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Die Urologie pp 497–502Cite as

Indikation zur interventionellen Therapie bei Urolithiasis

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Zusammenfassung

Harnleitersteine führen in der Regel zu einer Abflussstörung der betroffenen Nieren und werden meist aufgrund von Schmerzen unmittelbar einer zumindest medikamentösen Therapie zugeführt. Unklarer ist die Situation bei den Nierensteinen, die teils über Jahre asymptomatisch bleiben und trotz Fehlen von Risikofaktoren beobachtet werden können. Wenn eine Therapie erforderlich wird, steht meist die komplette Reihe minimalinvasiver Verfahren, von ESWL über URS hin zur PCNL, zur Verfügung. Faktoren, welche die Entscheidung für ein Therapieverfahren beeinflussen sind Steingröße, Steinlokalisation, Steinzusammensetzung sofern bekannt, Risikofaktoren, Expertise und Patientenpräferenz.

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Authors and Affiliations

  1. Klinikum Sindelfingen, Klinik für Urologie, Arthur-Gruber-Str. 70, 71065, Sindelfingen, Deutschland

    Thomas Knoll

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  1. Thomas Knoll
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Correspondence to Thomas Knoll .

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Editors and Affiliations

  1. Universitätsklinikum Mannheim, Klinik für Urologie, Mannheim, Baden-Württemberg, Germany

    Maurice Stephan Michel

  2. Klinik für Urologie, Universitätsklinik Mannheim, Mainz, Germany

    Joachim W. Thüroff

  3. Abt. für Urologie, Universitätsklinikum Salzburg, Salzburg, Austria

    Günther Janetschek

  4. Klinik und Poliklinik für Urologie, Univer Tech Univ Dresden, Dresden, Germany

    Manfred Wirth

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© 2016 Springer-Verlag Berlin Heidelberg

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Knoll, T. (2016). Indikation zur interventionellen Therapie bei Urolithiasis. In: Michel, M., Thüroff, J., Janetschek, G., Wirth, M. (eds) Die Urologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39940-4_41

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  • DOI: https://doi.org/10.1007/978-3-642-39940-4_41

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-39939-8

  • Online ISBN: 978-3-642-39940-4

  • eBook Packages: Medicine (German Language)

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