[Current developments and perspectives on the diagnosis and treatment of urinary incontinence and genital prolapse in women].
l H Abstract As a key area of gynaecology, urogynaecology has undergone impressive changes in the past few years. Together with the high prevalence of functional pelvic floor disorders, modern anaesthesia procedures and the introduction of new, innovative minimally invasive operation techniques have led to a dramatic increase in the number of operations for incontinence and prolapses. The increasingly subtle diagnostic options, such as, e. g., 2D and 3D sonography of the pelvic floor provide unambiguous findings and facilitate decision making. Tension-free vaginal slings in retro-pubic, trans-obturator or single-i...
Source: Aktuelle Urologie - May 1, 2013 Category: Urology & Nephrology Authors: Naumann G, Kölbl H Tags: Aktuelle Urol Source Type: research

[Thrombosis of an extraspermatic blood vessel - first description as a cause of acute scrotum].
We present the first case of thrombosis of an extraspermatic blood vessel as an unusual cause of an acute scrotum in 15-year-old boy. PMID: 23712278 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - May 1, 2013 Category: Urology & Nephrology Authors: Wiedemann A, Maykan R, Bongert M, Füsgen I Tags: Aktuelle Urol Source Type: research

[Follow-up after Radical Nephrectomy and Nephron Sparing Surgery of Kidney Tumors].
Abstract Renal cell carcinoma represents more than 90 % of all malignant kidney tumors. International guidelines for follow-up examinations after surgery for kidney tumors are still incomplete. New challenges are arising because of growing use of nephron sparing surgery. According to well-known prognosticators risk-adapted follow-up strategies may be established that are stratified into 3 risk groups. PMID: 23712279 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - May 1, 2013 Category: Urology & Nephrology Authors: Kories C, Ubrig B Tags: Aktuelle Urol Source Type: research

[In Process Citation].
PMID: 23716024 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - May 1, 2013 Category: Urology & Nephrology Authors: Heidenreich A, Hammerer P Tags: Aktuelle Urol Source Type: research

[T1 high-grade bladder cancer - value of second operation with prognostuic parameters of first operation: analysis of 167 cases].
hers MJ Abstract We have evaluated the results of second transurethral resections of the bladder (TURB) after T1 high-grade bladder cancer over a 4.5-year period.From July 2007 to February 2012, 2172 TURB procedures were performed at our institution, of which 1130 were initial resections owing to primary tumour or relapse. Of these, 258 revealed T1 high-grade bladder cancer, and here we investigated tumour characteristics of the initial TURB and results of the second resection.The incidence of T1 high-grade tumours was 22.8% (N=258). Of 167 patients who underwent a second resection, tumour was found in 58.1% (97 o...
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Authors: Lazica DA, Böttcher S, Degener S, von Rundstedt FC, Brandt AS, Roth S, Störkel S, Mathers MJ Tags: Aktuelle Urol Source Type: research

[Rage against the Machine - Necessity of Robotic Assisted Prostatectomy].
Abstract During the last decade urologists have faced a dramatic increase in robotic surgery. Despite the exceptional acceptance of this technique there is a complete lack of evidence for the equi-efficacy or superiority of this technique compared to open or laparoscopic prostatectomy. There is now an increasing body of evidence for the evaluation of robotic assisted prostatectomy. Robotic assisted prostatectomy is a safe procedure. The rate of technical failure is small. The rate of surgical complications is comparable with that of open or conventional laparoscopic prostatectomy. Similar to the conventional lapar...
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Authors: Friedrich M, Steiner T, Popken G Tags: Aktuelle Urol Source Type: research

[Bone metastases].
Abstract Malignant urological tumours account for a relevant number of patients who develop bone metastasis throughout the course of their disease. Diagnosis of bone metastasis is mostly achieved by imaging studies including plain X-ray, computed tomography or magnetic resonance tomography. Differential diagnosis between benign and malignant processes in the bone can be sometimes challenging so that minimally or open operative biopsy of the bone becomes necessary in rare cases. After diagnosis of bone metastasis medical treatment using bisphosphonates or denosumab should be initiated in order to prevent skeletal c...
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Authors: Ohlmann CH Tags: Aktuelle Urol Source Type: research

