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Therapie der Interstitiellen Zystitis

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Zusammenfassung

Die Diagnose „Interstitielle Zystitis“ wurde in den letzten Jahren zunehmend für einen Symptomenkomplex mit irritativer Miktionssymptomatik und chronischem Schmerz in der Blasenregion verwendet. Da aber besonders die initialen Symptome häufig eher unspezifisch sind, wird auch heute die Erkrankung wiederholt verkannt und als chronisch — bakterielle Zystitis, „Urethrales Syndrom“, Trigonitis, pseudomembranöse Trigonitis, Prostatitis, Prostatodynie oder subvesikale Blasenobstruktion fehlinterpretiert. Die Tatsache, dass neueste Untersuchungen zur Inzidenz und Praevalenz der Interstitiellen Zystitis belegen, dass die statistischen Zahlen nach oben korrigiert werden müssen, hat zu einer stetigen Zunahme der Berichte über wissenschaftliche Untersuchungen zur Klärung der Ätiologie und Pathogenese sowie der Therapieoptionen der Erkrankung geführt. Da sich das vorliegende Buch insbesondere als Therapieleitfaden für den praktisch tätigen Urologen versteht, sollen auch in diesem Kapitel schwerpunktmäßig die aktuell existierenden Behandlungsmöglichkeiten dieses komplexen Krankheitsbildes dargestellt werden. Dabei muß ausdrücklich darauf hingewiesen werden, dass es sich bei der Mehrzahl der bisher berichteten medikamentösen Behandlungsformen um experimentelle Therapieansätze handelt, die noch nicht in validierten klinischen Studien geprüft wurden.

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Machtens, S., Becker, A.J., Kuczyk, M.A. (2002). Therapie der Interstitiellen Zystitis. In: Truss, M.C., Stief, C.G., Machtens, S., Jonas, U., Wagner, T. (eds) Pharmakotherapie in der Urologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-09273-6_12

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  • DOI: https://doi.org/10.1007/978-3-662-09273-6_12

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