[The value of DMSA scintigraphy in the diagnostic evaluation of vesicoureteric reflux].
Abstract In terms of treatment planning, the radiologic phenomenon of vesicoureteric reflux has become less important than its inherent risk of further urinary tract infections and loss of renal function. Whilst radiologic and sonographic voiding cystourethrography continues to be the gold standard in the mere detection of vesicoureteric reflux, dimercaptosuccinic acid scanning is important for risk stratification. Also it serves to confirm renal involvement in uncertain situations with urinary tract infection and fever. In older children, it is the standard in primary diagnostics. Furthermore, it enables the diag...
Source: Aktuelle Urologie - October 9, 2019 Category: Urology & Nephrology Authors: Haid B Tags: Aktuelle Urol Source Type: research

[50 years of minimally invasive surgery in Urology].
Abstract The development of minimally invasive surgery (MIS) in Urology includes transurethral techniques, endourology and extracorporeal shock wave lithotripsy, uroradiology as well as laparoscopy and robot-assisted suregry. Based on personal experiences with the introduction of minimal-invasiven procedures since the late seventees we present a historical analysis of the literature aiming to work out the most important milestones of MIS in Urology.The drastic development of MIS in Urology was promoted by the introduction of digital videotechnology, laser technology, advances in electronic surgery together with th...
Source: Aktuelle Urologie - October 9, 2019 Category: Urology & Nephrology Authors: Rassweiler JJ, Serdar GA, Klein J, Rassweiler-Seyfried MC Tags: Aktuelle Urol Source Type: research

[What causes prostate cancer: patient-perceived causes].
CONCLUSION:  Most men surveyed reported non-evidence-based causes of their PCa. Preventive programs should address the evidence-based causes more distinctly and with a high visibility. Due to the significance of lay illness beliefs for the experience of distress and the adherence to treatment, the patient's subjective cause of disease should be surveyed and considered by the urologist in charge. PMID: 31594005 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - October 8, 2019 Category: Urology & Nephrology Authors: Goethe VE, Dinkel A, Schulwitz H, Nöhreiter A, Gschwend JE, Herkommer K Tags: Aktuelle Urol Source Type: research

[Diagnosis of vesicoureterorenal Reflux: pro ceVUS].
Abstract There are various imaging modalities available for the diagnosis of vesicoureterorenal reflux. In childhood, it is important to use the gentlest diagnostic technique available. Contrast-enhanced voiding urosonography (ceVUS) allows for dynamic imaging of the urinary tract without exposure to ionising radiation. ceVUS is characterised by its high sensitivity and diagnostic accuracy for the evaluation of reflux. This manuscript presents the procedure in detail and provides information about the advantages of this modality. PMID: 31594006 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - October 8, 2019 Category: Urology & Nephrology Authors: Waginger M, Mentzel HJ Tags: Aktuelle Urol Source Type: research

[Is it possible to avoid a life-long suprapubic catheter in geriatric patients with urinary retention or overflow incontinence by a simultaneous GreenLight laser procedure?]
CONCLUSIONS:  In 63.2 % of patients, lifelong bladder drainage was avoided by simultaneous 180-Watt XPS GreenLight laser treatment administered additionally to the placement of a suprapubic catheter. This has a positive impact on quality of life, avoidance of catheter complications and long-term costs. Factors predicting a successful catheter removal were geriatric aspects such as ISAR score, multimorbidity and multimedication. These factors indicate a need to introduce geriatric aspects and methods in urology. PMID: 31578048 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - October 2, 2019 Category: Urology & Nephrology Authors: Knoblauch M, Wiedemann A, Heppner HJ Tags: Aktuelle Urol Source Type: research

[The impact of using intraoperative photodynamic diagnosis on the prognosis of bladder cancer].
CONCLUSION:  The use of hexaminolevulinate significantly reduces the risk of residual tumours compared with conventional TURB. The PDD technique significantly improved 3- and 12-month recurrence-free survival, especially in low and medium-risk tumours, and 1-year progression-free survival, especially in high-risk tumours. PMID: 31559609 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - September 26, 2019 Category: Urology & Nephrology Authors: Albarghouth MH, Hamza A Tags: Aktuelle Urol Source Type: research

