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Die Urologie

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01.04.2010 | Leitthema

Der artifizielle Sphinkter für die Inkontinenztherapie

verfasst von: Dr. N. Djakovic, J. Huber, J. Nyarangi-Dix, M. Hohenfellner

Erschienen in: Die Urologie | Ausgabe 4/2010

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Zusammenfassung

Während der letzten 40 Jahre wurde der artifizielle Sphinkter (AUS) erfolgreich implantiert. Dabei wurde die weitverbreitete Akzeptanz der Behandlungsmethode durch kontinuierliche technische Verbesserungen gewährleistet. Die Hauptindikation besteht nach wie vor bei der Inkontinenz nach Prostatektomie; in diesem Patientenkollektiv sind >90% mit dem Behandlungsergebnis zufrieden. Außerdem kann der AUS bei ausgewählten Patienten mit neurogener Blasenfunktionsstörung und bei angeborenen oder erworbenen anatomischen Fehlbildungen der Urethra eine Alternative zur Harnableitung darstellen. Trotz der geleisteten Fortschritte können Komplikationen wie Infektionen und Arrosion auftreten und in bis zu 20% der Fälle zu Revisionen oder Zweiteingriffen führen. Operative Expertise und die genaue Einhaltung der aseptischen Bedingungen sind daher obligate Voraussetzungen.

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Titel: Der artifizielle Sphinkter für die Inkontinenztherapie
verfasst von: Dr. N. Djakovic
J. Huber
J. Nyarangi-Dix
M. Hohenfellner
Publikationsdatum: 01.04.2010
Verlag: Springer-Verlag
Erschienen in: Die Urologie / Ausgabe 4/2010
Print ISSN: 2731-7064
Elektronische ISSN: 2731-7072
DOI: https://doi.org/10.1007/s00120-010-2265-0

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