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01.12.2012 | Leitthema

Neue Behandlungskonzepte von Symptomen des unteren Harntraktes beim Mann

verfasst von: L.F. Arenas da Silva, M. Schönthaler, F. Cruz, C. Gratzke, J. Zumbe, A. Stenzl, B. Amend, Prof. Dr. K.-D. Sievert

Erschienen in: Die Urologie | Ausgabe 12/2012

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Zusammenfassung

Als Goldstandard in der medikamentösen Therapie von Patienten mit Beschwerden des unteren Harntraktes („lower urinary tract symptoms“, LUTS) werden α₁-Adrenozeptorblocker und 5α-Reduktaseinhibitoren sowie deren Kombination angesehen. Darüber hinaus kommen Anticholinergika bei Patienten mit überwiegenden Speicherstörungen zum Einsatz, während Phosphodiesterase-5-Hemmer ihr primäres Einsatzgebiet bei Patienten mit LUTS und erektiler Dysfunktion finden. In den letzten Jahren wurde die Suche nach neuen Therapieverfahren intensiviert. Vor allem intraprostatische Injektionstherapien (Botulinumtoxin A, NX-1207, PRX302) und innovative interventionelle Techniken (UroLift®) werden in Hinblick auf ihre Wirkung bei Patienten mit LUTS getestet und scheinen dabei wirksam und sicher zu sein. Besonderes Augenmerk sollte dabei auf den Zusammenhang von LUTS und sexuellen Funktionsstörungen gelegt werden.

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Titel: Neue Behandlungskonzepte von Symptomen des unteren Harntraktes beim Mann
verfasst von: L.F. Arenas da Silva
M. Schönthaler
F. Cruz
C. Gratzke
J. Zumbe
A. Stenzl
B. Amend
Prof. Dr. K.-D. Sievert
Publikationsdatum: 01.12.2012
Verlag: Springer-Verlag
Erschienen in: Die Urologie / Ausgabe 12/2012
Print ISSN: 2731-7064
Elektronische ISSN: 2731-7072
DOI: https://doi.org/10.1007/s00120-012-3032-1

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