Inkontinenzmanagement beim orthotopen Blasenersatz

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Inkontinenzmanagement beim orthotopen Blasenersatz. / Soave, A; Dahlem, R; Rink, M; Ahyai, S; Fisch, M.

In: UROLOGE, Vol. 51, No. 4, 01.04.2012, p. 494-9.

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@article{4ef02c1020c84586bbd66ccac878bd72,
title = "Inkontinenzmanagement beim orthotopen Blasenersatz",
abstract = "Orthotopic urinary diversion (OUD) is performed in almost half of all radical cystectomies. This review presents an overview of the incidence, pathophysiology, and management of urinary incontinence (UI) after OUD. Daytime and nighttime UI are reported in up to 15% and 45% of cases after OUD, respectively. UI after OUD is more frequent in women. Stress incontinence is the most common reason for daytime urinary leakage, while an absent vesicourethral reflex with reduced external sphincter muscle tone is associated with nighttime UI. Conservative management has limited therapeutic value in UI after OUD. Surgical approaches include adjustable and nonadjustable slings as well as the ProACT{\textregistered} system in mild stress UI. Implantation of the artificial urinary sphincter system AMS 800{\textregistered} is the standard treatment for stress UI after OUD. Very limited data exist regarding results after implantation of newer artificial urinary sphincter systems such as the FlowSecure{\textregistered} and the Zephyr{\textregistered} ZSI 375 after OUD.",
keywords = "Humans, Suburethral Slings, Treatment Outcome, Urinary Diversion, Urinary Incontinence, Urinary Sphincter, Artificial, Vesico-Ureteral Reflux",
author = "A Soave and R Dahlem and M Rink and S Ahyai and M Fisch",
year = "2012",
month = apr,
day = "1",
doi = "10.1007/s00120-012-2814-9",
language = "Deutsch",
volume = "51",
pages = "494--9",
journal = "UROLOGE",
issn = "0340-2592",
publisher = "Springer",
number = "4",

}

RIS

TY - JOUR

T1 - Inkontinenzmanagement beim orthotopen Blasenersatz

AU - Soave, A

AU - Dahlem, R

AU - Rink, M

AU - Ahyai, S

AU - Fisch, M

PY - 2012/4/1

Y1 - 2012/4/1

N2 - Orthotopic urinary diversion (OUD) is performed in almost half of all radical cystectomies. This review presents an overview of the incidence, pathophysiology, and management of urinary incontinence (UI) after OUD. Daytime and nighttime UI are reported in up to 15% and 45% of cases after OUD, respectively. UI after OUD is more frequent in women. Stress incontinence is the most common reason for daytime urinary leakage, while an absent vesicourethral reflex with reduced external sphincter muscle tone is associated with nighttime UI. Conservative management has limited therapeutic value in UI after OUD. Surgical approaches include adjustable and nonadjustable slings as well as the ProACT® system in mild stress UI. Implantation of the artificial urinary sphincter system AMS 800® is the standard treatment for stress UI after OUD. Very limited data exist regarding results after implantation of newer artificial urinary sphincter systems such as the FlowSecure® and the Zephyr® ZSI 375 after OUD.

AB - Orthotopic urinary diversion (OUD) is performed in almost half of all radical cystectomies. This review presents an overview of the incidence, pathophysiology, and management of urinary incontinence (UI) after OUD. Daytime and nighttime UI are reported in up to 15% and 45% of cases after OUD, respectively. UI after OUD is more frequent in women. Stress incontinence is the most common reason for daytime urinary leakage, while an absent vesicourethral reflex with reduced external sphincter muscle tone is associated with nighttime UI. Conservative management has limited therapeutic value in UI after OUD. Surgical approaches include adjustable and nonadjustable slings as well as the ProACT® system in mild stress UI. Implantation of the artificial urinary sphincter system AMS 800® is the standard treatment for stress UI after OUD. Very limited data exist regarding results after implantation of newer artificial urinary sphincter systems such as the FlowSecure® and the Zephyr® ZSI 375 after OUD.

KW - Humans

KW - Suburethral Slings

KW - Treatment Outcome

KW - Urinary Diversion

KW - Urinary Incontinence

KW - Urinary Sphincter, Artificial

KW - Vesico-Ureteral Reflux

U2 - 10.1007/s00120-012-2814-9

DO - 10.1007/s00120-012-2814-9

M3 - SCORING: Zeitschriftenaufsatz

C2 - 22476800

VL - 51

SP - 494

EP - 499

JO - UROLOGE

JF - UROLOGE

SN - 0340-2592

IS - 4

ER -