How good are we really? Incidence of postoperative bleeding requiring intervention and intraoperative electrocoagulation during Thulium laser enucleation of the prostate
This study aimed to retrospectively analyse this complication in the treatment of benign prostatic enlargement. This study focuses on investigating potential causative factors for postoperative bleeding requiring intervention as well as the use of intraoperative electrocoagulation. A total of 503 ThuLEP procedures performed between 08/2021 and 07/2022 were examined. Postoperatively, 4.2% (n=21) of patients experienced bleeding requiring intervention. Study data revealed a significant association between these instances of bleeding and a high prostate volume (p=0.004), high enucleation weight (p=0.004), and intraoperative e...
Source: Aktuelle Urologie - April 17, 2024 Category: Urology & Nephrology Authors: Simon Filmar Jakob Schaefer Andreas J Gross Sophia Hook Fabio Mehrer Benedikt Becker Clemens Rosenbaum Christopher Netsch Source Type: research
Invasive neurostimulation in neuro-urology: state of the art
Aktuelle Urol. 2024 Apr 17. doi: 10.1055/a-2261-4792. Online ahead of print.ABSTRACTModulation or stimulation of the nerves supplying the lower urinary tract is a possible treatment option for dysfunction of the lower urinary tract, pelvic floor and rectum if conservative or minimally invasive treatment approaches fail. This overview shows the possibilities and limitations of sacral neuromodulation, sacral deafferentation with sacral anterior root stimulation and conus deafferentation.Sacral neuromodulation (SNM) is a procedure for the treatment of refractory pelvic floor dysfunction of various origins (idiopathic, neuroge...
Source: Aktuelle Urologie - April 17, 2024 Category: Urology & Nephrology Authors: Ines Kurze Ralf B öthig Arndt van Ophoven Source Type: research
Thulium or holmium laser or both: where will the journey take us?
This article aims to review the key technological differences between Ho:YAG lasers and pulsed thulium lasers and compare/discuss the initial clinical results for stone lithotripsy and laser enucleation.In-vitro studies have demonstrated the technical superiority of TFL compared with Ho:YAG lasers. However, as TFL is still a new technology, only limited studies are available to date, and optimal settings for lithotripsy have not been established. For enucleation, the differences of TFL compared with a high-power Ho:YAG laser seem to be clinically irrelevant. Initial studies on pulsed Tm:YAG lasers show good results, but th...
Source: Aktuelle Urologie - April 11, 2024 Category: Urology & Nephrology Authors: Benedikt Becker Sophia Hook Andreas J Gross Clemens Rosenbaum Simon Filmar Jonas Herrmann Christopher Netsch Source Type: research
Thulium or holmium laser or both: where will the journey take us?
This article aims to review the key technological differences between Ho:YAG lasers and pulsed thulium lasers and compare/discuss the initial clinical results for stone lithotripsy and laser enucleation.In-vitro studies have demonstrated the technical superiority of TFL compared with Ho:YAG lasers. However, as TFL is still a new technology, only limited studies are available to date, and optimal settings for lithotripsy have not been established. For enucleation, the differences of TFL compared with a high-power Ho:YAG laser seem to be clinically irrelevant. Initial studies on pulsed Tm:YAG lasers show good results, but th...
Source: Aktuelle Urologie - April 11, 2024 Category: Urology & Nephrology Authors: Benedikt Becker Sophia Hook Andreas J Gross Clemens Rosenbaum Simon Filmar Jonas Herrmann Christopher Netsch Source Type: research
Thulium or holmium laser or both: where will the journey take us?
This article aims to review the key technological differences between Ho:YAG lasers and pulsed thulium lasers and compare/discuss the initial clinical results for stone lithotripsy and laser enucleation.In-vitro studies have demonstrated the technical superiority of TFL compared with Ho:YAG lasers. However, as TFL is still a new technology, only limited studies are available to date, and optimal settings for lithotripsy have not been established. For enucleation, the differences of TFL compared with a high-power Ho:YAG laser seem to be clinically irrelevant. Initial studies on pulsed Tm:YAG lasers show good results, but th...
