Harninkontinenz nach radikaler Prostatektomie

Urinary incontinence after radical prostatectomy

Zusammenfassung

Trotz verbesserter Operationstechnik leidet auch heute noch eine nicht zu vernachlässigende Anzahl von Patienten an einer Harninkontinenz nach radikaler Prostatektomie. Zur Therapie wird zunächst ein konservativer Therapieversuch in den ersten 6–12 Monaten nach radikaler Prostatektomie empfohlen. Kommt es zu keiner Besserung der Inkontinenz, wird ein operatives Vorgehen empfohlen. Der artifizielle Sphinkter, ein über Jahrzehnte erprobtes System, weißt zwar gute Langzeitergebnisse auf, ist aber auch mit diversen Problemen behaftet. In den letzten Jahren wurden diverse minimal-invasive Systeme zur Therapie der männlichen Belastungsinkontinenz eingeführt, welche entweder mittels Kompression oder funktionell wirken.

Abstract

Despite improved operative techniques the number of patients suffering from urinary incontinence after radical prostatectomy cannot be ignored. The recommended therapy after radical prostatectomy is initially to attempt conservative therapy during the first 6–12 months. If there is no improvement in the incontinence an operative procedure is recommended. An artificial sphincter which has been established over decades has good long-term results but is also beset by diverse problems. Recently diverse minimally invasive procedures have been introduced for therapy of male stress incontinence which are effective due to compression or have a functional therapeutical approach.

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Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehungen hin: Christian Gozzi besitzt als einer der Erfinder das geistige Eigentum an dem Produkt „AdVance®-Schlinge“. Christian Gozzi und Ricarda M. Bauer sind für die Fa. AMS beratend tätig und halten Vorträge für diese. Außerdem nimmt Christian Gozzi an klinischen Studien der Fa. AMS teil. Trotz des möglichen Interessenkonflikts ist der Beitrag unabhängig und produktneutral.

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Correspondence to Dr. R.M. Bauer.

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Bauer, R., Mayer, M., Gratzke, C. et al. Harninkontinenz nach radikaler Prostatektomie. Urologe 48, 1044–1049 (2009). https://doi.org/10.1007/s00120-009-2081-6

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Schlüsselwörter

  • Harninkontinenz
  • Radikale Prostatektomie
  • Männliche Schlinge
  • Artifizieller Sphinkter
  • Funktionelle Schlinge

Keywords

  • Urinary incontinence
  • Radical prostatectomy
  • Male sling
  • Artificial sphincter
  • Functional sling