[In Process Citation].
Authors: PMID: 23592283 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

[In Process Citation].
Authors: PMID: 23592284 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

[In Process Citation].
Authors: PMID: 23592285 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

[In Process Citation].
Authors: PMID: 23592286 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

[In Process Citation].
Authors: PMID: 23592287 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

[In Process Citation].
Authors: PMID: 23592288 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

[In Process Citation].
Authors: PMID: 23592289 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

[In Process Citation].
Authors: PMID: 23592290 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

[In Process Citation].
Authors: PMID: 23592291 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

[In Process Citation].
Authors: PMID: 23592292 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

[In Process Citation].
Authors: PMID: 23592293 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Tags: Aktuelle Urol Source Type: research

[Prostatitis - diagnostics and therapy].
Abstract The prostatitis syndrome is a frequent and complex disease. During the last 40 years the scientific perception has shifted between sometimes success and sometimes disappointment. Whereas acute prostatitis is most frequently considered an infectious disease, in only about 10% of cases with a chronic prostatitis syndrome can pathogens be identified. The bacterial spectrum is similar to that of complicated urinary tract infections with mainly Gram-negative pathogens. In some studies atypical pathogens, such as Chlamydia trachomatis and mycoplasmas, can be found in a considerable proportion. In most cases, ho...
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Authors: Vahlensieck W, Ludwig M, Wagenlehner FM, Naber K, Fabry W Tags: Aktuelle Urol Source Type: research

[In Process Citation].
PMID: 23592295 [PubMed - in process] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - March 1, 2013 Category: Urology & Nephrology Authors: Stein R, Fichtner J Tags: Aktuelle Urol Source Type: research

[Technique of the Urethral Anastomosis in Orthotopic Neo-Bladder Following Robot-Assisted Radical Cystectomy (RARC).]
Abstract The urethral anastomosis in extracorporeally constructed orthotopic neo-bladder following robot-assisted radical cystectomy (RARC) remains a challenge. In principle either pre-posi-tioned single sutures or robotic continuous suture techniques can be applied. In the literature the different techniques are most often not described in detail. In the present work one example for each technique is given and the advantages and disadvantages of both methods are discussed. PMID: 23446632 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - February 27, 2013 Category: Urology & Nephrology Authors: Horstmann M, Kurz M, Padevit C, Horton K, John H Tags: Aktuelle Urol Source Type: research

[Extended Salvage Pelvic and Retroperitoneal Lymph Node Dissection due to Prostate Cancer Relapse.]
KP Abstract Treatment of a biochemical prostate cancer relapse represents a difficult clinical dilemma, which has remained without a definitive solution so far. Based on clinical studies, we combine radical prostatectomy with extended pelvic lymph node dissection in intermediate and high risk patients as a routine procedure at our clinic. In this paper, we report on a case of extended salvage lymphadenectomy performed due to biochemical prostate cancer recurrence. The 56-year-old patient came to our clinic in April 2012 with a finding of lymph node metastasis according to PET-CT imaging. Laparoscopic radical retr...
Source: Aktuelle Urologie - January 16, 2013 Category: Urology & Nephrology Authors: Osmonov DK, Aksenov AV, Jünemann KP Tags: Aktuelle Urol Source Type: research

[Value of Real-Time Elastography to Guide the Systematic Prostate Biopsy in Men with Normal Digital Rectal Exam.]
n C Abstract The aim of this study was to evaluate whether real-time elastography-guided biopsy in comparison to grey-scale ultrasound improves prostate cancer detection in patients with an unremarkable digital rectal exam.A total of 231 patients suspicious for prostate cancer were prospectively randomised to transrectal real-time elastography- (126) or grey-scale ultrasound (105)-guided biopsy. The peripheral zone was divided into 6 sectors from base, mid-gland to apex. Lesions with reduced elasticity during real-time elastography and hypoechoic areas during grey-scale ultrasound were defined as suspicious for pr...
Source: Aktuelle Urologie - January 16, 2013 Category: Urology & Nephrology Authors: Brock M, Eggert T, Löppenberg B, Braun K, Roghmann F, Palisaar RJ, Noldus J, von Bodman C Tags: Aktuelle Urol Source Type: research