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Diagnostischer Workup bei der Harnröhrenstriktur

Diagnostic workup of urethral strictures

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Zusammenfassung

Die Harnröhrenstriktur ist eine narbige Verengung der Harnröhre und eine mögliche Ursache für eine subvesikale Obstruktion. Unbehandelt kann sie einen erheblichen Einfluss auf die Lebensqualität des Patienten haben und zu nachhaltigen Schäden des Harntraktes bis hin zur Niereninsuffizienz führen. Der therapeutische Erfolg wird durch eine relativ hohe Rezidivrate getrübt. Eine zielgerichtete Anamnese und Diagnostik sind deshalb für die Festlegung der adäquaten Therapie besonders wichtig. Dieser Übersichtsartikel soll die klinische Präsentation sowie den diagnostischen Workup der Harnröhrenstriktur zusammenfassen.

Abstract

Urethral stricture is a narrowing of the urethra due to scar tissue. It causes obstructive voiding dysfunction and can lead to long-term damage of the entire urinary tract. The probability of therapeutic success is dampened by a high rate of recurrence. Therefore, a careful taking of the patient’s history and further diagnostics are crucial for finding the appropriate form of therapy. This review highlights the clinical presentation and diagnostic workup of urethral strictures.

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Authors and Affiliations

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

    M. Chaloupka, V. Beck, A. Kretschmer, S. Tritschler, C. G. Stief & F. Strittmatter

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  1. M. Chaloupka
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  2. V. Beck
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  3. A. Kretschmer
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  4. S. Tritschler
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  5. C. G. Stief
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  6. F. Strittmatter
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Correspondence to M. Chaloupka.

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Interessenkonflikt

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

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

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Chaloupka, M., Beck, V., Kretschmer, A. et al. Diagnostischer Workup bei der Harnröhrenstriktur. Urologe 57, 6–10 (2018). https://doi.org/10.1007/s00120-017-0547-5

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  • DOI: https://doi.org/10.1007/s00120-017-0547-5

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