1,645 results match your criteria Aktuelle Urologie[Journal]


[Biomarkers for renal cell tumours].

Aktuelle Urol 2021 Jun 22. Epub 2021 Jun 22.

Klinik für Urologie und Kinderurologie, Universitätsklinikum des Saarlandes, Homburg/Saar.

During the last three decades, renal tumours have become increasingly well differentiated on the basis of their histopathological and molecular features. This subtyping has increasingly impacted clinical practice because more therapeutic options are available in organ-confined and metastatic renal cell tumours. The knowledge of the underlying molecular alterations is essential to develop molecular targeted therapies and to select the most effective systemic therapy for each patient. Read More

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[Relationship between non-medical reading and burnout as well as professional satisfaction among urologists with migrant background: results of the EUTAKD survey study conducted at German hospitals].

Aktuelle Urol 2021 Jun 17. Epub 2021 Jun 17.

Klinik für Urologie und Kinderurologie, Ruppiner Kliniken GmbH, Medizinische Hochschule Brandenburg Theodor Fontane, Neuruppin, Deutschland.

Background: There are no study results on the private and professional satisfaction and the burnout risk of urologists with a migrant background at German hospitals to date. Non-medical reading has been described to have an influence on lower burnout rates among physicians of different specialties.

Material And Methods: A SurveyMonkey questionnaire with 101 items on criteria characterising the study participant, questions on private and professional satisfaction and the complete Maslach Burnout Inventory was opened to urologists with a migrant background at German clinics between August and October 2020. Read More

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[Antibiotic resistance and antibiotic consumption in a region - using the example of community-acquired urinary tract infections].

Aktuelle Urol 2021 Jun 16. Epub 2021 Jun 16.

Universitätsklinikum Gießen und Marburg GmbH, Klinik für Urologie, Kinderurologie und Andrologie, Gießen.

Background:  In sight of increasing bacterial resistances, appropriate and cautious antibiotic therapy (antibiotic stewardship) is becoming more and more important, in private practices as well. A current S3 guideline is available for the treatment of uncomplicated urinary tract infections, which recommends that regular epidemiological examinations of pathogen sensitivity are to be carried out promptly and locally. With this said, the antibiotic prescriptions of the resident doctors in Hesse were examined and compared with the sensitivity of the most important pathogens causing urinary tract infections. Read More

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[Robot-assisted surgery for renal cell carcinoma - today a standard?]

Aktuelle Urol 2021 Jun 9. Epub 2021 Jun 9.

Klinik für Urologie und Kinderurologie, Universitätsklinikum des Saarlandes, Homburg/Saar, Deutschland.

Twenty years have passed since the first reports on robot-assisted kidney tumor surgery in 2001. However, robotic surgery has not spread to all German urologic departments yet. Hence, one has to question whether robot-assisted kidney tumor surgery can be considered a standard today. Read More

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[The role of the microbiome in urological diseases].

Aktuelle Urol 2021 Jun 8. Epub 2021 Jun 8.

Urologische Klinik und Poliklinik, Klinikum der Ludwig-Maximilians-Universität München, Campus Großhadern, München, Deutschland.

The use of modern molecular technologies in the last decade has given us new insights into the complex interactions of the human microbiome in health and in the pathogenesis of diseases. Among other things, the sterility concept of the urinary tract has been discarded and the goal is now to identify the different microbial signatures associated with various diseases. Dysbalances of the microbiome are increasingly suspected of causing negative effects on various malignant and benign diseases. Read More

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[Osteoprotection in the management of metastatic prostate cancer: real-world data from Germany and decision guidance].

Aktuelle Urol 2021 Jun 1. Epub 2021 Jun 1.

Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Klinik für Urologie, Lübeck.

Objective: Osteoprotective medications are a key element not only in the management of bone metastases of castration-resistant prostate cancer (mCRPC) but also of hormone-sensitive prostate cancer (mHSPC). Additionally, osteoprotective drugs can prevent androgen deprivation-induced bone loss. The aim of this study was to illustrate the practice pattern of osteoprotection for prostate cancer patients in Germany. Read More

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[Adverse drug reaction affecting the urinary tract - the Witten urinary tract adverse reaction score].

Aktuelle Urol 2021 May 31. Epub 2021 May 31.

Lehrstuhl für Geriatrie, Universität Witten/Herdecke.

The urinary tract is the site of many adverse drug reactions, including the formation of residual urine, urinary retention, pollakisuria, polyuria, nycturia, detrusor stimulation, detrusor inhibition, haematuria, dysuria and other symptoms. Nevertheless, there is no general overview or evaluation of the substances that can trigger these adverse drug reactions. The available lists of "potential inadequate medication" either focus on a pharmacological group of adverse reactions ("anticholinergic burden score"), a group of drugs for a specific indication (LUTS-Forta) or on a selected group of patients (PRISKUS List, Beers List). Read More

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[Diagnostic testing of female urinary incontinence: dos and dont's].

