[Devastated bladder outlet-suprapubic catheter vs. reconstruction]. / Der zerstörte Blasenauslass ("devastated bladder outlet") suprapubischer Katheter vs. Rekonstruktion.
Urologe A
; 59(4): 408-415, 2020 Apr.
Article
in De
| MEDLINE
| ID: mdl-32125449
ABSTRACT
The combination of a severe urethral sphincter defect with simultaneous development of recurrent bladder outlet obstruction characterizes a "devastated bladder outlet", which often is not surgically reconstructable. Clinically, quality of life is considerably compromised in affected patients with a wide variance of symptoms, mostly complete incontinence, but also urinary retention. This condition is usually preceded by multiple endoscopic interventions or even open surgical procedures, occasionally also in combination with radiotherapy of the pelvic region as part of multimodal oncological therapy. Treatment of these cases is complex and limited to few promising procedures. A potential therapy should primarily include the decision about the possibility of preserving the urinary bladder. In individual cases, this can result in simple therapy options while at the same time maintaining an acceptable quality of life for those affected. If there is no possibility of a refunctionalization of the original bladder, supravesical urinary diversion is indicated as a last-resort therapy. This paper provides a review as well as the limits and possibilities of conservative and surgical treatment options for a devastated bladder outlet.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Urinary Incontinence
/
Urinary Bladder Neck Obstruction
/
Cystostomy
/
Urinary Retention
Type of study:
Prognostic_studies
Aspects:
Patient_preference
Limits:
Humans
/
Male
Language:
De
Journal:
Urologe A
Year:
2020
Document type:
Article