Source: Aktuelle Urologie - April 11, 2024 Category: Urology & Nephrology Authors: Benedikt Becker Sophia Hook Andreas J Gross Clemens Rosenbaum Simon Filmar Jonas Herrmann Christopher Netsch Source Type: research
Thulium or holmium laser or both: where will the journey take us?
This article aims to review the key technological differences between Ho:YAG lasers and pulsed thulium lasers and compare/discuss the initial clinical results for stone lithotripsy and laser enucleation.In-vitro studies have demonstrated the technical superiority of TFL compared with Ho:YAG lasers. However, as TFL is still a new technology, only limited studies are available to date, and optimal settings for lithotripsy have not been established. For enucleation, the differences of TFL compared with a high-power Ho:YAG laser seem to be clinically irrelevant. Initial studies on pulsed Tm:YAG lasers show good results, but th...
Source: Aktuelle Urologie - April 11, 2024 Category: Urology & Nephrology Authors: Benedikt Becker Sophia Hook Andreas J Gross Clemens Rosenbaum Simon Filmar Jonas Herrmann Christopher Netsch Source Type: research
Oncological relevance of neuro-urological diseases
Aktuelle Urol. 2024 Apr 10. doi: 10.1055/a-2269-1222. Online ahead of print.ABSTRACTApart from a few exceptions, there is currently little scientific evidence on the oncological relevance of neuro-urological diseases. Most research has been conducted into the association between long-term spinal cord injury with its consequences for the lower urinary tract and the occurrence of bladder cancer. These cancers differ in many ways from bladder cancers in patients without spinal cord injury: patients are 20 years younger on average, tumours are very often already muscle-invasive and poorly differentiated with a high proportion ...
Source: Aktuelle Urologie - April 10, 2024 Category: Urology & Nephrology Authors: Ralf B öthig Wolfgang Sch öps Birgitt Kowald Klaus Golka Source Type: research
Large Language Models for Rapid Simplification of Quality Assurance Data Input: Field Trial with Real Data in the Context of Tumour Documentation in Urology
CONCLUSION: The use of generative AI in the context of search, transfer, and interpretation tasks in the creation of tumor documentation is a promising approach. However, its implementation in practical applications must be closely monitored, and the optimal interaction between man and machine should continue to be evaluated and must be accompanied by tools and task-specific prompts.PMID:38599593 | DOI:10.1055/a-2281-8015 (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - April 10, 2024 Category: Urology & Nephrology Authors: Johannes Frank Axel S Merseburger Johannes Landmesser Silvia Brozat-Essen Peter Schramm Laura Freimann Alexander Kleehaus Christian Elsner Source Type: research
Development of endoscopic enucleation of the prostate
This article deals with lasers from their initial description to the most advanced applications in the treatment of benign prostate enlargement.PMID:38599594 | DOI:10.1055/a-2286-1243 (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - April 10, 2024 Category: Urology & Nephrology Authors: Andreas J Gross Clemens Rosenbaum Benedikt Becker Christopher Netsch Source Type: research
Oncological relevance of neuro-urological diseases
Aktuelle Urol. 2024 Apr 10. doi: 10.1055/a-2269-1222. Online ahead of print.ABSTRACTApart from a few exceptions, there is currently little scientific evidence on the oncological relevance of neuro-urological diseases. Most research has been conducted into the association between long-term spinal cord injury with its consequences for the lower urinary tract and the occurrence of bladder cancer. These cancers differ in many ways from bladder cancers in patients without spinal cord injury: patients are 20 years younger on average, tumours are very often already muscle-invasive and poorly differentiated with a high proportion ...
