{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T05:13:44Z","timestamp":1776316424497,"version":"3.50.1"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n      Die Integrit\u00e4t, Kontrolle und Steuerung des Harntrakts unterliegen einer komplexen neuronalen Steuerung mit Anteilen des sympathischen, parasympathischen und somatischen Nervensystems. Das R\u00fcckenmark nimmt in der Steuerung, aber auch als Transmitter der motorischen und sensorischen Bahnen eine zentrale Rolle ein. Die St\u00f6rung der Blasenfunktion und die konsekutive Nierenfunktionsst\u00f6rung war vor einer halben Dekade noch die h\u00e4ufigste Todesursache f\u00fcr Patienten mit R\u00fcckenmarkverletzungen\/-erkrankungen (QSL). Die Fortschritte in Diagnostik und Therapie in der Neuro-Urologie, haben einen wesentlichen Anteil daran, dass aktuell die urologische Problematik nicht mehr lebenslimitierend ist. Neben der eigentlichen Funktion des Harntrakts, sind aber auch die komplexen Interaktionen bei einem Patienten mit QSL entscheidend. Nicht ausreichend therapierte Detrusor\u00fcberaktivit\u00e4t mit Autonomer Dysreflexie, Inkontinenz mit sekund\u00e4ren Hautver\u00e4nderungen, oder die fehlende Handfunktion zur Durchf\u00fchrung des intermittierenden Selbstkatheterismus, sind Themen, die bei Betreuung dieser Patienten interdisziplin\u00e4r evaluiert werden m\u00fcssen. Die R\u00fcckenmarkverletzung\/-erkrankung impliziert eine Vielzahl von Funktionsst\u00f6rungen und sekund\u00e4ren Beeintr\u00e4chtigungen des Organismus. Neben der Blasenfunktion, spielt auch die Sexualfunktionsst\u00f6rung eine wesentliche Rolle. Insbesondere bei jungen Patienten, die vor oder in der Phase der Familienplanung eine Querschnittl\u00e4hmung erleiden, ist die St\u00f6rung und Einschr\u00e4nkung ein wesentlicher Grund f\u00fcr die Reduktion der Lebensqualit\u00e4t. Zus\u00e4tzlich kommt der neurogenen Darmfunktionsst\u00f6rung eine entscheidende Rolle in Bezug auf Lebensqualit\u00e4t und Bew\u00e4ltigung des Alltags zu.\n    <\/jats:p><jats:p>\n    In den letzten Jahren haben sich die neuro-urologischen Themengebiete deutlich erweitert. Der Fokus unserer Arbeit liegt schon lange nicht mehr nur beim Harntrakt und der Urodynamik. Insbesondere die Diagnostik und Therapie der neurogenen Darmfunktionsst\u00f6rung liegt zunehmend in der Hand des Neuro-Urologen. Im komplexen Bild der Querschnittl\u00e4hmung interagieren Blasen-, Darm- und Sexualfunktionsst\u00f6rungen, sodass diese sich auch gegenseitig beeinflussen. Eine lebenslange und regelm\u00e4\u00dfige neuro-urologische Betreuung dieser Patienten an einem Querschnittzentrum ist daher f\u00fcr die nachhaltige Betreuung und Reintegration entscheidend. Und nicht zuletzt sind es genau diese neuro-urologischen Themen, wie Harnwegsinfekte, Harn- und Stuhlinkontinenz und Koprostase die am h\u00e4ufigsten zu einer Rehospitalisierung f\u00fchren.\n    <\/jats:p>","DOI":"10.1055\/a-2252-0323","type":"journal-article","created":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T23:13:16Z","timestamp":1719529996000},"page":"308-314","source":"Crossref","is-referenced-by-count":1,"title":["Stellenwert der neuro-urologischen Betreuung von Patienten mit R\u00fcckenmarkverletzungen\/-erkrankungen"],"prefix":"10.1055","volume":"55","author":[{"given":"Jens","family":"W\u00f6llner","sequence":"additional","affiliation":[{"name":"Schweizer Paraplegiker Zentrum, Nottwil, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ines","family":"Kurze","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Paraplegiologie und Neuro-Urologie, Zentralklinik Bad Berka Gmbh, Bad Berka, 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