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Harnableitung

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Uroonkologie

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Die Ziele der Harnableitung nach Zystektomie haben sich von der simplen Ableitung des Harns und dem Schutz des oberen Harntraktes zur funktionellen und anatomischen Rekonstruktion, die dem natürlichen präoperativen Zustand so nahe als möglich kommt, entwickelt. Die Evolution der Harnableitung lief über die drei klar definierten Wege der inkontinenten kutanen Harnableitung (Conduit), der kontinenten kutanen Harnableitung (Pouch) schlussendlich zur kontinenten Harnableitung zur intakten eigenen Harnröhre (Neoblase, orthotope Rekonstruktion). Während der letzten 20 Jahre hat sich die orthotope Rekonstruktion über das Stadium experimentelle Chirurgie über die Standardharnableitung an größeren urologischen Zentren bis zur bevorzugten Methode der Harnableitung bei beiden Geschlechtern entwickelt. In diesem Zeitraum wurde das Conduit zunehmend durch die orthotope Rekonstruktion verdrängt. Das Conduit ist dabei aber die Standardharnableitung geblieben, gegen die alle anderen Verfahren gemessen werden müssen.

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Authors and Affiliations

  1. Universitätsklinikum Ulm, Prittwitzstraße 43, 89075, Ulm

    Prof. Dr. med. R. Hautmann (Direktor der Klinik für Urologie und Kinderurologie)

  2. Inselspital, CH-3010, Bern

    Prof. Dr. med. U.E. Studer (Direktor der Klinik und Poliklinik für Urologie)

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  1. Prof. Dr. med. R. Hautmann
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  2. Prof. Dr. med. U.E. Studer
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  1. Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen

    Herbert Rübben (Direktor der Klinik und Poliklinik für Urologie) (Direktor der Klinik und Poliklinik für Urologie)

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Hautmann, R., Studer, U. (2007). Harnableitung. In: Rübben, H. (eds) Uroonkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33848-2_10

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