Wo steht die rekonstruktive Urologie heute?

Despite the progress of conservative treatment options for many urological diseases, surgical treatment is essential. The establishment and development of reconstructive urology has the objective of preservation, restoration or replacement of organ functions. Primarily, it is a substitute for radical reconstructive surgery of urological tumors in the region of the upper and lower urinary tract and the surgical correction of congenital and acquired anomalies and malformations of the urinary tract. Congenital malformations, trauma or cancer surgery often require so-called reconstructive surgical techniques to normalize or organ function restore; i.e. plastic and esthetic unprovments achieved by pyeloplasty for UPG or organ replacement for post cystectomy patients. It may be plastic, aesthetic corrections, as in case of malfunction of the urinary tract (stenosis of the uper uritric pelvic junction) or organ replacement, as state after radical cystectomy for bladder cancer. Through the application of minimally invasive surgical techniques in urology such as endoscopy and laparoscopy, this led in recent years to an expansion of the spectrum of reconstructive surgical urology in the treatment of urological emergencies as part of multiple trauma and improved the quality of life of patients. This paper deals with the developments of some selected reconstructive surgical techniques in recent years, that had a major change in the indication and surgical techniques.

Abstract licence: CC BY

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