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Management von Harnröhrenstrikturen

Management of urethral strictures

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Zusammenfassung

Harnröhrenstrikturen stellen insbesondere im urologischen Patientenkollektiv ein relevantes Problem dar, da ihre Entstehung auch in Zusammenhang mit endourologischer Instrumentation steht. Nach der funktionellen und radiologischen Diagnostik steht die Auswahl des individuell geeigneten Therapiekonzepts im Vordergrund, wobei minimal-invasive endourologische Verfahren und operativ-rekonstruktive Verfahren erwogen werden müssen. Dabei werden die besten langfristigen Ergebnisse der in hohem Maße zu Rezidiven neigenden Erkrankung mit offen-rekonstruktiven Verfahren erreicht, wohingegen die Urethrotomie nur bei kurzstreckigen bulbären Engen ohne Spongiofibrose einen kurativen Ansatz verfolgt.

Abstract

Urethral strictures represent a relevant problem, particularly among urological patients, since they can also develop in conjunction with endourological instrumentation. After functional and radiological diagnostics, the choice of an individualized treatment concept is foremost while taking into consideration minimally invasive endourological procedures and techniques of surgical reconstruction. The best long-term results for this disorder, which has a considerable tendency to recur, are achieved with open reconstructive methods whereas urethrotomy pursues a curative approach only in cases of short-segment bulbar urethral strictures without spongiofibrosis.

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Authors and Affiliations

  1. Urologische Klinik und Poliklink, Klinikum Großhadern der LMU München, Marchioninistraße 15, 81377, München, Deutschland

    C. Gozzi,  S. Tritschler, P.J. Bastian & C.G. Stief

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  1. C. Gozzi
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  2. S. Tritschler
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  3. P.J. Bastian
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  4. C.G. Stief
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Correspondence to S. Tritschler.

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Gozzi, C., Tritschler, S., Bastian, P. et al. Management von Harnröhrenstrikturen. Urologe 47, 1615–1622 (2008). https://doi.org/10.1007/s00120-008-1903-2

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  • DOI: https://doi.org/10.1007/s00120-008-1903-2

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