Skip to main content
Erschienen in: Uro-News 5/2023

07.05.2023 | Benigne Prostatahyperplasie | Fortbildung

Therapieversagen nach BPS-Behandlung

Wie lässt sich vermeiden, dass aus Drang eine Dranginkontinenz wird?

verfasst von: Prof. Dr. med. Klaus Höfner

Erschienen in: Uro-News | Ausgabe 5/2023

Einloggen, um Zugang zu erhalten

Auszug

Die meisten Patienten mit benignem Prostatasyndrom werden bei Symptomen des unteren Harntraktes rein medikamentös, ein geringer Teil auch operativ behandelt. Der Therapieerfolg hängt von diversen Faktoren ab - entsprechend wichtig ist die richtige Patientenselektion. …
Literatur
1.
Zurück zum Zitat Uhlig A et al. Contemporary surgical management of benign prostatic obstruction in Germany: A population-wide study based on German hospital quality report data from 2006 to 2019. Urologe A 2022;61:508-17 Uhlig A et al. Contemporary surgical management of benign prostatic obstruction in Germany: A population-wide study based on German hospital quality report data from 2006 to 2019. Urologe A 2022;61:508-17
2.
Zurück zum Zitat Oelke M et al. Age and bladder outlet obstruction are independently associated with detrusor overactivity in patients with benign prostatic hyperplasia. Eur Urol 2008;54:419-26 Oelke M et al. Age and bladder outlet obstruction are independently associated with detrusor overactivity in patients with benign prostatic hyperplasia. Eur Urol 2008;54:419-26
3.
Zurück zum Zitat Abrams PH et al. The results of prostatectomy: a symptomatic and urodynamic analysis of 152 patients. J Urol 1979;121:640-2 Abrams PH et al. The results of prostatectomy: a symptomatic and urodynamic analysis of 152 patients. J Urol 1979;121:640-2
4.
Zurück zum Zitat Machino R et al. Detrusor instability with equivocal obstruction: A predictor of unfavorable symptomatic outcomes after transurethral prostatectomy. Neurourol Urodyn 2002;21:444-9 Machino R et al. Detrusor instability with equivocal obstruction: A predictor of unfavorable symptomatic outcomes after transurethral prostatectomy. Neurourol Urodyn 2002;21:444-9
5.
Zurück zum Zitat Miernik AB et al. Real-world data and treatment patterns of patients with lower urinary tract symptoms due to benign prostatic hyperplasia in Germany: an observational study using health insurance claims data. World J Urol 2021;39:4381-8 Miernik AB et al. Real-world data and treatment patterns of patients with lower urinary tract symptoms due to benign prostatic hyperplasia in Germany: an observational study using health insurance claims data. World J Urol 2021;39:4381-8
6.
Zurück zum Zitat Höfner K. Patientenselektion. In: Höfner K et al. (Hrsg.) Benigne Prostatahyperplasie. Berlin, Heidelberg: Springer-Verlag; 2000 Höfner K. Patientenselektion. In: Höfner K et al. (Hrsg.) Benigne Prostatahyperplasie. Berlin, Heidelberg: Springer-Verlag; 2000
7.
Zurück zum Zitat Izard J et al. Impact of medical therapy on transurethral resection of the prostate: two decades of change. BJU Int 2011;108:89-9 Izard J et al. Impact of medical therapy on transurethral resection of the prostate: two decades of change. BJU Int 2011;108:89-9
8.
Zurück zum Zitat Topazio L et al. Intravescical prostatic protrusion is a predictor of alpha blockers response: results from an observational study. BMC Urol 2018;18:6 Topazio L et al. Intravescical prostatic protrusion is a predictor of alpha blockers response: results from an observational study. BMC Urol 2018;18:6
9.
Zurück zum Zitat Liu Q et al. Ultrasound image features of intravesical prostatic protrusion indicated failure of medication therapy of finasteride and doxazosin in patients with benign prostatic hyperplasia (LUTS/BPH). Int Urol Nephrol 2017;49:399-404 Liu Q et al. Ultrasound image features of intravesical prostatic protrusion indicated failure of medication therapy of finasteride and doxazosin in patients with benign prostatic hyperplasia (LUTS/BPH). Int Urol Nephrol 2017;49:399-404
10.
Zurück zum Zitat Homma Y. Pressure-flow studies in benign prostatic hyperplasia: to do or not to do for the patient? BJU Int 2001;87:19-23 Homma Y. Pressure-flow studies in benign prostatic hyperplasia: to do or not to do for the patient? BJU Int 2001;87:19-23
11.
Zurück zum Zitat Huang T et al. Predictive value of resistive index, detrusor wall thickness and ultrasound estimated bladder weight regarding the outcome after transurethral prostatectomy for patients with lower urinary tract symptoms suggestive of benign prostatic obstruction. Int J Urol 2012;19:343-50 Huang T et al. Predictive value of resistive index, detrusor wall thickness and ultrasound estimated bladder weight regarding the outcome after transurethral prostatectomy for patients with lower urinary tract symptoms suggestive of benign prostatic obstruction. Int J Urol 2012;19:343-50
12.
Zurück zum Zitat Kim M et al. Diagnostic value of urodynamic bladder outlet obstruction to select patients for transurethral surgery of the prostate: Systematic review and meta-analysis. PLoS One 2017;12:e0172590 Kim M et al. Diagnostic value of urodynamic bladder outlet obstruction to select patients for transurethral surgery of the prostate: Systematic review and meta-analysis. PLoS One 2017;12:e0172590