Is Medical Therapy for Distal Ureteral Stones Efficient? Tamsulosin versus Deflazacort: A Prospective Randomised Trial.
CONCLUSIONS:  Tamsulosin facilitated the spontaneous passage of distal ureteral stones
Source: Aktuelle Urologie - September 19, 2019 Category: Urology & Nephrology Authors: Kucukpolat S, Kocaaslan R, Kadihasanoglu M, Bagcioglu M, Kocan H, Sarica K Tags: Aktuelle Urol Source Type: research

[Scrotal orchidopexy for palpable undescended testis].
Abstract Undescended testis is the most common genitourinary disorder during childhood. The traditional inguinal approach still represents the standard technique to correct undescended testis. However, over the last decades a large number of studies have shown that the scrotal approach has a lower morbidity rate and significantly shorter operation times and offers a good cosmetic result as well as an equal surgical treatment result, which makes it a good alternative to the traditional inguinal approach in gliding and low palpable testis. PMID: 31537026 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - September 19, 2019 Category: Urology & Nephrology Authors: Huck NF, Zahn K, Stein R Tags: Aktuelle Urol Source Type: research

A case of bulky pseudohyperplastic prostatic adenocarcinoma.
Abstract A 67-year-old male with a pelvic mass 13 × 7 cm in dimension was diagnosed with a pseudohyperplastic prostatic adenocarcinoma via mass biopsy. Androgen-deprivation therapy was remarkably effective, resulting in rapid tumor shrinkage. PMID: 31486059 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - September 4, 2019 Category: Urology & Nephrology Authors: Narita T, Kondo A, Maeda M, Funahashi Y, Tanaka K, Gotoh M Tags: Aktuelle Urol Source Type: research

[Current recommendations for the systemic treatment of metastatic renal cell carcinoma].
e J Abstract Numerous substances are available for the treatment of metastatic renal cell carcinoma (mRCC). Therefore, medical treatment of patients with mRCC has become a very complex subject. This review summarises clinical studies and typical side-effects of currently available agents that have been approved in Germany. The authors give suggestions for the use of these substances in the different therapy lines. PMID: 31486060 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - September 4, 2019 Category: Urology & Nephrology Authors: Kröger N, Merseburger AS, Bedke J Tags: Aktuelle Urol Source Type: research

[Interdisciplinary recommendations for the treatment of metastatic renal cell carcinoma].
Abstract Due to novel therapies, the prognosis of patients with metastatic renal cell carcinoma has improved significantly. A median overall survival of more than two years is a realistic goal. Immunotherapies with checkpoint inhibitors are new first-line and second-line options. Sunitinib, Pazopanib, Tivozanib and the combination of Bevacizumab + interferon alpha are approved for first-line therapy, regardless of the progression risk score. The use of both the combination Nivolumab + Ipilimumab and Cabozantinib is limited to intermediate and high-risk patients. In this subgroup, the immunotherapy combinat...
Source: Aktuelle Urologie - September 4, 2019 Category: Urology & Nephrology Authors: Miller K, Bergmann L, Doehn C, Gschwend JE, Kuczyk MA Tags: Aktuelle Urol Source Type: research

Personalisierte Medizin.
PMID: 31466087 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Authors: Heidenreich A Tags: Aktuelle Urol Source Type: research

Prostatakarzinom: Langzeitdaten zeigen Vorteile durch die radikale Operation.
Authors: PMID: 31466088 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

Rezidivierender Harnwegsinfekt der Frau: Diagnose, Therapie, Pr ävention.
Rezidivierender Harnwegsinfekt der Frau: Diagnose, Therapie, Prävention. Aktuelle Urol. 2019 Sep;50(5):468-472 Authors: PMID: 31466089 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

Antibiotika-Instillation bei intermittierend katheterisierter neurogener Blase.
Authors: PMID: 31466090 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

Prostatakarzinom: gezielte Fusionsbiopsie mit multiparametrischer MRT.
Authors: PMID: 31466091 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

Metabolische Azidose: Neuartiger S äurebinder bei Niereninsuffizienz wirksam.
Metabolische Azidose: Neuartiger Säurebinder bei Niereninsuffizienz wirksam. Aktuelle Urol. 2019 Sep;50(5):475-476 Authors: PMID: 31466092 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