Source: Aktuelle Urologie - April 10, 2024 Category: Urology & Nephrology Authors: Ralf B öthig Wolfgang Sch öps Birgitt Kowald Klaus Golka Source Type: research
Large Language Models for Rapid Simplification of Quality Assurance Data Input: Field Trial with Real Data in the Context of Tumour Documentation in Urology
CONCLUSION: The use of generative AI in the context of search, transfer, and interpretation tasks in the creation of tumor documentation is a promising approach. However, its implementation in practical applications must be closely monitored, and the optimal interaction between man and machine should continue to be evaluated and must be accompanied by tools and task-specific prompts.PMID:38599593 | DOI:10.1055/a-2281-8015 (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - April 10, 2024 Category: Urology & Nephrology Authors: Johannes Frank Axel S Merseburger Johannes Landmesser Silvia Brozat-Essen Peter Schramm Laura Freimann Alexander Kleehaus Christian Elsner Source Type: research
Development of endoscopic enucleation of the prostate
This article deals with lasers from their initial description to the most advanced applications in the treatment of benign prostate enlargement.PMID:38599594 | DOI:10.1055/a-2286-1243 (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - April 10, 2024 Category: Urology & Nephrology Authors: Andreas J Gross Clemens Rosenbaum Benedikt Becker Christopher Netsch Source Type: research
Minimally-Invasive Surgical Techniques (MIST): Shedding Light on the Mist
Aktuelle Urol. 2024 Mar 28. doi: 10.1055/a-2269-1280. Online ahead of print.ABSTRACTAs life expectancy increases and there is growing demand for BPH treatments, innovative technologies have been developed, allowing for swift recovery, symptom relief, low complication rates, and the possibility of performing procedures on an outpatient basis, often under local anaesthesia. This review aims to describe the outcomes of newly developed minimally-invasive surgical therapies (MIST) for BPH treatment in terms of functional voiding parameters and sexual function. These therapies are categorized into primarily ablative (Aquablation...
Source: Aktuelle Urologie - March 28, 2024 Category: Urology & Nephrology Authors: Christopher Netsch Andreas J Gross Thomas Rw Herrmann Jonas Herrmann Benedikt Becker Source Type: research
Minimally-Invasive Surgical Techniques (MIST): Shedding Light on the Mist
Aktuelle Urol. 2024 Mar 28. doi: 10.1055/a-2269-1280. Online ahead of print.ABSTRACTAs life expectancy increases and there is growing demand for BPH treatments, innovative technologies have been developed, allowing for swift recovery, symptom relief, low complication rates, and the possibility of performing procedures on an outpatient basis, often under local anaesthesia. This review aims to describe the outcomes of newly developed minimally-invasive surgical therapies (MIST) for BPH treatment in terms of functional voiding parameters and sexual function. These therapies are categorized into primarily ablative (Aquablation...
Source: Aktuelle Urologie - March 28, 2024 Category: Urology & Nephrology Authors: Christopher Netsch Andreas J Gross Thomas Rw Herrmann Jonas Herrmann Benedikt Becker Source Type: research
Minimally-Invasive Surgical Techniques (MIST): Shedding Light on the Mist
Aktuelle Urol. 2024 Mar 28. doi: 10.1055/a-2269-1280. Online ahead of print.ABSTRACTAs life expectancy increases and there is growing demand for BPH treatments, innovative technologies have been developed, allowing for swift recovery, symptom relief, low complication rates, and the possibility of performing procedures on an outpatient basis, often under local anaesthesia. This review aims to describe the outcomes of newly developed minimally-invasive surgical therapies (MIST) for BPH treatment in terms of functional voiding parameters and sexual function. These therapies are categorized into primarily ablative (Aquablation...
Source: Aktuelle Urologie - March 28, 2024 Category: Urology & Nephrology Authors: Christopher Netsch Andreas J Gross Thomas Rw Herrmann Jonas Herrmann Benedikt Becker Source Type: research
