u2019HBP.\u00a0Elle permet de rechercher des anomalies du parenchyme r\u00e9nal, de la v\u00e9sicule biliaire et des voies sup\u00e9rieures. Elle permet \u00e9galement d’\u00e9valuer le volume de la prostate<\/strong>, la pr\u00e9sence d’un lobe m\u00e9dian<\/strong> et la protrusion v\u00e9sicale de la prostate. L’approche endorectale est invasive et ne doit donc pas \u00eatre pratiqu\u00e9e syst\u00e9matiquement.<\/p>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bbrgba(0,11,48,0.82)\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_2,1_2″ use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb2″ _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb70%\u00a0\u00bb width_tablet=\u00a0\u00bb\u00a0\u00bb width_phone=\u00a0\u00bb100%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb custom_padding=\u00a0\u00bb|16px||16px|false|true\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb|30px|||false|false\u00a0\u00bb border_color_all=\u00a0\u00bb#FFFFFF\u00a0\u00bb border_width_right=\u00a0\u00bb2px\u00a0\u00bb border_width_right_tablet=\u00a0\u00bb2px\u00a0\u00bb border_width_right_phone=\u00a0\u00bb0px\u00a0\u00bb border_width_right_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bb86046e7e-b995-487a-999f-a9fb0fcb792a\u00a0\u00bb text_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb text_font_size=\u00a0\u00bb15px\u00a0\u00bb header_font=\u00a0\u00bb|600|||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_font_size=\u00a0\u00bb47px\u00a0\u00bb header_2_font=\u00a0\u00bb|600|||||||\u00a0\u00bb header_2_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_2_font_size=\u00a0\u00bb28px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n
IRM de la prostate<\/h2>\n
<\/p>\n
\n
De nombreux patients b\u00e9n\u00e9ficient d’une IRM prostatique avant de recourir \u00e0 l’embolisation. Il n’existe pas encore de recommandations sp\u00e9cifiques \u00e0 ce sujet, mais\u00a0cette modalit\u00e9 d’imagerie pr\u00e9sente plusieurs avantages :<\/b><\/p>\n
-Elle permet d’\u00e9valuer le volume prostatique de mani\u00e8re fiable,<\/p>\n<\/div>\n
\n
-Elle permet d’\u00e9valuer l’importance, les caract\u00e9ristiques morphologiques et la vascularisation de l’ad\u00e9nome, ce qui pourrait repr\u00e9senter un v\u00e9ritable atout \u00e0 l’avenir.<\/p>\n<\/div>\n
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-Elle permet de rechercher certaines complications de l’HBP au niveau de la vessie : diverticule, calcul…<\/p>\n<\/div>\n
\n
-Elle permet le d\u00e9pistage d’un \u00e9ventuel cancer de la prostate, ce qui est utile \u00e0 r\u00e9aliser car l’interpr\u00e9tation du PSA post embolisation est probl\u00e9matique.<\/p>\n
L’imagerie IRM se r\u00e9v\u00e8le \u00eatre une technique prometteuse pour la visualisation du cancer de la prostate<\/strong>. En outre, elle permet en effet de visualiser avec pr\u00e9cision la glande et la structure des tissus gr\u00e2ce \u00e0 un excellent contraste tissulaire.<\/p>\nAinsi, de r\u00e9centes \u00e9tudes montrent que l’IRM est la meilleure m\u00e9thode d’imagerie pour le diagnostic du cancer de la prostate en termes de d\u00e9tection et de localisation (notamment chez les patients pr\u00e9sentant des biopsies n\u00e9gatives persistantes mais un taux de PSA \u00e9lev\u00e9). C’est \u00e9galement une r\u00e9f\u00e9rence pour les bilans de pr\u00e9-traitement ainsi que pour l’\u00e9valuation et le suivi post-traitement.<\/p>\n<\/div>\n
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PSA Prostate : marqueur de cancer ?<\/h2>\n
<\/b><\/p>\n