Roboter-assistierte versus konventionelle Laparoskopie in D änemark.
Roboter-assistierte versus konventionelle Laparoskopie in Dänemark. Aktuelle Urol. 2019 Sep;50(5):476 Authors: PMID: 31466093 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

Antibiotikaprophylaxe bei vesikorenalem Reflux und neue Nierenvernarbungen.
Authors: PMID: 31466094 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

Zweitlinientherapie beim metastasierten kastrationsrefrakt ären Prostatakarzinom (mCRPC).
Zweitlinientherapie beim metastasierten kastrationsrefraktären Prostatakarzinom (mCRPC). Aktuelle Urol. 2019 Sep;50(5):478-479 Authors: Rexer H, Graefen M, Merseburger A PMID: 31466095 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Authors: Rexer H, Graefen M, Merseburger A Tags: Aktuelle Urol Source Type: research

Sichere Greenlight-Filter-Aufbewahrung.
PMID: 31466096 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Authors: Wiedemann A Tags: Aktuelle Urol Source Type: research

Compliance in der Arztpraxis – Fallstricke und Vermeidungsstrategien (Teil 10).
Compliance in der Arztpraxis – Fallstricke und Vermeidungsstrategien (Teil 10). Aktuelle Urol. 2019 Sep;50(5):481-483 Authors: Steinbrück R PMID: 31466097 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Authors: Steinbrück R Tags: Aktuelle Urol Source Type: research

[Personalised medicine in prostate cancer].
Abstract Prostate cancer is the most common cancer in men. Its incidence increases with age. New treatment options have been introduced and there is a clear trend to more aggressive treatment in newly diagnosed metastatic disease. While prolonged survival of patients has been achieved, the new expensive drugs are associated with an increased burden on the healthcare system. Meanwhile, similarly to other tumour entities, there is a pool of different drugs available with comparable oncologic efficacy, but different side-effects. Effective diagnostic investigation and treatment decisions require additional factors, a...
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Authors: Pfister D, Haidl F, Paffenholz P, Nestler T, Heidenreich A Tags: Aktuelle Urol Source Type: research

[Urinary incontinence in geriatric patients: behavioral therapy, toilet training and physiotherapy].
CONCLUSION:  Behavioral treatment, toilet training, and phsiotherapeutical interventions are indispensable modules in the multifaceted approach to improve continence in frail elderly. Caring for multimorbide frail elderly requires carefully outweighing risks of pharmacological and surgical treatment against benefits of low risk interventions such as conservative therapy. Frail elderly often benefit from conservative treatment alone or in combination with other treatment modalities. PMID: 31466099 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Authors: Becher K, Bojack B, Ege S, von der Heide S, Kirschner-Hermanns R, Wiedemann A Tags: Aktuelle Urol Source Type: research

Die transurethrale Elektroresektion der Prostata (TURP).
PMID: 31466100 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 30, 2019 Category: Urology & Nephrology Authors: Leyh H Tags: Aktuelle Urol Source Type: research

[Diagnostic evaluation of reflux: significance of voiding cystourethrography].
Abstract Radiological voiding cystourethrography has long been considered the gold standard for reflux testing in paediatric urology. Additional contrast-based procedures such as voiding urosonography or radionuclide cystography have been established in recent decades. Their main indication is reflux diagnosis after pyelonephritis in early infancy and childhood. The selection of the appropriate method is based on factors such as clinical question, availability, economic aspects, expenditure of human resources and time, and the goal of finding of method that provides as much information as possible while keeping ra...
Source: Aktuelle Urologie - August 27, 2019 Category: Urology & Nephrology Authors: Beetz R Tags: Aktuelle Urol Source Type: research

A case of metastatic prostate cancer treated with metastasectomy.
Abstract In general, metastatic prostate cancer is managed medically. Here we present a patient with metastatic prostate cancer who was treated by surgical resection in addition to medical therapies. Local therapies should be considered if metastatic lesions are limited, also in cases of metastatic prostate cancer. PMID: 31450244 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 26, 2019 Category: Urology & Nephrology Authors: Miyata Y, Funahashi Y, Yamamoto A, Sassa N, Matsukawa Y, Gotoh M Tags: Aktuelle Urol Source Type: research

