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Therapie der weiblichen Harninkontinenz

Die Urologie

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Die Pharmakotherapie stellt eine wichtige therapeutische Säule in der Behandlung der weiblichen Harninkontinenz dar. So kommen bei einer Detrusorhyperaktivität orale Anticholinergika, ein ß3-Adrenorezeptoragonist oder Botulinumtoxin A zum Einsatz. Bei einer Belastungsinkontinenz kann Duloxetin die Symptome signifikant verbessern, bei Östrogenmangel sollte eine lokale Substitution erfolgen. Bei hypotoner Urethra oder neurogener Blase ist die operative Sphinkterimplantation, die technisch sehr schwierig und mit verschiedenen Komplikationen verbunden sein kann, indiziert. Bei leichter und mittelgradiger Belastungsinkontinenz ohne große Organsenkung, wird heute primär mit konservativen physiotherapeutischen Mitteln versucht eine operative Therapie zu vermeiden. Zur Verbesserung der aktiven Verschlusskraft wird der Beckenboden trainiert. In den modernen Behandlungskonzepten wird versucht, die Innervation und Durchblutung von Beckenboden und Harnröhre zu verbessern. Ziel einer Blasenmobilisation ist, die passive Drucktransmission zu optimieren.

Der Abschnitt Pharmakotherapie wurde von A. Hegele, der Abschnitt Operative Therapie von Z. Varga, der Abschnitt Sphinkter von R. Hofmann und der Abschnitt Beckenbodentherapie von P. Grosemans verfasst.

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Authors and Affiliations

  1. Klinik für Urologie und Kinderurologie, Universitätsklinikum Marburg, Baldingerstr. 1, 35033, Marburg, Deutschland

    A. Hegele & R. Hofmann

  2. Klinik für Urologie und Kinderurologie, SRH Kliniken Kreis Sigmaringen, Hohenzollernstr. 40, 72488, Sigmaringen, Deutschland

    Z. Varga

  3. Praxis für Osteopathie und Schmerztherapie, Hufelandstr. 14, 34537, Bad Wildungen, Deutschland

    Ph. Grosemans

Authors
  1. A. Hegele
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  2. Z. Varga
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  3. R. Hofmann
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  4. Ph. Grosemans
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Correspondence to A. Hegele .

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Editors and Affiliations

  1. Klinik für Urologie, Universitätsmedizin Mannheim, Mannheim, Baden-Württemberg, Germany

    Maurice Stephan Michel

  2. Klinik für Urologie, Universitätsklinikum Mainz, Mainz, Germany

    Joachim W. Thüroff

  3. Klinik für Urologie, Universitätsklinikum Salzburg, Salzburg, Austria

    Günther Janetschek

  4. Klinik für Urologie, Universitätsklinikum Dresden, Dresden, Germany

    Manfred Wirth

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Hegele, A., Varga, Z., Hofmann, R., Grosemans, P. (2015). Therapie der weiblichen Harninkontinenz. In: Michel, M., Thüroff, J., Janetschek, G., Wirth, M. (eds) Die Urologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-41168-7_87-1

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  • DOI: https://doi.org/10.1007/978-3-642-41168-7_87-1

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  • Online ISBN: 978-3-642-41168-7

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  1. Latest

    Therapie der weiblichen Harninkontinenz
    Published:
    09 November 2022

    DOI: https://doi.org/10.1007/978-3-642-41168-7_87-2

  2. Original

    Therapie der weiblichen Harninkontinenz
    Published:
    08 July 2015

    DOI: https://doi.org/10.1007/978-3-642-41168-7_87-1

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