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Harninkontinenz des Mannes

Urinary incontinence in men

Der Urologe volume 54, pages 887–900 (2015)Cite this article

Zusammenfassung

Die Belastungsinkontinenz des Mannes ist überwiegend iatrogen bedingt, wobei die radikale Prostatektomie mit einer persistierenden Inkontinenzrate von 10–25 % die häufigste Ursache ist. Die primäre Therapie der postoperativen Belastungsinkontinenz des Mannes ist die Physiotherapie, bei der das Beckenbodentraining eine zentrale Rolle einnimmt. Bei nicht ausreichender Besserung unter konservativer Therapie wird eine operative Therapie empfohlen. Für die operative Behandlung der Belastungsinkontinenz des Mannes stehen heute diverse Therapieoptionen zur Verfügung. Hierzu zählen der künstliche Schließmuskel, adjustierbare und funktionelle Schlingensysteme, Bulking-Agents und Ballon-Systeme.

Abstract

Stress urinary incontinence in men is predominantly iatrogenic whereby radical prostatectomy is the most common cause with persistent stress urinary incontinence rates varying between 10 % and 25 %. The first line therapy for postoperative male stress urinary incontinence is physiotherapy, especially pelvic floor muscle rehabilitation. If conservative treatment fails to show sufficient improvement, surgical therapy is recommended. Several treatment options are currently available for the surgical treatment of male stress urinary incontinence including artificial sphincters, adjustable and functional sling systems, bulking agents and implantable balloon systems.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. Der korrespondierende Autor weist für sich und seine Koautoren auf folgende Beziehungen hin:

R.M. Bauer: Studien, beratende Tätigkeit und Referententätigkeit für AMS und Promedon.

M. Grabbert: keine.

R. Anding: keine.

R. Kirschner-Hermanns: keine.

M. Oelke: Referent, Berater und/oder Studienteilnehmer für: Allergan, Apogepha, Astellas, Bayer, Eli Lilly, GT-Urological und Pfizer.

W. Hübner: Referent und Berater für Promedon, Referent für AMS.

Author information

Affiliations

  1. Urologische Klinik und Poliklinik, Klinikum der Universität München – Campus Großhadern, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland

    R.M. Bauer, M. Oelke, W. Hübner, M. Grabbert, R. Kirschner-Hermanns & R. Anding

Authors
  1. R.M. Bauer
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  2. M. Oelke
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  3. W. Hübner
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  4. M. Grabbert
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  5. R. Kirschner-Hermanns
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  6. R. Anding
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Corresponding author

Correspondence to R.M. Bauer.

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Bauer, R., Oelke, M., Hübner, W. et al. Harninkontinenz des Mannes. Urologe 54, 887–900 (2015). https://doi.org/10.1007/s00120-015-3826-z

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  • DOI: https://doi.org/10.1007/s00120-015-3826-z

Schlüsselwörter

  • Belastungsinkontinenz
  • Prostatektomie
  • Diagnostik
  • Therapie
  • Kontraindikationen

Keywords

  • Stress urinary incontinence
  • Prostatectomy
  • Diagnostics
  • Therapy
  • Contraindications