[Bilateral vesicoureteral reflux: pro intravesical techniques].
Abstract All surgical techniques in antireflux surgery are characterised by a high success rate of over 90 %. The common goal of all procedures is the formation of a submucosal tunnel which is four times longer than the diameter of the ureter. Successful treatment has been achieved worldwide with the extravesical antireflux technique according to Lich-Gregoir in non-dilated ureters and psoas hitch ureterocystoneostomy in dilated ureters. Intravesical surgical procedures include the Politano-Leadbetter technique and Cohen's cross-trigonal reimplantation. These open or laparoscopic/robotic standard procedures have...
Source: Aktuelle Urologie - August 21, 2019 Category: Urology & Nephrology Authors: Kranz J, Steffens J Tags: Aktuelle Urol Source Type: research

[Status quo 5 years after the introduction of the new ISUP 2014/WHO 2016 prostate cancer grade groups].
CONCLUSIONS:  The prognostic accuracy of the ISUP 2014/WHO 2016 grade groups was confirmed by the majority of the studies. Nevertheless, the interpretation of the study results should be based upon the criterion of correct re-grading. PMID: 31390661 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - August 7, 2019 Category: Urology & Nephrology Authors: Hupe MC, Offermann A, Sailer V, Merseburger AS, Perner S Tags: Aktuelle Urol Source Type: research

[The nightmare of calciphylaxis].
We report the rare case of a 53-year-old patient with the simultaneous presence of Fournier's gangrene and calciphylaxis, placing a special focus on diagnostic and therapeutic aspects. PMID: 31344746 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - July 25, 2019 Category: Urology & Nephrology Authors: Ulrich M, Götz M, Krah X Tags: Aktuelle Urol Source Type: research

Therapie des Blasenkarzinoms.
PMID: 31342481 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - July 1, 2019 Category: Urology & Nephrology Authors: Roth S Tags: Aktuelle Urol Source Type: research

Erst- oder Folgelinientherapie beim metastasierten oder nicht resektablen Urothelkarzinom.
PMID: 31342488 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - July 1, 2019 Category: Urology & Nephrology Authors: Rexer H, Ohlmann CH, Stenzl A Tags: Aktuelle Urol Source Type: research

Schonende skrotale Ballondilatation bei Hodenprothesenwechsel.
PMID: 31342489 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - July 1, 2019 Category: Urology & Nephrology Authors: Wiedemann A Tags: Aktuelle Urol Source Type: research

Compliance in der Arztpraxis – Fallstricke und Vermeidungsstrategien (Teil 7).
Compliance in der Arztpraxis – Fallstricke und Vermeidungsstrategien (Teil 7). Aktuelle Urol. 2019 Jul;50(3):237-239 Authors: Steinbrück R PMID: 31342490 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - July 1, 2019 Category: Urology & Nephrology Authors: Steinbrück R Tags: Aktuelle Urol Source Type: research

Compliance in der Arztpraxis – Fallstricke und Vermeidungsstrategien (Teil 8).
Compliance in der Arztpraxis – Fallstricke und Vermeidungsstrategien (Teil 8). Aktuelle Urol. 2019 Jul;50(3):240-243 Authors: Steinbrück R PMID: 31342491 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - July 1, 2019 Category: Urology & Nephrology Authors: Steinbrück R Tags: Aktuelle Urol Source Type: research

[Reflexions on 50 Years of Sexual Medicine in Urology Focusing on Male Sexual Dysfunctions].
Abstract Diagnosis and therapy of male sexual dysfunctions made enormous progress over the last 50 years. Starting with the development of hydraulic penile implants in 1973 meanwhile several effective and well-tolerated conservative treatments such as the PDE-5 inhibitors avanafil, sildenafil, tadalafil and vardenafil, transurethral PGE1 (MUSE) and self-injection therapy with a variety of vasoactive drugs like alprostadil, papaverine/phentolamine (bimix), PGE1/papaverine/phentolamine (trimix/triple drug) or VIP (aviptadil)/phentolamine-Invicorp) have been developed for the treatment of ED. More recently Li-ESWT ha...
Source: Aktuelle Urologie - July 1, 2019 Category: Urology & Nephrology Authors: Porst H Tags: Aktuelle Urol Source Type: research

Suprapubische Zystostomie.
PMID: 31342493 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - July 1, 2019 Category: Urology & Nephrology Authors: Braun M, Engelmann UH Tags: Aktuelle Urol Source Type: research