Le taux de PSA (antig\u00e8ne sp\u00e9cifique de la prostate) augmente progressivement avec l\u2019\u00e2ge.<\/b> On consid\u00e8re comme normal un taux de PSA s\u00e9rique total inf\u00e9rieur \u00e0 2,5 ng\/ml avant 50 ans, < 3,5 ng\/ml entre 50 et 60 ans, < 4,5 ng\/ml entre 60 et 70 ans et < 6,5 ng\/ml entre 70 et 80 ans.<\/span><\/p>\nIl augmente temporairement dans certaines situations, comme apr\u00e8s une \u00e9jaculation, un toucher rectal, un exercice intense, une infection urinaire, une prostatite aigu\u00eb ou en cas d’hypertrophie b\u00e9nigne de la prostate. Ce taux est li\u00e9 statistiquement \u00e0 la pr\u00e9sence d’un cancer de la prostate, avec un seuil de 4 ng\/ml g\u00e9n\u00e9ralement consid\u00e9r\u00e9 comme anormal.\u00a0<\/span><\/p>\nChez les personnes de 60 \u00e0 70 ans, le d\u00e9pistage pr\u00e9coce a une sensibilit\u00e9 de 70% et une sp\u00e9cificit\u00e9 de 88%.<\/span><\/p>\nEn cas de d\u00e9pistage, environ 30% des personnes avec un taux de PSA sup\u00e9rieur \u00e0 4 ng\/ml ont un cancer de la prostate, tandis qu’un taux inf\u00e9rieur \u00e0 4 ng\/ml \u00e9carte le cancer chez environ 90%.<\/span><\/p>\n[\/et_pb_text][et_pb_button button_url=\u00a0\u00bbhttps:\/\/adenome-prostate.com\/cancer-de-la-prostate-symptomes-diagnostic-et-causes\/\u00a0\u00bb button_text=\u00a0\u00bbCancer de la prostate ? Diagnostique\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bb518a17de-657b-4d13-83e1-1b96aef04ec7″ button_text_size=\u00a0\u00bb12px\u00a0\u00bb button_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb button_border_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb button_font=\u00a0\u00bb|700||on|||||\u00a0\u00bb custom_padding=\u00a0\u00bb13px|30px|13px|30px|true|true\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-555099d8-0bfe-48de-9d1d-02daa12bfc00%22:%91%22button_text_color%22,%22button_border_color%22,%22button_text_color%22,%22button_border_color%22,%22button_text_color%22,%22button_border_color%22,%22button_text_color%22%93}\u00a0\u00bb button_bg_color__hover=\u00a0\u00bb#A1AEC9″ button_bg_enable_color__hover=\u00a0\u00bbon\u00a0\u00bb button_alignment_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb button_alignment_phone=\u00a0\u00bbcenter\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_2,1_2″ use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb2″ _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb70%\u00a0\u00bb width_tablet=\u00a0\u00bb\u00a0\u00bb width_phone=\u00a0\u00bb100%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb min_height=\u00a0\u00bb1124px\u00a0\u00bb custom_padding=\u00a0\u00bb|16px||16px|false|true\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb|30px|||false|false\u00a0\u00bb border_color_all=\u00a0\u00bb#FFFFFF\u00a0\u00bb border_width_right=\u00a0\u00bb2px\u00a0\u00bb border_color_right=\u00a0\u00bb#000000″ border_width_right_tablet=\u00a0\u00bb2px\u00a0\u00bb border_width_right_phone=\u00a0\u00bb0px\u00a0\u00bb border_width_right_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bb86046e7e-b995-487a-999f-a9fb0fcb792a\u00a0\u00bb text_text_color=\u00a0\u00bb#000000″ text_font_size=\u00a0\u00bb15px\u00a0\u00bb header_font=\u00a0\u00bb|600|||||||\u00a0\u00bb header_font_size=\u00a0\u00bb47px\u00a0\u00bb header_2_font=\u00a0\u00bb|600|||||||\u00a0\u00bb header_2_font_size=\u00a0\u00bb28px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n
Angio scanner prostate : Cartographie art\u00e9rielle<\/h2>\n
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La cartographie de la vascularisation qui irrigue la prostate est essentielle afin d\u2019identifier les anomalies \u00e9ventuelles et d\u2019anticiper le recours \u00e0 la radiologie interventionnelle si celle-ci est imp\u00e9rative. <\/span>L\u2019angio scanner va permettre de tracer la carte art\u00e9rielle entourant la prostate et de localiser les art\u00e8res qui irriguent fortement la prostate.