Aktuelle Urol 2021 Jun 21;52(3):237-244. Epub 2021 May 21.

Universitätsklinikum Bonn, Klinik und Poliklinik für Urologie und Kinderurologie, Abteilung Neuro-Urologie, Bonn.

Urinary incontinence causes significant limitations in quality of life and reduces mental and physical health. It is a widespread and chronic disease. About 200 million people are affected by urinary incontinence worldwide. Read More

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Neoadjuvante Therapieschemen kombiniert mit adjuvanter Therapie bei muskelinvasivem Blasenkrebs vor bzw. nach radikaler Zystektomie.

Aktuelle Urol 2021 06 21;52(3):220-221. Epub 2021 May 21.

Organgruppensprecherin der Arbeitsgemeinschaft Urologische Onkologie in der Deutschen Krebsgesellschaft e. V., Kuno-Fischer-Str. 8, 14057 Berlin.

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Second-/Third-Line Therapie nach Versagen eine Next-Generation-Hormontherapie (NHA) und ggf. Second-Line-Therapie mit Abirateron bei metastasiertem Prostatakarzinom (mCRPC).

Aktuelle Urol 2021 06 21;52(3):218-219. Epub 2021 May 21.

Organgruppensprecher der Arbeitsgemeinschaft Urologische Onkologie in der Deutschen Krebsgesellschaft e. V., Kuno-Fischer-Str. 8, 14057 Berlin.

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Behandlung des Lichen sclerosus mit intraurethralen Steroiden.

Authors:

Aktuelle Urol 2021 06 21;52(3):214-216. Epub 2021 May 21.

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Blasenaugmentation mit Gewebeersatz aus Dünndarmsubmukosa.

Authors:

Aktuelle Urol 2021 06 21;52(3):210-214. Epub 2021 May 21.

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Posteriore Urethroplastik nach Beckenfraktur.

Authors:

Aktuelle Urol 2021 06 21;52(3):206-208. Epub 2021 May 21.

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[Female urology].

Aktuelle Urol 2021 06 21;52(3):235-236. Epub 2021 May 21.

Urologische Klinik und Poliklinik, Klinikum der Universität München - Campus Großhadern, Ludwig-Maximilians-Universität, München, Deutschland.

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[Recent developments in the treatment of metastatic hormone-sensitive prostate cancer (mHSPC)].

Aktuelle Urol 2021 May 18. Epub 2021 May 18.

Diakonie-Klinikum Stuttgart, Urologische Klinik, Stuttgart.

Despite major developments in the therapy of advanced prostate cancer over the past decade, there was still an unmet medical need for efficacious and safe therapies suitable for a wide patient population of patients with metastatic hormone-sensitive disease.Since its label extension for the treatment of metastatic hormone-sensitive prostate cancer (mHSPC) at the beginning of 2020, apalutamide in combination with androgen deprivation therapy (ADT) has filled this gap 1. The novel androgen receptor inhibitor showed good efficacy and safety in comparison with placebo in the pivotal study TITAN while maintaining quality of life - the study included patients irrespective of risk, disease volume, or time of diagnosis 2. Read More

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CT and pathological features in renal parenchymal malakoplakia: a case report and review of the literature.

Authors:
Yuanfen Yang

Aktuelle Urol 2021 May 18. Epub 2021 May 18.

Departments of Radiology, Xintai people's Hospital, Xintai, China.

Renal malakoplakia is a rare form of chronic inflammatory granulomatous disease in the kidney. It occurs in adult patients with immunocompromised status or debilitating disease. In the present study, we reported a case of a 50-year-old woman with no underlying disease. Read More

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[Prostate biopsy 2021: current management].

Aktuelle Urol 2021 May 12. Epub 2021 May 12.

Justus-Liebig-Universität Gießen, Klinik für Urologie, Kinderurologie und Andrologie, Giessen.

Infectious complications following prostate biopsy are on the rise due to an increase in antimicrobial resistance, mainly against fluoroquinolones. The use of fluoroquinolones for perioperative prophylaxis is no longer approved by the national authorities in Germany. The EAU guideline group on urological infections has recently published a meta-analysis in two parts based on randomised controlled trials (RCTs). Read More

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[Robot-assisted laparoscopic bladder diverticulum resection (RABDR)].

Aktuelle Urol 2021 May 11. Epub 2021 May 11.

