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Urogynäkologie II: Harninkontinenz bei Mann und Frau

Chirurgische Therapie der Harninkontinenz und des Prolapses

Urogynecology II: urinary incontinence in men and women

Surgical treatment of urinary incontinence and prolapse

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Zusammenfassung

In der operativen Therapie der Belastungsharninkontinenz stehen zahlreiche Verfahren für Frauen und Männer zur Verfügung. Die Implantation suburethraler Bänder hat sich neben den klassischen Behandlungsmethoden (Kolposuspension, artifizieller Harnröhrensphinkter) als minimal-invasiver Standard etabliert. Das Vorliegen von Komorbiditäten oder einer Rezidivharninkontinenz erfordert ein individuell adaptiertes Therapieregime, wobei die Entscheidung, welcher Maßnahme man sich bedient, gemeinsam mit dem Patienten in Abhängigkeit des Leidensdrucks getroffen werden sollte. Eine genaue Aufklärung über mögliche konservative und operative Alternativen und ihre Erfolgsaussichten ist essenziell.

Abstract

Numerous surgical procedures are available for the treatment of stress urinary incontinence in women and men. On a par with classical therapy options (e.g. colposuspension and artificial sphincter prosthesis) suburethral tape procedures have become established as the minimally invasive standard of care. Regarding comorbidities and recurrent urinary incontinence, therapeutic procedures should be modified on an individual basis. It is crucial to involve patients in therapeutic decision-making and counseling should be given with respect to all conservative and operative alternatives.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. M.F. Hamann, C.M. Naumann, S. Knüpfer, K.P. Jünemann und R. Bauer geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik für Urologie und Kinderurologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold Heller Str. 7, 24105, Kiel, Deutschland

    M.F. Hamann, C.M. Naumann, S. Knüpfer & K.P. Jünemann

  2. Urologische Klinik und Poliklinik, Klinikum der Universität München, Ludwig-Maximilians-Universität, München, Deutschland

    R. Bauer

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  1. M.F. Hamann
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Correspondence to M.F. Hamann.

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Hamann, M., Naumann, C., Knüpfer, S. et al. Urogynäkologie II: Harninkontinenz bei Mann und Frau. Urologe 53, 1671–1682 (2014). https://doi.org/10.1007/s00120-014-3607-0

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