Perkutane Nephrostomie.
PMID: 31342494 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - July 1, 2019 Category: Urology & Nephrology Authors: Pfister D Tags: Aktuelle Urol Source Type: research

[Evaluation of the Padua and R.E.N.A.L. scores regarding their validity and implication in the perioperative management during partial nephrectomy].
This study included 117 patients treated with partial nephrectomy at the University Hospital in Kiel (UKSH, Campus Kiel) between 2014 and 2017. The imaging results (computed tomography and magnetic resonance tomography) were retrospectively evaluated according to the Padua and R.E.N.A.L. score criteria. In some cases, radical nephrectomy became necessary despite the planned partial nephrectomy. We evaluated group differences regarding both nephrometry scores in these cases and the cases without radical nephrectomy. Then we performed correlation analyses regarding score outcome, operation time as well as perioperative, post...
Source: Aktuelle Urologie - June 26, 2019 Category: Urology & Nephrology Authors: Zinssius D, Jünemann KP, Geiger F, Hamann C, Seiler F, Osmonov D Tags: Aktuelle Urol Source Type: research

[50 years of systemic therapy of urinary bladder cancer].
Abstract This review summarises the treatment strategies of the last five decades for metastatic urothelial cancer. The introduction of combination chemotherapy in the mid-1980s led to clinically significant response rates and prolonged survival. Two years ago, the results of a phase-3 clinical trial with the PD1 inhibitor pembrolizumab for second-line treatment of metastatic urothelial carcinoma were published. These data were the first to show an overall survival benefit in comparison with a conventional chemotherapy with vinflunine, docetaxel or paclitaxel. Currently, PD1/PD-L1 inhibitors are also tested within...
Source: Aktuelle Urologie - June 26, 2019 Category: Urology & Nephrology Authors: Retz M, von Amsberg G, Horn T, Gschwend JE, Maisch P Tags: Aktuelle Urol Source Type: research

[The Onkonet database: taking stock of an Internet-based, multi-centre database on surgical prostate cancer treatment].
CONCLUSIONS:  Comprising 21 474 documented patients and over 200 parameters, Onkonet is one of the most comprehensive clinical registers for the documentation of prostate cancer patients in Germany. The data analysis showed that the limitations of such a database are mainly due to the high number of parameters and the high susceptibility to errors due to manual data submission. PMID: 31195415 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - June 13, 2019 Category: Urology & Nephrology Authors: Pohle M, Magheli A, Diederichs W, Ecke T, Fischer T, Kempkensteffen C, Knispel H, Lehsnau M, Miller K, Pretzer J, Schostak M, Winter A, Zacharias M, Hinz S Tags: Aktuelle Urol Source Type: research

[Personalised medicine in urothelial bladder cancer].
Abstract Available treatment options and outcomes for patients suffering from urothelial bladder cancer, especially in the metastatic stage, have hardly improved over decades. However, the increasing use of high-throughput analyses and the concept of immune surveillance against tumours have recently changed our understanding of tumour biology in terms of tumour development and progression. Our knowledge of genetic mutations and molecular subtypes provides the possibility of tailor-made therapeutic approaches for patients suffering from bladder cancer. For example, changes in DNA repair signalling pathways are poss...
Source: Aktuelle Urologie - June 13, 2019 Category: Urology & Nephrology Authors: Grunewald CM, Niegisch G Tags: Aktuelle Urol Source Type: research

[Public online reporting of urological content for hospital choice making in Germany: a systematic overview].
CONCLUSION : There is a broad, but divers range of online hospital report cards available for patients in Germany. The evaluation of urological content of hospital report cards is currently feasible in terms of analysis of general parameters, but not on outcome specific quality indicators. Clarity and reduction on essential information is warranted to ensure user-oriented platforms. PMID: 31167241 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - June 5, 2019 Category: Urology & Nephrology Authors: Uhlig A, Uhlig J, Gröben C, Huber J, Schmid M Tags: Aktuelle Urol Source Type: research

