6533b7defe1ef96bd127655a
RESEARCH PRODUCT
Kinder und Jugendliche mit neurogener Blasenfunktionsst�rung
Joachim W. ThüroffRolf BeetzRaimund Steinsubject
medicine.medical_specialtybusiness.industryUrologymedicine.medical_treatmentUrinary diversionUrinefemale genital diseases and pregnancy complicationsSurgerySerous fluidUrethramedicine.anatomical_structureBladder augmentationStoma (medicine)Orthopedic surgerymedicinebusinessUpper urinary tractdescription
After the failure of conservative treatment in patients with neurogenic bladders, urinary diversion is a viable compromise between the urologist's concerns and the patient's desire, as the upper urinary tract can be protected in the long-term and high continence rates can be provided. This can be achieved with an acceptable complication rate. Our indications for orthotopic bladder augmentation or substitution involve patients with a good orthopedic condition and mobility, who find it easy to perform CISC through the urethra. A continent umbilical stoma offers a good alternative in obese, immobile or wheelchair bound patients. The serous lined extramural tunnel technique has proven to be superior to submucosal implantation in patients with fibrotic and dilated ureters.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2004-04-01 | Der Urologe A |