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Nicht neurogene Blasenfunktionsstörungen und vesikoureteraler Reflux bei Kindern

Non-neurogenic bladder dysfunction and vesicoureteral reflux in children

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Zusammenfassung

Blasenfunktionsstörungen begünstigen Harnwegsinfektionen, sind häufig assoziiert mit einem vesikoureteralen Reflux und begleitenden renalen Parenchymschäden. Die vorliegende Arbeit möchte einen Überblick geben, in welcher Weise Blasenfunktionsstörungen, differenziert in Störungen der Speicherphase (Drangsyndrom, OAB) und Störungen der Entleerungsphase (Detrusor-Sphinkter-Dyskoordination, dysfunktionelle Entleerung), die Refluxmaturationsrate beeinflussen. Zusammenfassend sollten Funktionsstörungen der Speicher- von Funktionsstörungen der Entleerungsphase unterschieden werden, da das OAB bezogen auf einen VUR eine günstigere Prognose hat.

Abstract

Various types of bladder dysfunction are associated with urinary tract infection, renal damage and vesicoureteral reflux (VUR). In this article the influence of functional bladder disturbances such as detrusor instability (overactive bladder, OAB) and bladder sphincter dyssynergia (dysfunctional voiding), on the resolution of vesicoureteral reflux are reviewed. In summary, it is important to distinguish between children with dysfunctional voiding (increased activity of the pelvic floor during voiding) and those with OAB (detrusor overactivity during filling) because the latter has less effects on VUR.

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Authors and Affiliations

  1. Kinderurologie, Klinik für Urologie, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen, Deutschland

    I. Rübben

  2. Klinik für Urologie und Kinderurologie, Klinikum Niederberg, Velbert, Deutschland

    M. Goepel

  3. Institut für Klinische Informatik, Biometrie und Epidemiologie, Universitätsklinikum Essen, Essen, Deutschland

    J.D. van Gool

Authors
  1. I. Rübben
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  2. M. Goepel
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  3. J.D. van Gool
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Correspondence to I. Rübben.

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Rübben, I., Goepel, M. & van Gool, J. Nicht neurogene Blasenfunktionsstörungen und vesikoureteraler Reflux bei Kindern. Urologe 50, 551–556 (2011). https://doi.org/10.1007/s00120-011-2532-8

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