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Retrograde Untersuchung des Harntraktes

  • J. W. Thüroff

Zusammenfassung

Die instrumentelle Untersuchung des Harntraktes aus diagnostischen oder therapeutischen Gründen erfolgt über unterschiedliche Zugangswege. Als Orientierungshilfe gibt es zahlreiche Möglichkeiten, wobei die bildgebenden Verfahren überwiegen (Tabelle 10.1). Die Katheterisierung der Harnröhre ist ein typischer retrograder Eingriff, der gewöhnlich „blind“, d.h. ohne genaue Information über die individuelle Anatomie, vorgenommen wird. Besteht ein Verdacht auf eine anatomische Abweichung im Zugangsweg zum Harntrakt, so sollte dies vorher sicherheitshalber abgeklärt werden. Die sicherste Instrumentation auf transurethralem und transureteralem retrogradem Weg ist die Endoskopie. Durch Röntgenaufnahmen mit KM (retrograd oder intravenös injiziert) kann man eventuelle Schwierigkeiten oder das Ausmaß eines endochirurgischen Eingriffs vorher abklären (z.B. Inzision einer Harnröhrenstriktur).

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Literatur

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Copyright information

© Springer-Verlag Berlin Heidelberg 1992

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  • J. W. Thüroff

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