Differentialdiagnostik der Leistenhernie aus urologischer Sicht

Bei Patienten mit klinischem Verdacht auf eine Leistenhernie sollte bei obstruktiver oder neurogener Miktionsstörung eine Herniation der Blase differentialdiagnostisch in Betracht gezogen werden. Anhand von zwei Kasuistiken wird diese Differentialdiagnose demonstriert. Bei einem Patienten mit obstru...

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Published in:Urologe. Ausgabe A 2005-03, Vol.44 (3), p.286-287
Main Authors: Gronau, E., Pannek, J.
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Language:ger
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Bladder
Hernias
Urology
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description Bei Patienten mit klinischem Verdacht auf eine Leistenhernie sollte bei obstruktiver oder neurogener Miktionsstörung eine Herniation der Blase differentialdiagnostisch in Betracht gezogen werden. Anhand von zwei Kasuistiken wird diese Differentialdiagnose demonstriert. Bei einem Patienten mit obstruktiv bedingter Herniation der Blase erfolgte vor der Hernioplastik die kausale Therapie im Sinne der transurethralen Prostataresektion (TUR-P). Die Spontanmiktion war anschließend problemlos möglich. Bei einer durch neurogene Miktionsstörung bedingten Hernie erfolgte primär die Hernioplastik. In patients with clinical findings suspicious for an inguinal hernia in combination with obstructive or neurogenic bladder dysfunction, herniation of bladder diverticula should be taken into consideration. This differential diagnosis is demonstrated by two case reports. In the patient with the hernia caused by obstructive micturition, we performed transurethral resection of the prostate (TUR-P) prior to resection of the diverticulum. Spontaneous micturition was possible after surgery. In the patient with the neurogenic bladder, we did the hernia repair and resection of the diverticulum primarily.[PUBLICATION ABSTRACT]
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subjects Bladder
Hernias
Urology
title Differentialdiagnostik der Leistenhernie aus urologischer Sicht
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