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Überaktive Blase

Gibt es Indikationen für eine operative Therapie?

Overactive bladder syndrome

Are there indications for surgical therapy?

  • Leitthema: Hyperaktive Blase II
  • Published:
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Zusammenfassung

Die Therapie der überaktiven Blase (OAB) ist eine klassische Domäne konservativer und minimal-invasiver Behandlungsverfahren. Ausgewählte Patienten profitieren von einer operativen Intervention, hierbei stehen Verfahren der sakralen und pudendalen Neurostimulation im Mittelpunkt. In therapierefraktären Fällen ist als Ultima ratio eine Blasenaugmentation oder eine Zystektomie und Harnableitung zu erwägen.

Abstract

Conservative therapeutic options are considered the gold standard in therapy of overactive bladder syndrome. However, surgery may be beneficial in selected cases. Neuromodulation is well established in clinical practice. If conservative or minimally invasive therapy fails, augmentation techniques or urinary diversion may be considered. This review presents the current knowledge about surgical treatment options for idiopathic overactive bladder.

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Interessenkonflikt

Es besteht kein Interessenkonflikt. Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen. Die Präsentation des Themas ist unabhängig und die Darstellung der Inhalte produktneutral.

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Authors and Affiliations

  1. Urologische Universitätsklinik, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland

    J. N. Nyarangi-Dix, A. Haferkamp, A. Reitz &  M. Hohenfellner

Authors
  1. J. N. Nyarangi-Dix
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  2. A. Haferkamp
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  3. A. Reitz
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  4. M. Hohenfellner
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Corresponding author

Correspondence to M. Hohenfellner.

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Nyarangi-Dix, J.N., Haferkamp, A., Reitz, A. et al. Überaktive Blase. Urologe 45, 1289–1292 (2006). https://doi.org/10.1007/s00120-006-1179-3

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  • DOI: https://doi.org/10.1007/s00120-006-1179-3

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