Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Soave, A; Dahlem, R; Rink, M; Ahyai, S; Fisch, M.
[Management of urinary incontinence after orthotopic urinary diversion].
Urologe A. 2012; 51(4):494-9
Doi: 10.1007/s00120-012-2814-9
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Ahyai Sascha
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- Abstract:
- Orthotopic urinary diversion (OUD) is performed in almost half of all radical cystectomies. This review presents an overview of the incidence, pathophysiology, and management of urinary incontinence (UI) after OUD. Daytime and nighttime UI are reported in up to 15% and 45% of cases after OUD, respectively. UI after OUD is more frequent in women. Stress incontinence is the most common reason for daytime urinary leakage, while an absent vesicourethral reflex with reduced external sphincter muscle tone is associated with nighttime UI. Conservative management has limited therapeutic value in UI after OUD. Surgical approaches include adjustable and nonadjustable slings as well as the ProACT® system in mild stress UI. Implantation of the artificial urinary sphincter system AMS 800® is the standard treatment for stress UI after OUD. Very limited data exist regarding results after implantation of newer artificial urinary sphincter systems such as the FlowSecure® and the Zephyr® ZSI 375 after OUD.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- Suburethral Slings - administration & dosage
- Treatment Outcome - administration & dosage
- Urinary Diversion - adverse effects
- Urinary Incontinence - etiology, surgery
- Urinary Sphincter, Artificial - administration & dosage
- Vesico-Ureteral Reflux - etiology, surgery
- Find related publications in this database (Keywords)
- Orthotopic urinary diversion
- Neobladder
- Urinary incontinence
- Artificial urinary sphincter
- Sling