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Transurethrale Resektion der Harnblase

Komplikationsmanagement

Transurethral resection of bladder tumors

Management of complications

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Zusammenfassung

Als häufiger endourologischer Eingriff nimmt die transurethale Blasentumorresektion (TURB) einen wesentlichen Raum in der klinischen Routine operativ tätiger Urologen ein. Obwohl die TURB einen endoskopischen Ausbildungseingriff für in Weiterbildung befindliche Assistenten darstellt, sind klare Anforderungen an die Qualität der Operation formuliert. Die Kenntnis der möglichen Komplikationen und deren Management sind essentiell für jeden klinisch tätigen Urologen. Blutungskomplikationen, Harnblasenperforationen, Infektionen sowie Verletzungen der Harnleitermündung stellen Komplikationen mit der höchsten Inzidenz dar. Der vorliegende Artikel fasst die wesentlichen Risiken und Komplikationen sowie deren Prävention und Beherrschung zusammen.

Abstract

As a frequent endourological procedure, transurethral resection of bladder tumors (TURB) represents a major field of activity for urological surgeons. Although TURB represents an endoscopic training procedure for urology residents, there are clear requirements for the quality of the surgical procedure as such. The knowledge of possible complications and their management are essential for urologists active in the clinical field. Bleeding complications, bladder perforation, infections and injuries to the ureteral orifice are the most frequently observed complications. This article summarizes the essential risks and complications as well as the corresponding preventive and therapeutic measures.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. S. Rausch, G. Gakis und A. Stenzl 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, Universitätsklinikum Tübingen, Hoppe-Seyler Straße 3, 72076, Tübingen, Deutschland

    S. Rausch, G. Gakis &  A. Stenzl

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  1. S. Rausch
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  2. G. Gakis
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  3. A. Stenzl
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Correspondence to A. Stenzl.

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Rausch, S., Gakis, G. & Stenzl, A. Transurethrale Resektion der Harnblase. Urologe 53, 695–698 (2014). https://doi.org/10.1007/s00120-014-3488-2

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  • DOI: https://doi.org/10.1007/s00120-014-3488-2

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