Pub Date : 2022-02-01Epub Date: 2021-10-06DOI: 10.1007/s00120-021-01652-z
Jennifer Kranz, Susanne Winkelhog-Gran, Joachim Steffens, Matthias Saar, Tanja Hüsch
{"title":"[62/f-Involuntary loss of urine : Preparation for the medical specialist examination: part 16].","authors":"Jennifer Kranz, Susanne Winkelhog-Gran, Joachim Steffens, Matthias Saar, Tanja Hüsch","doi":"10.1007/s00120-021-01652-z","DOIUrl":"https://doi.org/10.1007/s00120-021-01652-z","url":null,"abstract":"","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39489031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-01Epub Date: 2021-10-18DOI: 10.1007/s00120-021-01674-7
Alexander Sascha Brandt, Stephan Roth, Friedrich-Carl von Rundstedt
{"title":"[56/m with volume increase of the left scrotum and bilateral hydronephrosis : Preparation for the medical specialist examination: part 24].","authors":"Alexander Sascha Brandt, Stephan Roth, Friedrich-Carl von Rundstedt","doi":"10.1007/s00120-021-01674-7","DOIUrl":"https://doi.org/10.1007/s00120-021-01674-7","url":null,"abstract":"","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39527811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-01Epub Date: 2021-11-05DOI: 10.1007/s00120-021-01686-3
Harald Voepel
{"title":"[56/m-Continuous erection lasting 5 h : Preparation for the medical specialist examination: part 26].","authors":"Harald Voepel","doi":"10.1007/s00120-021-01686-3","DOIUrl":"https://doi.org/10.1007/s00120-021-01686-3","url":null,"abstract":"","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39846782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-01DOI: 10.1007/s00120-022-01761-3
Christoph Becker
{"title":"[Implementing research results into practice through university-industry collaboration : The 12th AuF symposium in Berlin].","authors":"Christoph Becker","doi":"10.1007/s00120-022-01761-3","DOIUrl":"https://doi.org/10.1007/s00120-022-01761-3","url":null,"abstract":"","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8804363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39877640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-01Epub Date: 2021-12-22DOI: 10.1007/s00120-021-01734-y
P Sparwasser, M Haack, L Frey, A Haferkamp, H Borgmann
Although continuous technological developments have optimized and evolved medical care throughout time, these technologies were mostly still comprehensible for users. Driven by immense financial efforts, modern innovative products and technical solutions are transforming medicine today and will do so even more in the future: virtual and augmented reality. This review critically summarizes the current literature and future uses of virtual and augmented reality in the field of urology.
{"title":"[Virtual and augmented reality in urology].","authors":"P Sparwasser, M Haack, L Frey, A Haferkamp, H Borgmann","doi":"10.1007/s00120-021-01734-y","DOIUrl":"https://doi.org/10.1007/s00120-021-01734-y","url":null,"abstract":"<p><p>Although continuous technological developments have optimized and evolved medical care throughout time, these technologies were mostly still comprehensible for users. Driven by immense financial efforts, modern innovative products and technical solutions are transforming medicine today and will do so even more in the future: virtual and augmented reality. This review critically summarizes the current literature and future uses of virtual and augmented reality in the field of urology.</p>","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8693158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39746577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-01Epub Date: 2021-08-18DOI: 10.1007/s00120-021-01618-1
Kathrin Rothe, Christiane Querbach, Dirk H Busch, Jürgen E Gschwend, Katharina Hauner
Background: Transrectal prostate biopsy (TRPB) is the gold standard for prostate cancer diagnosis and among the most common urological interventions. Short-term antibiotic prophylaxis (PAP) is recommended for TRPB. Fluoroquinolone-PAP as standard of care needs to be revaluated due to the restrictions on the use of fluoroquinolone antibiotics by the German Federal Institute for Drugs and Medical Devices.
Objectives: The aim of the study was to analyze clinical practice of PAP for TRPB with focus on infectious complications and potential differences between fluoroquinolone-PAP and cotrimoxazole-PAP.
Methods: We performed a retrospective monocentric study of clinical and microbiological characteristics of patients with TRPB between 3 January 2019 and 28 January 2021.
Results: A total of 508 men were included; median age was 68 years. In all, 55.9% of our cohort received cotrimoxazole-PAP and 40.0% fluoroquinolone-PAP. Postinterventional complications occurred in 5.5%, of those 50.0% were infectious complications. Complication rate did not differ between patients with fluoroquinolone-PAP and cotrimoxazole-PAP. Urinary cultures in case of postinterventional complications yielded pathogens with antimicrobial resistance against the used PAP substance indicating selection of resistant bacteria.
