[Management of urinary incontinence after orthotopic urinary diversion].

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[Management of urinary incontinence after orthotopic urinary diversion]. / Soave, Armin; Dahlem, Roland; Rink, Michael; Ahyai, Sascha; Fisch, Margit.

In: UROLOGE, Vol. 51, No. 4, 4, 2012, p. 494-499.

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@article{ff96373f249345f1913a7a5ffebb0277,
title = "[Management of urinary incontinence after orthotopic urinary diversion].",
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, Treatment Outcome, *Suburethral Slings, Urinary Diversion/*adverse effects, Urinary Incontinence/*etiology/*surgery, *Urinary Sphincter, Artificial, Vesico-Ureteral Reflux/*etiology/*surgery, Humans, Treatment Outcome, *Suburethral Slings, Urinary Diversion/*adverse effects, Urinary Incontinence/*etiology/*surgery, *Urinary Sphincter, Artificial, Vesico-Ureteral Reflux/*etiology/*surgery",
author = "Armin Soave and Roland Dahlem and Michael Rink and Sascha Ahyai and Margit Fisch",
year = "2012",
language = "Deutsch",
volume = "51",
pages = "494--499",
journal = "UROLOGE",
issn = "0340-2592",
publisher = "Springer",
number = "4",

}

RIS

TY - JOUR

T1 - [Management of urinary incontinence after orthotopic urinary diversion].

AU - Soave, Armin

AU - Dahlem, Roland

AU - Rink, Michael

AU - Ahyai, Sascha

AU - Fisch, Margit

PY - 2012

Y1 - 2012

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 - Treatment Outcome

KW - Suburethral Slings

KW - Urinary Diversion/adverse effects

KW - Urinary Incontinence/etiology/surgery

KW - Urinary Sphincter, Artificial

KW - Vesico-Ureteral Reflux/etiology/surgery

KW - Humans

KW - Treatment Outcome

KW - Suburethral Slings

KW - Urinary Diversion/adverse effects

KW - Urinary Incontinence/etiology/surgery

KW - Urinary Sphincter, Artificial

KW - Vesico-Ureteral Reflux/etiology/surgery

M3 - SCORING: Zeitschriftenaufsatz

VL - 51

SP - 494

EP - 499

JO - UROLOGE

JF - UROLOGE

SN - 0340-2592

IS - 4

M1 - 4

ER -