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Inkontinente Harnableitung

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Uroonkologie

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

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Zusammenfassung

Inkontinente Harnableitungen stellen die einfachste Form der Harnableitung dar, die Patienten bei bevorstehender Zystektomie am häufigsten angeboten werden.

Prinzipiell besteht die Möglichkeit, die Ureteren per Ureterokutaneostomie direkt über die Haut auszuleiten. Diese technisch einfachste Form der Harnableitung bietet den Vorteil, dass der Eingriff komplett extraperitoneal erfolgen kann, da der Darm nicht benötigt wird.

Die häufigste Form der inkontinenten Harnableitung ist das Conduit, dass meist aus Ileum und seltener aus Colon oder Jejunum geformt wird. Hieran werden dann die Ureteren anastomosiert und das Conduit anschließend über die Haut ausgeleitet.

Der Urinablauf wird in einem an der Haut angeklebten Beutel aufgefangen. Um eine optimale Beutelversorgung über ein geschlossenes System zu gewährleisten, müssen anatomische Gegebenheiten (z. B. Bauchfalten) sowie persönliche Gewohnheiten (z. B. Gürtellage) bei der Operationsplanung berücksichtigt werden.

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Authors and Affiliations

  1. Urologische Klinik, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    Philipp Reimold, Jan Philipp Radtke & Joanne Nyaboe Nyarangi-Dix

  2. Urologische Klinik, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    Markus Hohenfellner

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  1. Philipp Reimold
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  2. Markus Hohenfellner
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  3. Jan Philipp Radtke
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  4. Joanne Nyaboe Nyarangi-Dix
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Correspondence to Philipp Reimold .

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Editors and Affiliations

  1. Helios Marien Klinikum Duisburg, Duisburg, Nordrhein-Westfalen, Germany

    Herbert Rübben

  2. Urologische Klinik/Poliklinik, Universitätsklinikum Rostock, Rostock, Mecklenburg-Vorpommern, Germany

    Oliver Hakenberg

  3. Klinik und Poliklinik für Urologie , Universitätsklinikum Jena, Jena, Thüringen, Germany

    Marc-Oliver Grimm

  4. Caritaskrankenhaus St. Josef, Regensburg, Germany

    Maximilian Burger

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Reimold, P., Hohenfellner, M., Radtke, J.P., Nyarangi-Dix, J.N. (2019). Inkontinente Harnableitung. In: Rübben, H., Hakenberg, O., Grimm, MO., Burger, M. (eds) Uroonkologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54652-9_22-1

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  • DOI: https://doi.org/10.1007/978-3-662-54652-9_22-1

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