Bildgebung bei Harninkontinenz

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• 作者：Dr. I. Soljanik ; K. Brocker ; O. Solyanik ; C.G. Stief ; R. Anding&#8230
• 关键词：Prostatektomie ; Sonographie ; Magnetresonanztomographie ; Beckenboden ; Diagnostik ; Prostatectomy ; Ultrasonography ; Magnetic resonance imaging ; Pelvic floor ; Diagnostic imaging
• 刊名：Der Urologe A
• 出版年：2015
• 出版时间：July 2015
• 年：2015
• 卷：54
• 期：7
• 页码：963-971
• 全文大小：648 KB
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• 作者单位：Dr. I. Soljanik (1) r> K. Brocker (2) r> O. Solyanik (3) r> C.G. Stief (4) r> R. Anding (5) r> R. Kirschner-Hermanns (5) r>r>1. Neuro-Urologie, Klinik f眉r Paraplegiologie, Department f眉r Orthop盲die, Unfallchirurgie und Paraplegiologie, Universit盲t Heidelberg, Schlierbacher Landstra脽e 200a, 69118, Heidelberg, Deutschland r> 2. Klinik f眉r Gyn盲kologie und Geburtshilfe, Universit盲t Heidelberg, Heidelberg, Deutschland r> 3. Institut f眉r diagnostische und interventionelle Neuroradiologie, Medizinische Hochschule Hannover, Hannover, Deutschland r> 4. Urologische Klinik und Poliklinik, Klinikum der Universit盲t M眉nchen-Gro脽hadern, Ludwig-Maximilians-Universit盲t M眉nchen, M眉nchen, Deutschland r> 5. Neuro-Urologie/Urologische Klinik, Universit盲tsklinikum Rheinische Friedrich-Wilhelms-Universit盲t, Bonn und Neurologisches Rehabilitationszentrum鈥?Godesh枚he e.V., Bonn, Deutschland r>
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Healthr>Urology and Andrologyr>
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-0563

文摘

Background Ultrasonography and functional cine magnetic resonance imaging (MRI) are noninvasive and x-ray free tools, which are currently widely used in clinical diagnostics and scientific research of male and female urinary incontinence. The increasing use and improving techniques of modern imaging tools are closely linked to rapid development of minimally invasive surgery in patients with urinary incontinence and insights gained in continence mechanisms. Methods Whereas ultrasonography is a cost-efficient and readily available diagnostic tool for a routine use, the more expensive functional MRI, as a tool with more precise visualization of functional interactions and spatial representation of anatomical structures of the pelvic floor, is suitable for complex diagnostic purposes and scientific research. Both tools are already well established for evaluations of the female pelvic floor. For evaluation of the male pelvic floor, and in particular postprostatectomy incontinence, perineal ultrasonography and functional cine MRI are becoming increasingly evident. Conclusion Further development of both imaging tools will contribute to new insights into the continence mechanism and improve the techniques of radical prostatectomy and minimally invasive surgery of male and female urinary incontinence in the future.