Harninkontinenz nach radikaler Prostatektomie: Risikofaktoren und Versorgungssituation

Zusammenfassung

Belastungsinkontinenz ist ein relevantes Risiko der radikalen Prostatektomie (RPE), welche die Lebensqualität der Betroffenen deutlich beeinträchtigt. Das Risiko eine Belastungsinkontinenz zu entwickeln hängt von prä-, intra- und postoperativen Faktoren ab. Insbesondere intraoperative Faktoren im Sinne unterschiedlicher OP-Techniken stehen dabei oft im Fokus, um die Kontinenzraten zu verbessern. Wenn es zur Belastungsinkontinenz nach RPE kommt, sollten die Betroffenen adäquat behandelt werden. Hier zeigen sich in Deutschland Hinweise auf ein Versorgungsdefizit. Zum einen gibt es Defizite in der Nutzung von Inkontinenzmaterialien. Zum anderen zeigt sich eine unzureichende operative Therapie der Belastungsinkontinenz nach RPE.

Abstract

Stress urinary incontinence is a relevant risk of radical prostatectomy (RP), which significantly affects patients’ quality of life. The risk of developing stress urinary incontinence depends on pre-, intra- and postoperative factors. In particular, intraoperative factors regarding different surgical techniques are often focused on in order to improve continence rates. If stress urinary incontinence develops after RPE, patients affected should be treated adequately. In this respect, there are indications of healthcare insufficiencies in Germany. On the one hand, these include deficits in the use of incontinence materials. On the other hand, surgical treatment of stress urinary incontinence after RPE is insufficient.

Schlüsselwörter

Belastungsinkontinenz - radikale Prostatektomie - Versorgungssituation

Keywords

radical prostatectomy - healthcare utilisation - stress urinary incontinence

Publication History

Received: 23 April 2023

Accepted: 17 May 2023

Article published online:
22 June 2023

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