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Der Urologe

, Volume 56, Issue 8, pp 1047–1057 | Cite as

Urethrastriktur

Von der Diagnostik bis zur sinnvollen Therapie
  • F. Strittmatter
  • V. Beck
  • C. G. Stief
  • S. Tritschler
CME

Zusammenfassung

Die Behandlung von Patienten mit einer Harnröhrenstriktur erfordert neben einer genauen Anamnese und allgemeinen Untersuchungen eine sinnvolle Diagnostik, bevor eine angemessene Therapie angestrebt wird. Diese umfasst zumindest eine Uroflowmetrie und eine Zysturethrogrammuntersuchung. Zusätzlich kann die Verwendung einer Sonographie und Zystoskopie hilfreich sein. Die kurative Behandlung einer Harnröhrenstriktur ist in jedem Fall eine operative. Neben den endourologischen Verfahren kommen die offenen Harnröhrenrekonstruktionen zum Einsatz. Der vorliegende Beitrag soll einen Überblick über die notwendigen diagnostischen Maßnahmen und die Vor- und Nachteile der einzelnen operativen Therapien geben.

Schlüsselwörter

Harnröhre Uroflowmetrie Zysturethrographie Urethrotomie Harnröhrenplastik 

Urethral stricture

From diagnostics to appropriate treatment

Abstract

Before making a treatment decision for patients presenting with a urethral stricture, following anamnesis and general examinations, appropriate diagnostics are necessary. This includes at least uroflowmetry and cystourethrography and the use of ultrasound and cystoscopy may be of additional help. The curative treatment of a urethral stricture is always an operation. Besides endourological procedures, open surgery for urethral reconstruction is also performed. This article aims to give an overview about the necessary diagnostic measures and the pros and cons of the different operative therapies.

Keywords

Urethra Uroflowmetry Cystography Urethrotomy Urethral reconstruction 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

F. Strittmatter, V. Beck, C. G. Stief und S. Tritschler geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH 2017

Authors and Affiliations

  • F. Strittmatter
    • 1
  • V. Beck
    • 1
  • C. G. Stief
    • 1
  • S. Tritschler
    • 1
  1. 1.Urologische Klinik und PoliklinikLMU Klinikum der Universität, Campus GroßhadernMünchenDeutschland

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