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Uroonkologie pp 91-116 | Cite as

Harnableitung

  • Richard E. Hautmann
  • Urs E. Studer

Zusammenfassung

Harnableitung nach Zystektomie hat sich von der Ableitung des Harns und dem Schutz des oberen Harntraktes zur funktionellen und anatomischen Rekonstruktion, die dem natürlichen präoperativen Zustand so nahe als möglich kommt, entwickelt. Die Evolution lief über drei klar definierte Wege: der inkontinenten kutanen Harnableitung (Conduit), der kontinenten kutanen Harnableitung (Pouch) schlussendlich zur kontinenten Harnableitung zur intakten eigenen Harnröhre (Neoblase, orthotope Rekonstruktion). Während der letzten 20 Jahre hat sich die orthotope Rekonstruktion über das Stadium der experimentellen Chirurgie, über die Standardharnableitung an größeren urologischen Zentren bis zur bevorzugten Methode der Harnableitung bei beiden Geschlechtern entwickelt. In diesem Zeitraum wurde das Conduit zunehmend durch die orthotope Rekonstruktion verdrängt. Das Conduit ist dabei aber die Harnableitung geblieben, gegen die alle anderen Verfahren gemessen werden müssen.

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Copyright information

© Springer Medizin Verlag Heidelberg 2009

Authors and Affiliations

  • Richard E. Hautmann
    • 1
  • Urs E. Studer
    • 2
  1. 1.Klinik für Urologie und KinderurologieUniversitätsklinikum UlmPrittwitzstr. 43Ulm
  2. 2.Urologische AbteilungInselspitalBern

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