{"id":11968,"date":"2016-04-20T14:12:30","date_gmt":"2016-04-20T12:12:30","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=11968"},"modified":"2021-04-20T18:05:37","modified_gmt":"2021-04-20T16:05:37","slug":"centre-de-pelvi-perineologie-une-solution-face-aux-incontinences","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/centre-de-pelvi-perineologie-une-solution-face-aux-incontinences\/","title":{"rendered":"Centre de pelvi-p\u00e9rin\u00e9ologie : une solution face aux incontinences"},"content":{"rendered":"<p>&#8220;La mission du centre de pelvi-p\u00e9rin\u00e9ologie est la coordination dans la prise en charge des troubles de la statique pelvienne, commun\u00e9ment appel\u00e9s descentes d\u2019organe, les prolapsus de la vessie ou du rectum et la prise en charge de l\u2019incontinence&#8221;, r\u00e9sume le Dr Marie-Line Barussaud, chirurgienne <a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/chirurgie-viscerale\/\" target=\"_blank\" rel=\"noopener noreferrer\">digestive<\/a>\u00a0au CHU de Poitiers. Parmi les missions de ce centre, il y a \u00e9galement la prise en charge des troubles neuro-urologiques (vessie hyperactive et vessie r\u00e9tensioniste chronique) et les troubles neuro-rectaux (constipation terminale et incontinence anale et f\u00e9cale). La chirurgienne travaille aux c\u00f4t\u00e9s des autres sp\u00e9cialistes que sont le professeur Xavier Fritel, chirurgien <a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/gynecologie\/\" target=\"_blank\" rel=\"noopener noreferrer\">gyn\u00e9cologue<\/a>, et le docteur Thomas Charles, chirurgien <a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/urologie\/\" target=\"_blank\" rel=\"noopener noreferrer\">urologue<\/a>, \u00e0 donner vie \u00e0 cette structure.<\/p>\n<figure id=\"attachment_11970\" aria-describedby=\"caption-attachment-11970\" style=\"width: 500px\" class=\"wp-caption alignright\"><img decoding=\"async\" class=\"zoom filet wp-image-11970\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2016\/04\/Barussaud_marie-line.jpg\" alt=\"Dr Marie-Line Barussaud, chirurgienne digestive\" width=\"500\" height=\"375\" srcset=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2016\/04\/Barussaud_marie-line.jpg 573w, https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2016\/04\/Barussaud_marie-line-300x225.jpg 300w, https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2016\/04\/Barussaud_marie-line-130x98.jpg 130w, https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2016\/04\/Barussaud_marie-line-550x413.jpg 550w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><figcaption id=\"caption-attachment-11970\" class=\"wp-caption-text\">Dr Marie-Line Barussaud, chirurgienne digestive<\/figcaption><\/figure>\n<p>On parle de pelvi-p\u00e9rin\u00e9ologie car les organes concern\u00e9s sont dans le pelvis et passent au travers du plancher pelvien et du p\u00e9rin\u00e9e. &#8220;La pelvi-p\u00e9rin\u00e9ologie n\u00e9cessite une expertise multidisciplinaire car les troubles perturbent, fr\u00e9quemment, le fonctionnement de plusieurs organes, explique le Pr Xavier Fritel. La prise en charge diagnostique et th\u00e9rapeutique met en oeuvre plusieurs sp\u00e9cialit\u00e9s m\u00e9dicales. Les traitements peuvent \u00eatre m\u00e9dicamenteux, physiques (\u00e9lectrostimulation ou r\u00e9\u00e9ducation), ou chirurgicaux.&#8221;<\/p>\n<p>Pour montrer \u00e0 quel point la p\u00e9rin\u00e9ologie est multidisciplinaire, le Dr Barussaud \u00e9num\u00e8re : &#8220;Les interventions concernent principalement la chirurgie digestive, la proctologie, la gyn\u00e9cologie, l\u2019urologie, la chirurgie p\u00e9diatrique\u2026 Plut\u00f4t que de faire passer le patient d\u2019une unit\u00e9 \u00e0 une autre, nous voulons inverser le processus, simplifier et fluidifier son parcours de soin.&#8221; Ainsi na\u00eet, en 2014, un centre de pelvi-p\u00e9rin\u00e9ologie au CHU de Poitiers.