<\/strong>
<\/b>L\u2019art\u00e8re v\u00e9sicale inf\u00e9rieure <\/b>donne g\u00e9n\u00e9ralement :<\/span><\/p>\n\u00a0\u2013 Une ou plusieurs branches v\u00e9sico-prostatiques qui p\u00e9n\u00e8trent \u00e0 la base de la prostate, pr\u00e8s du col v\u00e9sical, afin de descendre le long de l\u2019ur\u00e8tre prostatique jusqu\u2019au colliculus s\u00e9minal. <\/span>Elles vascularisent le col v\u00e9sical, l\u2019ur\u00e8tre, les canaux \u00e9jaculateurs et la portion prostatique adjacente, supra-colliculaire. Ce groupe d\u2019art\u00e8res s\u2019\u00e9largit consid\u00e9rablement en cas d\u2019hypertrophie b\u00e9nigne pour irriguer l\u2019ensemble de la n\u00e9oformation.<\/span><\/p>\n\u2013 les branches prostatiques qui longent les faces lat\u00e9rales et post\u00e9rieures avant de p\u00e9n\u00e9trer dans la glande. <\/span>Elles vascularisent la majeure partie de la prostate <\/b>(portion p\u00e9riph\u00e9rique et partie infra-colliculaire).<\/p>\n\u2013 l\u2019art\u00e8re pudendale interne qui participe \u00e0 la vascularisation de la zone fibromusculaire.<\/span><\/p>\n\u2013 l\u2019art\u00e8re des canaux d\u00e9f\u00e9rents et l\u2019art\u00e8re rectale moyenne participent secondairement \u00e0 sa vascularisation.<\/span><\/p>\nPour les patients pr\u00e9sentant une ath\u00e9roscl\u00e9rose s\u00e9v\u00e8re et\/ou une tortuosit\u00e9 des vaisseaux. Une imagerie pr\u00e9op\u00e9ratoire avec angioscanner pour \u00e9valuer la vascularisation pelvienne est recommand\u00e9e chez les patients gravement art\u00e9rioscl\u00e9rotiques.<\/span><\/p>\n[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bb86046e7e-b995-487a-999f-a9fb0fcb792a\u00a0\u00bb header_font=\u00a0\u00bb|600|||||||\u00a0\u00bb header_font_size=\u00a0\u00bb47px\u00a0\u00bb header_2_font=\u00a0\u00bb|600|||||||\u00a0\u00bb header_2_font_size=\u00a0\u00bb28px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n
D\u00e9bim\u00e9trie urinaire<\/h2>\n
[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.27.2″ _module_preset=\u00a0\u00bbeac166f7-88f4-4d30-bb9d-39684964f609″ text_font=\u00a0\u00bb||||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#000000″ text_font_size=\u00a0\u00bb15px\u00a0\u00bb text_line_height=\u00a0\u00bb1.7em\u00a0\u00bb header_2_text_color=\u00a0\u00bbRGBA(0,22,170,0.82)\u00a0\u00bb header_2_font_size=\u00a0\u00bb19px\u00a0\u00bb header_2_line_height=\u00a0\u00bb1.2em\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n
<\/span><\/p>\n<\/span><\/p>\nCet examen n\u2019a pas d\u2019int\u00e9r\u00eat anatomique direct mais permet d\u2019\u00e9valuer le fonctionnement dynamique du syst\u00e8me urinaire. Il permet de quantifier la g\u00eane fonctionnelle (et donc l\u2019obstruction sous-v\u00e9sicale) des patients qui est subjective et souvent mal v\u00e9cue.<\/span><\/p>\nLe r\u00e9sultat est fourni par une courbe exprimant le d\u00e9bit urinaire en fonction du temps. Le d\u00e9bit urinaire maximal (Qmax) mesure la quantit\u00e9 maximale d’urine \u00e9limin\u00e9e en 1 seconde. Un d\u00e9bit urinaire optimal est obtenu avec des mictions de plus de 150 mL. La valeur normale du Qmax est sup\u00e9rieure \u00e0 15 mL\/s.<\/span><\/p>\nLa m\u00e9thode est facile : un appareil mesure \u00e9lectroniquement la quantit\u00e9 d’urine \u00e9mise par le patient dans un verre gradu\u00e9 pendant qu’il urine avec une vessie pleine.<\/span><\/p>\nLes mesures suivantes sont effectu\u00e9es :<\/b><\/b><\/p>\n
<\/b><\/p>\n
<\/b><\/p>\n\n- Le d\u00e9bit maximal d\u2019urine (Qmax) en mL\/s,<\/span><\/li>\n
- Le d\u00e9bit urinaire moyen en mL\/s,<\/span><\/li>\n
- Le volume d\u2019une miction en mL,<\/span><\/li>\n
- \u00a0\u00a0Le temps d\u2019une miction ordinaire, c\u2019est-\u00e0-dire lorsque le patient urine \u00e0 l\u2019occasion d\u2019un besoin moyennement r\u00e9cent, sans avoir retenu ce besoin trop longtemps.<\/span><\/li>\n<\/ul>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
Sympt\u00f4mes prostate hypertrophi\u00e9e : diagnostic, troubles urinairesL\u2019hypertrophie b\u00e9nigne de la prostate (HBP), est un \u00e9largissement non canc\u00e9reux de la prostate qui survient surtout avec l\u2019\u00e2ge. Elle peut comprimer l\u2019ur\u00e8tre, provoquant des\u00a0sympt\u00f4mes urinaires\u00a0comme des difficult\u00e9s \u00e0 uriner ou un besoin fr\u00e9quent d\u2019uriner, surtout la nuit.Sympt\u00f4mes prostate homme : hypertrophie de la prostateSympt\u00f4mes prostate homme : hypertrophie […]<\/p>\n","protected":false},"author":1,"featured_media":158,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-80","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\n
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