13.
Zurück zum Zitat Noordhoff TC et al. Surgical Management of Anatomic Bladder Outlet Obstruction in Males with Neurogenic Bladder Dysfunction: A Systematic Review. Eur Urol Focus 2019;5:875-86 Noordhoff TC et al. Surgical Management of Anatomic Bladder Outlet Obstruction in Males with Neurogenic Bladder Dysfunction: A Systematic Review. Eur Urol Focus 2019;5:875-86
14.
Zurück zum Zitat Roth B et al. Benign prostatic obstruction and parkinson's disease--should transurethral resection of the prostate be avoided? J Urol 2009;181:2209-13 Roth B et al. Benign prostatic obstruction and parkinson's disease--should transurethral resection of the prostate be avoided? J Urol 2009;181:2209-13
15.
Zurück zum Zitat Moisey CU et al. Results of transurethral resection of prostate in patients with cerebrovascular disease. Br J Urol 1978;50:539-41 Moisey CU et al. Results of transurethral resection of prostate in patients with cerebrovascular disease. Br J Urol 1978;50:539-41
16.
Zurück zum Zitat Elsaesser E et al. Urological operations for improvement of bladder voiding in paraplegic patients. Paraplegia 1972;10:68-77 Elsaesser E et al. Urological operations for improvement of bladder voiding in paraplegic patients. Paraplegia 1972;10:68-77
17.
Zurück zum Zitat Zhang JH et al. Systemic Comorbidity Burden Using the ACTIONS Phenotype Predicts Urologic Medication Discontinuation Following Transurethral Resection of the Prostate. Urology 2019;127:91-6 Zhang JH et al. Systemic Comorbidity Burden Using the ACTIONS Phenotype Predicts Urologic Medication Discontinuation Following Transurethral Resection of the Prostate. Urology 2019;127:91-6
18.
Zurück zum Zitat Sabharwal NC et al. Comparative Effectiveness of Transurethral Prostate Procedures at Enabling Urologic Medication Discontinuation: A Retrospective Analysis. Urology 2019;134:192-8 Sabharwal NC et al. Comparative Effectiveness of Transurethral Prostate Procedures at Enabling Urologic Medication Discontinuation: A Retrospective Analysis. Urology 2019;134:192-8
19.
Zurück zum Zitat Han HH et al. Factors associated with continuing medical therapy after transurethral resection of prostate. Urology 2014;84:675-80 Han HH et al. Factors associated with continuing medical therapy after transurethral resection of prostate. Urology 2014;84:675-80
20.
Zurück zum Zitat Strope SA et al. Use of Medical Therapy and Success of Laser Surgery and Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia. Urology 2015;86:1115-22 Strope SA et al. Use of Medical Therapy and Success of Laser Surgery and Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia. Urology 2015;86:1115-22
21.
Zurück zum Zitat Berges R et al. Therapie des benignen Prostatasyndroms (BPS): Leitlinien der Deutschen Urologen. Urologe A 2009;48:1503-16 Berges R et al. Therapie des benignen Prostatasyndroms (BPS): Leitlinien der Deutschen Urologen. Urologe A 2009;48:1503-16
22.
Zurück zum Zitat Informationssystem der Gesundheitsberichterstattung des Bundes. Operationen und Prozeduren der vollstationären Patientinnen und Patienten in Krankenhäusern, Diagnosedaten der Krankenhäuser ab 2000 (Eckdaten der vollstationären Patienten und Patientinnen). https://go.sn.pub/ZGDSdv; abgerufen am 26.3.2023 Informationssystem der Gesundheitsberichterstattung des Bundes. Operationen und Prozeduren der vollstationären Patientinnen und Patienten in Krankenhäusern, Diagnosedaten der Krankenhäuser ab 2000 (Eckdaten der vollstationären Patienten und Patientinnen). https://​go.​sn.​pub/​ZGDSdv; abgerufen am 26.3.2023
23.
Zurück zum Zitat Javle P et al. Grading of benign prostatic obstruction can predict the outcome of transurethral prostatectomy. J Urol 1998;160:1713-7 Javle P et al. Grading of benign prostatic obstruction can predict the outcome of transurethral prostatectomy. J Urol 1998;160:1713-7
24.
Zurück zum Zitat Jensen KM et al. Urodynamics in prostatism. II. Prognostic value of pressure-flow study combined with stop-flow test. Scand J Urol Nephrol Suppl 1988;114:72-7 Jensen KM et al. Urodynamics in prostatism. II. Prognostic value of pressure-flow study combined with stop-flow test. Scand J Urol Nephrol Suppl 1988;114:72-7
25.
Zurück zum Zitat Neal DE et al. Outcome of elective prostatectomy. BMJ 1989;299:762-7 Neal DE et al. Outcome of elective prostatectomy. BMJ 1989;299:762-7
26.
Zurück zum Zitat Robertson AS et al. Conventional urodynamics and ambulatory monitoring in the definition and management of bladder outflow obstruction. J Urol 1996;155:506-11 Robertson AS et al. Conventional urodynamics and ambulatory monitoring in the definition and management of bladder outflow obstruction. J Urol 1996;155:506-11
Metadaten
Titel
Therapieversagen nach BPS-Behandlung
Wie lässt sich vermeiden, dass aus Drang eine Dranginkontinenz wird?
verfasst von
Prof. Dr. med. Klaus Höfner
Publikationsdatum
07.05.2023
Verlag
Springer Medizin
Erschienen in
Uro-News / Ausgabe 5/2023
Print ISSN: 1432-9026
Elektronische ISSN: 2196-5676
DOI
https://doi.org/10.1007/s00092-023-5698-7

Weitere Artikel der Ausgabe 5/2023

Uro-News 5/2023 Zur Ausgabe

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.