{"id":69974599,"date":"2025-05-07T16:12:34","date_gmt":"2025-05-07T14:12:34","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=69974599"},"modified":"2025-05-07T16:12:36","modified_gmt":"2025-05-07T14:12:36","slug":"neuro-urologie-une-approche-multidisciplinaire-au-chu","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/neuro-urologie-une-approche-multidisciplinaire-au-chu\/","title":{"rendered":"Neuro-urologie : une approche multidisciplinaire au CHU"},"content":{"rendered":"\n

La neuro-urologie est une branche sp\u00e9cialis\u00e9e de l’urologie qui se consacre aux troubles v\u00e9sico-sphinct\u00e9riens et pelviens r\u00e9sultant de dysfonctionnements du syst\u00e8me nerveux. Elle concerne par exemple les patients bless\u00e9s m\u00e9dullaires (parapl\u00e9giques ou t\u00e9trapl\u00e9giques) suite \u00e0 un accident, ainsi que ceux ayant des maladies neurologiques comme la scl\u00e9rose en plaques et bien d\u2019autres encore. Ces patients peuvent pr\u00e9senter des difficult\u00e9s \u00e0 uriner et des probl\u00e8mes pour contr\u00f4ler la vessie. \u00ab La vessie fonctionne de mani\u00e8re plus ou moins r\u00e9flexe selon le type de pathologie neurologique, un ph\u00e9nom\u00e8ne d\u00e9sign\u00e9 par le terme de “vessie neurog\u00e8ne”. Cette probl\u00e9matique exige un suivi rigoureux, \u00e0 la fois par les urologues et par les m\u00e9decins de m\u00e9decine physique et de r\u00e9adaptation<\/em> \u00bb, explique le Dr Maxime Vall\u00e9e. Auparavant, ces patients \u00e9taient vus s\u00e9par\u00e9ment, \u00e0 des moments et dans des lieux distincts, par les urologues et les m\u00e9decins de m\u00e9decine physique et de r\u00e9adaptation, sans coordination particuli\u00e8re.<\/p>\n

Afin d’optimiser le parcours de soins des patients en neuro-urologie, le Dr Maxime Vall\u00e9e, les sp\u00e9cialistes de m\u00e9decine physique et de r\u00e9adaptation, les docteurs Valentine Gilquin et Laura Mainini, et le docteur Am\u00e9lie Dos Santos, neurologue, ont initialement mis en place, en 2023, une r\u00e9union de concertation pluridisciplinaire pour discuter des dossiers de patients complexes. \u00ab Ces r\u00e9unions ont constitu\u00e9 un premier pas dans la formalisation de la prise en charge des patients en neuro-urologie, qui rel\u00e8ve classiquement d’une activit\u00e9 de recours<\/em> \u00bb. Pour aller plus loin dans l’am\u00e9lioration de cette prise en charge, le Dr Maxime Vall\u00e9e a ensuite propos\u00e9 la cr\u00e9ation d’une consultation multidisciplinaire. Fortement impliqu\u00e9 dans les probl\u00e9matiques neuro-urologiques, il aspirait depuis longtemps \u00e0 offrir un parcours de soins coh\u00e9rent. Le CHU de Poitiers ne disposait pas jusqu’alors d’une fili\u00e8re d\u00e9di\u00e9e permettant aux urologues et aux m\u00e9decins de MPR d’interroger et d\u2019examiner le patient simultan\u00e9ment. Cette nouvelle consultation permet aux sp\u00e9cialistes des deux disciplines d’\u00e9valuer conjointement le patient, de traiter les probl\u00e8mes neuro-urologiques en ajustant l\u2019ensemble de la prise en charge en fonction de la pathologie sous-jacente, afin de lui apporter la meilleure solution m\u00e9dicale. \u00ab L’int\u00e9r\u00eat primordial de cette consultation r\u00e9side dans la simplification du parcours de soins pour le patient et l’am\u00e9lioration de nos prises en charge respectives. Elle nous offre la possibilit\u00e9 de prendre des d\u00e9cisions concert\u00e9es, en pr\u00e9sence du patient, r\u00e9pondant ainsi directement \u00e0 ses questions et ses craintes. Cela nous permet \u00e9galement d\u2019\u00e9changer sur nos connaissances respectives et de proposer une meilleure qualit\u00e9 de soins tout en prenant en compte l\u2019ensemble des param\u00e8tres propres \u00e0 ces pathologies qui atteignent le syst\u00e8me nerveux <\/em>\u00bb, pr\u00e9cise le Dr Maxime Vall\u00e9e.<\/p>\n

La consultation multidisciplinaire de neuro-urologie, lanc\u00e9e en octobre 2024, se tient tous les trois mois au sein du service de m\u00e9decine physique et de r\u00e9adaptation, situ\u00e9 dans le pavillon Maurice Salles, sur le site de la Mil\u00e9trie, o\u00f9 les locaux sont plus adapt\u00e9s. Cela permet par ailleurs de b\u00e9n\u00e9ficier de l\u2019accompagnement de madame St\u00e9phanie Posson, infirmi\u00e8re sp\u00e9cialis\u00e9e en MPR.<\/p>\n

\u00ab\u00a0Jusqu\u2019en 2022, les patients de la Vienne et du Poitou-Charentes souffrant de troubles neuro-urologiques \u00e9taient plut\u00f4t orient\u00e9s vers les CHU de Bordeaux ou de Nantes. Nous sommes ravis de pouvoir d\u00e9sormais proposer un parcours de soin de recours coh\u00e9rent et structur\u00e9 \u00e0 proximit\u00e9<\/em>\u00a0\u00bb, conclut le Dr Maxime Vall\u00e9e.<\/p>\n","protected":false},"excerpt":{"rendered":"

Fruit d’une collaboration \u00e9troite entre les services d’urologie et de m\u00e9decine physique et de r\u00e9adaptation (MPR), une consultation multidisciplinaire\u2026","protected":false},"author":21,"featured_media":69975289,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-69974599","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"\nNeuro-urologie : une approche multidisciplinaire au CHU - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/neuro-urologie-une-approche-multidisciplinaire-au-chu\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neuro-urologie : une approche multidisciplinaire au CHU - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Fruit d'une collaboration \u00e9troite entre les services d'urologie et de m\u00e9decine physique et de r\u00e9adaptation (MPR), une consultation multidisciplinaire en neuro-urologie existe d\u00e9sormais au CHU, r\u00e9pondant \u00e0 un besoin clairement identifi\u00e9. 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