{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T23:00:53Z","timestamp":1785452453271,"version":"3.56.0"},"reference-count":100,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Anorektale Malformationen (ARM) umfassen ein breites Spektrum und gehen in bis zu 70% der\n      F\u00e4lle mit Begleitfehlbildungen einher. Mit dem verbesserten Langzeit\u00fcberleben r\u00fccken das\n      funktionelle Ergebnis und eine strukturierte Transition in die Erwachsenenmedizin in den\n      Vordergrund.Diese \u00dcbersichtsarbeit fasst die zentralen Aspekte der lebenslangen\n      urologischen Nachsorge bei ARM zusammen. Dazu geh\u00f6ren aktuelle Entwicklungen in den\n      Operationstechniken sowie urologische Herausforderungen wie der persistierende Fistelrest\n      (engl. remnant of original fistula, ROOF), iatrogene urogenitale\n      Verletzungen, Blasenfunktionsst\u00f6rungen und Harninkontinenz, rezidivierende\n      Harnwegsinfektionen, chronische Niereninsuffizienz sowie Einschr\u00e4nkungen von Sexualfunktion\n      und Fertilit\u00e4t.Vorgestellt wird ein risikoadaptiertes Nachsorgekonzept mit strukturierter\n      Anamnese (Miktions- und Stuhlprotokollen), Sonografie, laborchemischer\/mikrobiologischer\n      Diagnostik und funktioneller Abkl\u00e4rung (Uroflowmetrie, Urodynamik). Es bildet die Grundlage\n      der weiteren konservativen (Urotherapie, Bowel Management, intermittierender Katheterismus)\n      und operativen Therapiestrategien. Da f\u00fcr das Erwachsenenalter bislang kaum Nachsorgeschemata\n      vorliegen, sind eine risikostratifizierte interdisziplin\u00e4re Langzeitbetreuung und eine\n      fr\u00fchzeitig geplante Transition entscheidend.<\/jats:p>","DOI":"10.1055\/a-2883-3894","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T22:51:16Z","timestamp":1785451876000},"page":"380-391","source":"Crossref","is-referenced-by-count":0,"title":["Lebenslange urologische Nachsorge bei anorektalen Malformationen: Kontinenz, Harnwegsinfektionen, Nieren- und Sexualfunktion"],"prefix":"10.1055","volume":"57","author":[{"given":"Luisa","family":"Weil","sequence":"additional","affiliation":[{"name":"University Medical Center Mannheim, University of Heidelberg, Baden-W\u00fcrttemberg, Germany","place":["Mannheim"],"department":["Center of Pediatric, Adolescent and Reconstructive Urology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Boettcher","sequence":"additional","affiliation":[{"name":"University Medical Center Mannheim, University of Heidelberg, Baden-W\u00fcrttemberg, Germany","place":["Mannheim"],"department":["Department of Pediatric Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7064-9687","authenticated-orcid":false,"given":"Marietta","family":"Jank","sequence":"additional","affiliation":[{"name":"University Medical Center Mannheim, University of Heidelberg, Baden-W\u00fcrttemberg, Germany","place":["Mannheim"],"department":["Department of Pediatric Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.euros.2021.01.007","article-title":"Long-term Functional Urinary and Sexual Outcomes in 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