Sozialstiftung Bamberg, Klinik für Urologie, Kinderurologie und roboterassistierte minimalinvasive Urologie, Bamberg.

Aims:  Since October 2018, urinary bladder diverticulum resections at our Department of Urology have been carried out with robot assistance and with minimal invasivion, Paediatrical urological and robot-assisted minimally invasive urological surgery for the Bamberg Social Foundation were performed with the DaVinci robotic system. The aim of the present study was to record the surgical results of our patients and to compare these if necessary with available data on optimal diagnostic and therapy.

Methods:  In this retrospective analysis, we included all patients who received RAHDR between October 2018 and March 2020. Read More

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[Robotic-assisted resection of a symptomatic Müllerian duct cyst].

Aktuelle Urol 2021 May 5. Epub 2021 May 5.

Helios Universitätsklinikum Wuppertal, Universität Witten/Herdecke, Klinik für Urologie und Kinderurologie, Wuppertal.

Cysts in the lesser pelvis are a rare disease and most often an incidental finding from routine diagnostic investigation. Published information is controversial. These cysts are distinguished by localisation, content of the cyst and accompanying anatomical anomalies. Read More

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[Urinary diversion after uro-oncologic interventions in women: the right procedure for the right patient].

Aktuelle Urol 2021 Jun 27;52(3):268-275. Epub 2021 Apr 27.

Schwarzwald-Baar Klinikum Villingen-Schwenningen GmbH, Klinik für Urologie und Kinderurologie, Villingen-Schwenningen.

Bladder carcinoma is a relatively rare tumour in women. The even rarer constellation of an invasive carcinoma or a high-risk situation when cystectomy is indicated requires adequate urinary diversion.The individual underlying circumstances of tumour and patient and the experience and preferences of the surgeon determine the choice of urinary diversion. Read More

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[New aspects in Fournier's gangrene - a rapid review].

Aktuelle Urol 2021 Apr 21. Epub 2021 Apr 21.

Universitätsmedizin Rostock, Urologische Klinik und Poliklinik, Rostock.

Fournier's gangrene (FG) is a sporadic, life-threatening, necrotising infection affecting the perineum, perineal region and genitals. Published literature provides hints that the outcome of this disease has failed to improve in recent years. We have therefore performed a rapid evidence synthesis by searching the database MEDLINE. Read More

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[Non-metastatic castration-resistant prostate cancer (M0CRPC) - Apalutamide in high-risk M0CRPC: case reports from the SPARTAN study and the apalutamide compassionate use program].

Aktuelle Urol 2021 Apr 21. Epub 2021 Apr 21.

Universitätsklinikum Münster, Urology, Münster.

The occurrence of distant metastases represents a prognostically unfavourable turning point in non-metastatic castration-resistant prostate cancer (M0CRPC). M0CRPC patients with a short PSA doubling time have a particularly high risk of progression. For a long time, there was no further treatment option for these patients apart from watchful waiting while maintaining classic androgen deprivation therapy (ADT). Read More

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[Therapeutic options in female stress urinary incontinence].

Authors:
Albert Kaufmann

Aktuelle Urol 2021 Jun 19;52(3):245-254. Epub 2021 Apr 19.

Kliniken Maria Hilf GmbH, Zentrum für Kontinenz und Neuro-Urologie, Mönchengladbach.

Stress urinary incontinence in female patients is characterised by loss of urine without the need to urinate. Causes are manifold and require a good knowledge of the pelvic floor structures and the functionality of the bladder's occlusion system. Before any treatment can be initiated, differentiated diagnostic investigation must uncover the causes in order to be able to show incontinent women the ideal therapeutic options. Read More

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[Surgery during pregnancy - a taboo?]

Aktuelle Urol 2021 Jun 15;52(3):276-280. Epub 2021 Apr 15.

Universitätsklinikum Essen, Klinik und Poliklinik für Urologie, Kinderurologie und Uroonkologie, Essen.

When a pregnancy is announced, the normal working day is transformed for the urologists concerned. For fear of legal consequences, pregnant employees are still hardly allowed to operate. However, the new provisions of the Maternity Protection Act do not fundamentally exclude pregnant urologists from working and operating. Read More

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[Contemporary management of urethral strictures in women].

Aktuelle Urol 2021 Jun 15;52(3):260-267. Epub 2021 Apr 15.

Klinik und Poliklinik für Urologie, Universitätsklinikum Hamburg-Eppendorf.

Urethral strictures in women are rare and patients may present with varying symptoms. Hence, clinical guidelines regarding diagnostic algorithms and treatment approaches are scarce. Several small case series have presented results for several operative techniques, but patient cohorts are generally heterogeneous and relatively small, which hampers reliable comparability across institutions. Read More

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