{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T10:50:18Z","timestamp":1648983018155},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Das Blasenkarzinom ist bei Frauen ein eher seltener Tumor. In der noch selteneren Konstellation eines invasiven Karzinoms oder in einer High-Risk-Situation mit der Indikation der Zystektomie stellt sich die Frage nach der ad\u00e4quaten Harnableitung.<\/jats:p><jats:p>Die Wahl der Harnableitung wird bestimmt von den vorliegenden individuellen Gegebenheiten seitens des Tumors, der Patientin und den Erfahrungen und Pr\u00e4ferenzen des Operateurs.<\/jats:p><jats:p>F\u00fcr den Blasenersatz steht eine ganze Palette an Alternativen zur Verf\u00fcgung. Die Entscheidung muss zun\u00e4chst zwischen den Optionen einer inkontinenten Ableitung mit Stomaanlage wie Ureterokutaneostomie oder Ileum-Conduit und den wesentlich aufwendigeren Techniken der kontinenten Varianten des orthotopen oder heterotopen Ersatzes getroffen werden.<\/jats:p><jats:p>Dabei sind bei Frauen die vorliegenden Erfahrungen mit den kontinenten Varianten deutlich geringer als bei M\u00e4nnern und vor allem der orthotope Anschlu\u00df an die Harnr\u00f6hre beinhaltet im Gegensatz zu den inkontinenten Formen des Blasenersatzes und der heterotopen Ableitung geschlechtsspezifische Unterschiede.<\/jats:p><jats:p>F\u00fcr die verschiedenen Varianten gibt es insgesamt klare Ein- oder Ausschlu\u00dfkriterien. Schwierig wird es eher in Graubereichen, f\u00fcr welche Form der Harnableitung man sich vor dem Eingriff entscheidet. Auf keinen Fall kann dies generell, sondern muss in jedem Fall individuell entschieden werden. Daf\u00fcr bedarf es unter anderem auch umfangreicher Kenntnisse seitens des Operateurs \u00fcber die verschiedenen Optionen der Operationsmethoden, deren Probleme und Komplikationsm\u00f6glichkeiten sowie insbesondere auch deren Beherrschung.<\/jats:p>","DOI":"10.1055\/a-1377-2328","type":"journal-article","created":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T22:53:44Z","timestamp":1619564024000},"page":"268-275","source":"Crossref","is-referenced-by-count":1,"title":["Harnableitung nach uro-onkologischen Eingriffen bei Frauen: was bei wem?"],"prefix":"10.1055","volume":"52","author":[{"given":"Alexander","family":"Lampel","sequence":"additional","affiliation":[{"name":"Schwarzwald-Baar Klinikum Villingen-Schwenningen GmbH, Klinik f\u00fcr Urologie und Kinderurologie, Villingen-Schwenningen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Schultz-Lampel","sequence":"additional","affiliation":[{"name":"Schwarzwald-Baar Klinikum 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