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2021 | OriginalPaper | Buchkapitel

24. Unterer Harntrakt: Prostata

verfasst von : Petra Anheuser, Florian Hartmann, Axel Heidenreich, David Pfister

Erschienen in: Komplikationen in der Urologie

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Die offene Adenomenukleation bietet über einen transvesikalen und transkapsulär-extravesikalen Zugang die Möglichkeit einer sicheren und vollständigen Adenomentfernung der Prostata. Das über Jahrzehnte bei größeren Prostatavolumina (>80 ml) als Standard angesehene Verfahren mit einer vergleichbar kurzen Operationszeit und geringen Re-Interventionsrate kommt aufgrund der heute gut verfügbaren minimal-invasiven Alternativen, insbesondere der Laserverfahren, zunehmend weniger zum Einsatz und bleibt insbesondere Fällen mit Begleitpathologien wie Blasensteinen und therapiebedürftigen Harnblasendivertikeln vorbehalten (Madersbacher et al. 2005; Gratzke 2007; Noguera und Rodriguez 2008).

Lymphozelen, rekto-urethrale Fisteln und Anastomosenstrikturen stellen seltene Komplikationen nach radikaler Prostatektomie dar, sind jedoch für den Patienten häufig mit zusätzlichen operativen Interventionen sowie einem langwierigen zusätzlichen Therapieverlauf assoziiert. In dem beiliegenden Beitrag beschreiben wir die zielführende Diagnostik und Therapie dieser drei operationsassoziierten Komplikationen mit den verschiedenen chirurgisch-rekonstruktiven Behandlungsansätzen.

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Titel: Unterer Harntrakt: Prostata
verfasst von: Petra Anheuser
Florian Hartmann
Axel Heidenreich
David Pfister
Verlag: Springer Berlin Heidelberg
Buch: Komplikationen in der Urologie
Print ISBN: 978-3-662-60624-7

Electronic ISBN: 978-3-662-60625-4

Copyright-Jahr: 2021
DOI: https://doi.org/10.1007/978-3-662-60625-4_24

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24. Unterer Harntrakt: Prostata

Zusammenfassung

Neu im Fachgebiet Urologie

Viel pflanzliche Nahrung, seltener Prostata-Ca.-Progression

Darf man die Behandlung eines Neonazis ablehnen?

Hypertherme Chemotherapie bietet Chance auf Blasenerhalt

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Update Urologie

Springer Medizin

Zusammenfassung

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Neu im Fachgebiet Urologie

Viel pflanzliche Nahrung, seltener Prostata-Ca.-Progression

Darf man die Behandlung eines Neonazis ablehnen?

Hypertherme Chemotherapie bietet Chance auf Blasenerhalt

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Update Urologie