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.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -