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    1170 results match your criteria Aktuelle Urologie[Journal]

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    [The use of partial nephrectomy in the treatment of patients with pT1/pT2 renal cell carcinoma: a trend analysis from a tertiary referral centre].
    Aktuelle Urol 2017 Nov 16. Epub 2017 Nov 16.
    Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Klinik für Urologie, Berlin, Deutschland.
    Introduction In patients with localised renal cell carcinoma, the only curative treatment option is surgical tumour excision. Current national and European guidelines recommend partial nephrectomy in the form of an open or minimally-invasive procedure in case of small tumours. The aim of this study was to examine the use of radical (RN) or partial (PN) nephrectomy performed as open or minimally-invasive procedures in patients with pT1 /pT2 renal cell carcinoma at a tertiary referral centre. Read More

    Relation between Monocyte to High-Density Lipoprotein Cholesterol Ratio and Presence and Severity of Erectile Dysfunction.
    Aktuelle Urol 2017 Nov 16. Epub 2017 Nov 16.
    Istanbul Training and Research Hospital, Department of Urology, Istanbul, Turkey.
    Previous studies have evidenced that inflammation and endothelial dysfunction have a crucial role in erectile dysfunction (ED). Increased monocyte count or activity and lower high-density lipoprotein cholesterol (HDL-C) levels have been associated with inflammation. The monocyte to HDL-C ratio (MHR) is a recently emerged indicator of inflammation. Read More

    [Reconstructive urethral surgery].
    Aktuelle Urol 2017 Oct 12. Epub 2017 Oct 12.
    Klinik für Urologie, Uro-Onkologie, spezielle urologische und roboterassistierte Chirurgie, Universitätsklinikum Köln.
    Urethral strictures are independent of a patient's age and can happen in every life period. They are often iatrogenic, resulting from a transurethral surgical procedure or traumatic catheterisation. Endoscopic slotting is the surgery of choice; although this method is frequently associated with recurrence. Read More

    [The recommendations of the S2k guideline for the diagnosis, therapy and metaphylaxis of urolithiasis provide a safe course of action for ureterorenoscopic stone treatment - results of the BUSTER study].
    Aktuelle Urol 2017 Oct 12. Epub 2017 Oct 12.
    Universitätsklinik für Urologie und Kinderurologie, Universitätsklinikum Magdeburg A. ö. R., Leipziger Straße 44, 39120 Magdeburg.
    Background Given the high incidence, prevalence and rate of recurrence, urolithiasis stone treatment at a high stone-free rate should have a low complication rate. The German S2k guideline (GS2k-GL) for the diagnostic testing, therapy and metaphylaxis of urolithiasis provides recommendations for the first and second choice for stone treatment, depending on stone location and size. Ureterorenoscopy (URS) is the treatment of first choice for most stones. Read More

    [Treatment of ureteropelvic junction obstruction in adult age].
    Aktuelle Urol 2017 Oct 9. Epub 2017 Oct 9.
    Universitätsklinik für Urologie und Nierentransplantation Martin-Luther-Universität, Halle/Saale.
    Ureteropelvic stenosis, also known as ureteropelvic junction obstruction, is an obstruction in the region of the pyeloureteral junction resulting in a urinary discharge disorder of the renal pelvis, which requires treatment.Since the first description of pyeloplasty by Trendelenburg in 1886 and the successful establishment of open pyeloplasty by Anderson and Hynes in 1949, the treatment strategies for ureteropelvic junction obstruction have developed considerably, especially in the last two decades. Although open pyeloplasty is still considered to be the gold standard, this concept is supplemented by modern minimally-invasive techniques today. Read More

    [Modern interdisciplinary management of a uretero-iliac artery fistula (case report)].
    Aktuelle Urol 2017 Sep 20. Epub 2017 Sep 20.
    Bereich Gefäßchirurgie, Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Otto-von-Guericke-Universität mit Universitätsklinikum Magdeburg A.ö.R.
    Introduction Abnormal links between the arterial system and other luminal systems are a challenge to those in charge of their adequate diagnostic and therapeutic management. Objective Scientific case report on an individual who underwent successful treatment combining vascular-surgical and interventional radiology techniques for a rare right uretero-iliac artery fistula based on personal clinical experience, a selective literature research and a detailed discussion of current recommendations for diagnostic workup and subsequent treatment. Case characteristics A 79-year-old patient was admitted with haematuria and bladder tamponade in the presence of bilateral actinic ureteral strictures secondary to neoadjuvant radiochemotherapy followed by abdominoperineal rectum exstirpation due to suprasphincteric rectal cancer (ypT3ypN0M0). Read More

    [Thermochemotherapy with Mitomycin C: an update on alternative treatment strategies in non-muscleinvasive bladder cancer].
    Aktuelle Urol 2017 Sep 19. Epub 2017 Sep 19.
    Universitätsklinik für Urologie und Kinderurologie, Otto-von-Guericke-Universität, Magdeburg.
    Bladder cancer is the second most common urological malignant disease. There are various treatment strategies which, depending on tumor stage and grade, can minimize recurrence and lower progression rate. Alternative treatment modalities of instillation therapy after failure with first line Mitomycin C or BCG do exist and have become a point of interest, especially in times of shortage of agents such as BCG. Read More

    [A rare complication of transrectal electrostimulation for sperm retrieval].
    Aktuelle Urol 2017 Sep 13. Epub 2017 Sep 13.
    Neuro-Urologie, Schweizer Paraplegiker-Zentrum, Nottwil, Schweiz.
    In men who wish to have children after a spinal cord injury, assisted ejaculation is frequently needed for sperm retrieval. Transrectal electrostimulation (TES) is often used for this purpose. Typical side effects of TES are autonomic dysreflexia or pain. Read More

    [Mixed epithelial and stromal tumour of the kidney: a case report].
    Aktuelle Urol 2017 Sep 13. Epub 2017 Sep 13.
    Klinik für Urologie und Kinderurologie Universitätsklinikum Schleswig-Holstein Campus Kiel.
    Mixed epithelial and stromal tumours of the kidney are rare. Histologically, they are characterised by a complex of epithelium and stroma with cystic and solid areas. They usually occur in perimenopausal women receiving hormone replacement with oestrogen. Read More

    [Acute Flank Pain in Children and Adolescents].
    Aktuelle Urol 2017 Sep 5;48(5):452-458. Epub 2017 Sep 5.
    Acute flank pain in children and adolescents is a clinically demanding symptom requiring profound diagnostic work-up. Thorough history taking, careful clinical examination as well as urine and laboratory tests in addition to ultrasound are required to guide towards the diagnosis. This article presents possible underlying conditions with specific diagnostic and therapeutic considerations. Read More

    [Special urological traumatology in children and adolescents].
    Aktuelle Urol 2017 Sep 30;48(5):473-478. Epub 2017 Aug 30.
    Klinik für Urologie und Kinderurologie, Universitätsmedizin Mainz.
    Isolated injuries of the genitourinary tract are rare, with the kidney being the most frequently affected organ, especially in situations of polytrauma. Overall, the genitourinary tract is involved in approximately 3 % of all children suffering polytrauma accidents. The literature and international guidelines provide clear therapeutic concepts with a consensus on the diagnosis and treatment of renal trauma, both for the treatment of adults and for children and adolescents. Read More

    [Role of the human ErbB family receptors in urothelial carcinoma of the bladder: mRNA expression status and prognostic relevance].
    Aktuelle Urol 2017 Aug 27;48(4):356-362. Epub 2017 Jul 27.
    Klinik für Urologie und Kinderurologie, Universitätsklinikum Ulm; Ulm.
    Background Altered expression of epidermal growth factor (EGF) family (ErbB) receptors in urothelial carcinoma of the urinary bladder (UCB) has been associated with adverse outcomes. Given the limited treatment options in UCB, EGFR and HER2 (ERBB2) represent established therapeutic targets in other entities. We assessed the expression of ErbB family receptors (ERBB1 - 4) on mRNA levels in correlation with histopathological and clinical parameters in patients treated with radical cystectomy (RC). Read More

    [En-bloc resection of bladder tumours (ERBT): current and future perspectives].
    Aktuelle Urol 2017 Aug 27;48(4):306-313. Epub 2017 Jul 27.
    Klinik für Urologie und Urologische Onkologie, Medizinische Hochschule Hannover.
    Limitations inherent in the conventional transurethral resection of bladder tumours, the standard approach for diagnosis and treatment of bladder cancer, are well known: staging errors due to insufficient resection depth as well as intravesical tumour fragmentation, both of which make histopathological evaluation difficult. The purpose of this review is to present recent clinical data on the en-bloc resection of bladder tumours (ERBT), which has been demonstrated to offer a high potential to overcome these limitations. The recent findings show that ERBT provides a good resection quality with varying detection rates for tunica muscularis, which is a surrogate marker for resection quality regarding muscle-invasive tumours. Read More

    [Modern endoscopic imaging tools for urothelial carcinoma of the urinary bladder].
    Aktuelle Urol 2017 Aug 27;48(4):296-305. Epub 2017 Jul 27.
    Klinik für Urologie und Kinderurologie, Universitätsklinikum Ulm, Ulm.
    Cystoscopy is the gold standard for the initial diagnosis of urothelial carcinoma in the urinary bladder (UCB). White light exhibits significant limitations in its ability to detect flat lesions or carcinoma in situ. Photodynamic Diagnosis (PDD) and Narrow Band Imaging (NBI) are established techniques which may improve the detection rates of UCB and reduce the risk of recurrence. Read More

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