Does Position Influence the Diagnosis of Detrusor Overactivity in a Neurological Population - a Concordance Study Between Lying and Sitting Position

What this Trial Is About

Researchers are investigating whether the position of the body during urodynamic exams affects the diagnosis of detrusor overactivity in people with neurological conditions such as Multiple Sclerosis (MS) or Parkinson's disease. Current recommendations suggest sitting or standing positions for these exams, but many neurological patients cannot maintain these positions during the test. The study aims to update guidance specifically for neurological patients by examining if the supine (lying down) position provides clear diagnostic information. Participants will undergo urodynamic exams in both lying and sitting positions during the same procedure. They will be randomly assigned to begin in either the lying or sitting position. The exam uses standardized filling speeds and equipment to measure bladder pressures and responses. Doctors will review the test data without knowing the patient's position to ensure unbiased results. Participants will have an initial consultation including questionnaires and clinical scales related to their condition. On the exam day, consent is obtained, and detailed data including bladder volume and pressure measurements are collected. Researchers will compare diagnosis results between the two positions over 24 months. The study also involves careful data recording and analysis to determine the best position for urodynamic testing in neurological patients.

Does Position Influence the Diagnosis of Detrusor Overactivity in a Neurological Population