<\/p>\n<p><strong>Hospitalisation de jour<\/strong><br \/>\n&#8220;Nous essayons de mettre en place une hospitalisation de jour pour les bilans, ce qui est plus facile \u00e0 faire depuis <a href=\"https:\/\/www.chu-poitiers.fr\/pole-dune-le-plateau-de-consultationsmet-en-avant-la-transversalite-des-services\/\" target=\"_blank\" rel=\"noopener noreferrer\">l\u2019ouverture du plateau de consultations du p\u00f4le Dune<\/a> (digestif &#8211; <a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/chirurgie-viscerale\/\" target=\"_blank\" rel=\"noopener noreferrer\">chirurgie visc\u00e9rale<\/a> et <a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/hepato-gastro-enterologie-assistance-nutritive\/\" target=\"_blank\" rel=\"noopener noreferrer\">h\u00e9pato-gastro-ent\u00e9rologie<\/a> -, <a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/urologie\/\" target=\"_blank\" rel=\"noopener noreferrer\">urologie<\/a>, <a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/nephrologie-hemodialyse-transplantation-renale\/\" target=\"_blank\" rel=\"noopener noreferrer\">n\u00e9phrologie <\/a>et <a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/medecine-interne-endocrinologie-maladies-metaboliques\/\" target=\"_blank\" rel=\"noopener noreferrer\">endocrinologie<\/a>)&#8221;, d\u00e9taille Marie-Line Barussaud. En une journ\u00e9e, le patient fait\u00a0les bilans et examens. &#8220;Apr\u00e8s cette journ\u00e9e, le patient b\u00e9n\u00e9ficie d\u2019un diagnostic et d\u2019une proposition th\u00e9rapeutique&#8221;, r\u00e9sume Thomas Charles.<\/p>\n<p>Tous les premiers mardis du mois, est organis\u00e9e une r\u00e9union pluridisciplinaire de pelvi-p\u00e9rin\u00e9ologie lors de laquelle les dossiers complexes sont pr\u00e9sent\u00e9s et discut\u00e9s. Une organisation qui s\u2019est r\u00e9alis\u00e9e rapidement, &#8220;preuve qu\u2019il y a un v\u00e9ritable besoin&#8221;, constate Marie-Line Barussaud. Pour chaque cas, un compte rendu est adress\u00e9 au m\u00e9decin traitant du patient.<\/p>\n<p><strong>Des solutions aux probl\u00e8mes d\u2019incontinence<\/strong><br \/>\nCar cette sp\u00e9cialit\u00e9 de la chirurgie fonctionnelle concerne tout le monde, souvent les femmes, et parfois m\u00eame d\u2019une trentaine d\u2019ann\u00e9es. &#8220;Les m\u00e9decins en dehors de la sp\u00e9cialit\u00e9 ne connaissent pas forc\u00e9ment toutes les solutions&#8221;, constate Marie-Line Barussaud. Ce\u00a0centre est une fa\u00e7on de dire aux patients qu\u2019il y a des solutions aux probl\u00e8mes d\u2019incontinence. &#8220;Nous pouvons avoir recours \u00e0 de plus en plus de solutions innovantes et des chirurgies mini-invasives ou souvent percutan\u00e9es&#8221;, assure la chirurgienne.<\/p>\n<p>Ce centre de pelvi-p\u00e9rin\u00e9ologie permet au CHU de Poitiers de d\u00e9velopper une v\u00e9ritable expertise sur ces dossiers m\u00e9dicaux et un suivi commun des pathologies, un atout pour les recherches en cours et \u00e0 venir rappelle le Pr Fritel. Dans cette dynamique m\u00e9dicale et universitaire, l\u2019\u00e9quipe du centre pelvi-p\u00e9rin\u00e9ologie propose depuis cette ann\u00e9e un enseignement int\u00e9gr\u00e9 aux \u00e9l\u00e8ves sages-femmes et kin\u00e9sith\u00e9rapeutes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Le centre de pelvi-p\u00e9rin\u00e9ologie du CHU de Poitiers permet de simplifier le parcours des patients et d\u2019engager une expertise multidisciplinaire dans\u2026","protected":false},"author":1,"featured_media":11971,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[42,45,1,52],"tags":[],"class_list":["post-11968","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chirurgie-viscerale","category-gynecologie-obstetrique","category-uncategorized","category-urologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - 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