Conclusion: Cotrimoxazole-PAP for TRPB is not associated with an increase of infectious complications compared to fluoroquinolone-PAP. Cultures obtained prior to TRPB to identify antimicrobial resistance facilitate targeted PAP and therefore can reduce complications.
背景:经直肠前列腺活检(TRPB)是诊断前列腺癌的金标准,也是最常见的泌尿科干预措施之一。经直肠前列腺穿刺活检(TRPB)建议使用短期抗生素预防(PAP)。由于德国联邦药品和医疗器械研究所限制使用氟喹诺酮类抗生素,因此需要重新评估氟喹诺酮预防性前列腺穿刺术(PAP)作为标准治疗的价值:本研究旨在分析PAP治疗TRPB的临床实践,重点关注感染性并发症以及氟喹诺酮类PAP与复方新诺明类PAP之间的潜在差异:我们对2019年1月3日至2021年1月28日期间TRPB患者的临床和微生物学特征进行了回顾性单中心研究:共纳入508名男性患者,中位年龄为68岁。其中,55.9%的患者接受了复方新诺明-PAP治疗,40.0%接受了氟喹诺酮-PAP治疗。介入后并发症发生率为 5.5%,其中 50.0% 为感染性并发症。使用氟喹诺酮AP和复方新诺明AP的患者的并发症发生率没有差异。介入治疗后并发症的尿培养结果显示,病原体对所使用的 PAP 药物具有抗菌性,这表明耐药菌的产生:结论:与氟喹诺酮类 PAP 相比,用于 TRPB 的复方新诺明 PAP 与感染性并发症的增加无关。在 TRPB 之前进行培养以确定抗菌药耐药性,有助于有针对性地使用 PAP,从而减少并发症。
{"title":"[Antibiotic prophylaxis for transrectal prostate biopsy : In the context of restricted indications for fluoroquinolones and antibiotic stewardship].","authors":"Kathrin Rothe, Christiane Querbach, Dirk H Busch, Jürgen E Gschwend, Katharina Hauner","doi":"10.1007/s00120-021-01618-1","DOIUrl":"10.1007/s00120-021-01618-1","url":null,"abstract":"<p><strong>Background: </strong>Transrectal prostate biopsy (TRPB) is the gold standard for prostate cancer diagnosis and among the most common urological interventions. Short-term antibiotic prophylaxis (PAP) is recommended for TRPB. Fluoroquinolone-PAP as standard of care needs to be revaluated due to the restrictions on the use of fluoroquinolone antibiotics by the German Federal Institute for Drugs and Medical Devices.</p><p><strong>Objectives: </strong>The aim of the study was to analyze clinical practice of PAP for TRPB with focus on infectious complications and potential differences between fluoroquinolone-PAP and cotrimoxazole-PAP.</p><p><strong>Methods: </strong>We performed a retrospective monocentric study of clinical and microbiological characteristics of patients with TRPB between 3 January 2019 and 28 January 2021.</p><p><strong>Results: </strong>A total of 508 men were included; median age was 68 years. In all, 55.9% of our cohort received cotrimoxazole-PAP and 40.0% fluoroquinolone-PAP. Postinterventional complications occurred in 5.5%, of those 50.0% were infectious complications. Complication rate did not differ between patients with fluoroquinolone-PAP and cotrimoxazole-PAP. Urinary cultures in case of postinterventional complications yielded pathogens with antimicrobial resistance against the used PAP substance indicating selection of resistant bacteria.</p><p><strong>Conclusion: </strong>Cotrimoxazole-PAP for TRPB is not associated with an increase of infectious complications compared to fluoroquinolone-PAP. Cultures obtained prior to TRPB to identify antimicrobial resistance facilitate targeted PAP and therefore can reduce complications.</p>","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8831228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39324334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01Epub Date: 2021-10-21DOI: 10.1007/s00120-021-01658-7
Helmut Haas, Jens Rassweiler, Manfred Wirth, Maurice Stephan Michel
In the care for patients with urological diseases, outpatient urology secures a near-to-home treatment by specialists in urology and is located between general practitioner and urological clinic. Comparably little is known about the structure and fields of work in this area of urology. A survey of the EAU Section ESUO of outpatient and office urology ( https://uroweb.org/section/esuo/ ) shows the diversity in terms of content and organisation of this sector in Europe, in which more than 16,500 outpatient urologists and thus about half of all professional urologists work full-time. This diversity is related to the diagnostic and therapeutic methods in outpatient urology and to the working conditions of outpatient urologists. For comparison, this information about European countries is contrasted with data from the German office urology as one type of outpatient urology.