[The G8 questionnaire as a geriatric screening tool in urooncology].
Abstract The G8 questionnaire is a geriatric screening tool recommended by the SIOG and the EAU. To save time and resources, it can precede a comprehensive geriatric assessment (CGA) in a two-step evaluation. Based on our experience, this 8-item questionnaire is easy and fast to perform (4 - 5 minutes), even by medical staff untrained in geriatrics. The G8 questionnaire has become an established screening tool also in geriatric oncology. It has been shown in several studies that it provides an independent prognostic indicator for the overall survival of cancer patients. However, some critical aspects remain: i...
Source: Aktuelle Urologie - June 5, 2019 Category: Urology & Nephrology Authors: Dawood Y, Schindler A, Willschrei P, Horstmann M Tags: Aktuelle Urol Source Type: research

[Personalised medicine in renal cell tumours].
Abstract The extensive use of abdominal imaging reveals an increasing number of small and asymptomatic kidney tumours, for which primary treatment versus observation strategies need to be discussed. Elaborate surgical techniques and a variety of systemic treatment options are available for patients with localised and advanced tumours. This necessitates a demanding and complex individualised decision-making process. A better understanding of tumour biology including validated biomarkers is therefore essential in order to improve diagnostics, prognostic evaluation and therapeutic strategies.Renal cell tumours are cu...
Source: Aktuelle Urologie - June 5, 2019 Category: Urology & Nephrology Authors: Junker K, Zeuschner P Tags: Aktuelle Urol Source Type: research

Perioperative and oncologic outcome in patients treated for renal cell carcinoma with an extended inferior vena cava tumour thrombus level II-IV.
CONCLUSIONS:  Radical nephrectomy with tumour thrombectomy appears to be a feasible and effective treatment option in the management of patients with RCC and an extended IVC TT. PMID: 31163462 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - June 4, 2019 Category: Urology & Nephrology Authors: Ralla B, Adams L, Maxeiner A, Mang J, Krimphove M, Dushe S, Makowski M, Miller K, Fuller F, Busch J Tags: Aktuelle Urol Source Type: research

[Opportunities and risks of a contemporary online presence for urologists].
CONCLUSION:  Content published online must be handled thoughtfully - no matter what digital medium is used. It is advisable to strictly separate private and professional online presences. Furthermore, the goals regarding an online presence should be regularly reevaluated and, if necessary, adjusted. PMID: 31163463 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - June 4, 2019 Category: Urology & Nephrology Authors: Cebulla A, Marx M, Struck JP Tags: Aktuelle Urol Source Type: research

[Radical prostatectomy through the years].
LM Abstract The operative aspect of radical prostatectomy has changed dramatically in the past 200 years as significant technological advances have been made, particularly during the past 50 years. The work of Dr. Walsh in the late 1970 s and early 1980 s led to a significant reduction in surgical morbidity and is considered an important milestone of radical prostatectomy, as is the introduction of minimally-invasive (robotic-assisted) surgical techniques. Yet there is no absolute gold standard regarding surgical approaches. Innovative tools, e. g. the addition of "augmented reality", are currentl...
Source: Aktuelle Urologie - May 29, 2019 Category: Urology & Nephrology Authors: Schrader AJ, Müller J, Janssen M, Krabbe LM Tags: Aktuelle Urol Source Type: research

[6 years of bladder blog: chances and benefits of a tool within the "new media"].
CONCLUSION:  The "bladder blog" is a more and more intensively used, low-threshold information tool predominantly used by females around the topic "urinary incontinence". Regularly published blog-articles succeed in highly relevant results in Google searches. The incoming questions often show a severe and complicated disease and sometimes - as analyzable in the questions - a lack of expertise of the practitioners. PMID: 31113001 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - May 21, 2019 Category: Urology & Nephrology Authors: Wiedemann A, Hermanns U, Naumann G, Heppner HJ Tags: Aktuelle Urol Source Type: research

[Urinary incontinence in geriatric patients: diagnosis and therapy].
riatrie PMID: 31091540 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - May 15, 2019 Category: Urology & Nephrology Authors: Arbeitsgruppe Inkontinenz der DGG (Autoren in alphabetischer Ordnung): Klaus Becher, Barbara Bojack, Sigrid Ege, Silke von der Heide, Ruth Kirschner-Hermanns, Andreas Wiedemann. Federführende Gesellschaft: Deutsche Gesellschaft für Geriatrie Tags: Aktuelle Urol Source Type: research