{"title":"[Outpatient urology in Europe].","authors":"Helmut Haas, Jens Rassweiler, Manfred Wirth, Maurice Stephan Michel","doi":"10.1007/s00120-021-01658-7","DOIUrl":"https://doi.org/10.1007/s00120-021-01658-7","url":null,"abstract":"<p><p>In the care for patients with urological diseases, outpatient urology secures a near-to-home treatment by specialists in urology and is located between general practitioner and urological clinic. Comparably little is known about the structure and fields of work in this area of urology. A survey of the EAU Section ESUO of outpatient and office urology ( https://uroweb.org/section/esuo/ ) shows the diversity in terms of content and organisation of this sector in Europe, in which more than 16,500 outpatient urologists and thus about half of all professional urologists work full-time. This diversity is related to the diagnostic and therapeutic methods in outpatient urology and to the working conditions of outpatient urologists. For comparison, this information about European countries is contrasted with data from the German office urology as one type of outpatient urology.</p>","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39537372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01Epub Date: 2021-08-23DOI: 10.1007/s00120-021-01621-6
T Schiereck, S Yeldan, J Kranz, L Schneidewind, F Wagenlehner, I Wieters, M J G T Vehreschild, T Otto, D Barski
Novel preventive measures and therapeutic approaches are needed to reduce the frequency of recurrent urinary tract infections (rUTI) and the associated emergence of multidrug-resistant uropathogens. The aim of this review is to systematically present the available evidence on the urinary bladder microbiome of healthy women and those with rUTIs. In addition, relevant studies on the efficacy of probiotics in rUTIs are presented in a structured manner. This will provide an overview on the current state of research and an outlook on treatment strategies beyond the usual antimicrobial options.
{"title":"[Urinary bladder microbiome analysis and probiotic treatment options for women with recurrent urinary tract infections].","authors":"T Schiereck, S Yeldan, J Kranz, L Schneidewind, F Wagenlehner, I Wieters, M J G T Vehreschild, T Otto, D Barski","doi":"10.1007/s00120-021-01621-6","DOIUrl":"10.1007/s00120-021-01621-6","url":null,"abstract":"<p><p>Novel preventive measures and therapeutic approaches are needed to reduce the frequency of recurrent urinary tract infections (rUTI) and the associated emergence of multidrug-resistant uropathogens. The aim of this review is to systematically present the available evidence on the urinary bladder microbiome of healthy women and those with rUTIs. In addition, relevant studies on the efficacy of probiotics in rUTIs are presented in a structured manner. This will provide an overview on the current state of research and an outlook on treatment strategies beyond the usual antimicrobial options.</p>","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8381347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39336289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01Epub Date: 2021-10-04DOI: 10.1007/s00120-021-01657-8
Katja Graß, Adrian Ghitulescu, Götz Geldner, Andreas Jurczok
Systemic fluid absorption frequently occurs during endoscopic prostatic surgery. The introduction of lasers allowed the use of normal saline (0.9% sodium chloride). We report 2 patients who developed hyperchloremic metabolic acidosis and isotonic hypervolemia during thulium laser enucleation of the prostate (ThuLEP) and required prolonged ventilation time, catecholamines, intensive care and prolonged hospitalization. A change to balanced electrolyte solutions in urology-as is already established in infusion and volume therapy-would be desirable, especially to avoid hyperchloremic metabolic acidosis.
{"title":"[Complications from normal saline in thulium laser enucleation of the prostate].","authors":"Katja Graß, Adrian Ghitulescu, Götz Geldner, Andreas Jurczok","doi":"10.1007/s00120-021-01657-8","DOIUrl":"https://doi.org/10.1007/s00120-021-01657-8","url":null,"abstract":"<p><p>Systemic fluid absorption frequently occurs during endoscopic prostatic surgery. The introduction of lasers allowed the use of normal saline (0.9% sodium chloride). We report 2 patients who developed hyperchloremic metabolic acidosis and isotonic hypervolemia during thulium laser enucleation of the prostate (ThuLEP) and required prolonged ventilation time, catecholamines, intensive care and prolonged hospitalization. A change to balanced electrolyte solutions in urology-as is already established in infusion and volume therapy-would be desirable, especially to avoid hyperchloremic metabolic acidosis.</p>","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39484550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01Epub Date: 2022-01-17DOI: 10.1007/s00120-021-01744-w
Andreas Wiedemann, Hans Jürgen Heppner
{"title":"[Urogeriatrics has arrived in urology].","authors":"Andreas Wiedemann, Hans Jürgen Heppner","doi":"10.1007/s00120-021-01744-w","DOIUrl":"https://doi.org/10.1007/s00120-021-01744-w","url":null,"abstract":"","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39826956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}