UrologiePub Date : 2025-03-05DOI: 10.1007/s00120-025-02556-y
Thorsten H Ecke, Daniel Steinbach, Christoph Becker, Susanne Füssel, Michèle J Hoffmann, Nadine T Gaisa, Roman Nawroth
{"title":"[Report on the 15th symposium of the German Research Association for Bladder Cancer (DFBK) on 24 and 25 January 2025 in Jena].","authors":"Thorsten H Ecke, Daniel Steinbach, Christoph Becker, Susanne Füssel, Michèle J Hoffmann, Nadine T Gaisa, Roman Nawroth","doi":"10.1007/s00120-025-02556-y","DOIUrl":"https://doi.org/10.1007/s00120-025-02556-y","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
UrologiePub Date : 2025-02-28DOI: 10.1007/s00120-025-02552-2
Daniela Roschütz, Jens-Uwe Stolzenburg, Nikolaus von Dercks
{"title":"[Outpatient care in urology-an economic impact assessment].","authors":"Daniela Roschütz, Jens-Uwe Stolzenburg, Nikolaus von Dercks","doi":"10.1007/s00120-025-02552-2","DOIUrl":"https://doi.org/10.1007/s00120-025-02552-2","url":null,"abstract":"<p><strong>Background: </strong>The expansion of the AOP (ambulatory operation procedure) catalog according to § 115 b SGB V in the years 2023 and 2024, as well as the introduction of hybrid-DRGs (disease-related groups) according to § 115 f SGB V, poses significant planning challenges for clinics. These regulatory changes are accompanied by significant financial uncertainties for clinics, thus, necessitating careful planning. The need to treat patients in an outpatient setting forces hospitals to adjust their operational processes. The aim of this study is to analyze the impact on revenue in the urology department of a maximum care provider.</p><p><strong>Methods: </strong>Data selection is made from the entire dataset of the urology department from the year 2023, including all procedures from the AOP catalog, applying context verification. From this, three risk groups (RG) are formed: 1) all cases that remain after context verification but still contain other procedures than only AOP procedures, 2) cases that contain only AOP procedures, and 3) a RG of the hybrid-DRG. An analysis of individual epidemiological parameters and a cost simulation were carried out.</p><p><strong>Results: </strong>RG 1, with a share of 28.1% of the total number of cases, shows the greatest risk with 701 cases amounting to € 1,742,819 when treated in an outpatient setting. With 3.8%, RG 2 results in a significantly lower risk on revenue with 91 cases amounting to € 161,479 or € 106,071 after the cost-revenue simulation. RG 3 of the hybrid-DRG represents the lowest revenue risk with 24 cases amounting to € 10,880. The cost simulation shows a negative result for RG 3 accounting to € 18,925.</p><p><strong>Conclusion: </strong>Transferring inpatient operations of urological patients to outpatient treatment is associated with a decline in revenue in urology. RG 2 and 3 show certainly calculable declines in revenue. Hospitals must analyze the loss of revenue and develop solution strategies.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
UrologiePub Date : 2025-02-27DOI: 10.1007/s00120-025-02537-1
Domenic Sommer, Stefan Riedel, Sebastian Schmidt
{"title":"[Smart assistants: service robots in action].","authors":"Domenic Sommer, Stefan Riedel, Sebastian Schmidt","doi":"10.1007/s00120-025-02537-1","DOIUrl":"https://doi.org/10.1007/s00120-025-02537-1","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
UrologiePub Date : 2025-02-27DOI: 10.1007/s00120-025-02541-5
Sandra Bensch
{"title":"[The key role of advanced practice nurses].","authors":"Sandra Bensch","doi":"10.1007/s00120-025-02541-5","DOIUrl":"https://doi.org/10.1007/s00120-025-02541-5","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
UrologiePub Date : 2025-02-27DOI: 10.1007/s00120-025-02522-8
Henning Bahlburg, Joachim Noldus, Florian Roghmann
{"title":"[Intravesical treatment of non-muscle-invasive bladder cancer].","authors":"Henning Bahlburg, Joachim Noldus, Florian Roghmann","doi":"10.1007/s00120-025-02522-8","DOIUrl":"https://doi.org/10.1007/s00120-025-02522-8","url":null,"abstract":"<p><p>Depending on the risk status, the treatment options for non-muscle-invasive bladder cancer (NMIBC) can include a bladder-preserving strategy with intravesical instillation treatment or early radical cystectomy. Established intravesical treatment options such as mitomycin C (MMC) or Bacillus Calmette-Guérin (BCG) are available to reduce the probability of progression and recurrence. This article classifies the intravesical treatment options in the therapeutic landscape of NMIBC and provides an overview of the indications and application regimens.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
UrologiePub Date : 2025-02-25DOI: 10.1007/s00120-025-02529-1
Richard E Hautmann, Friedrich Moll
{"title":"[Etymology of the neobladder].","authors":"Richard E Hautmann, Friedrich Moll","doi":"10.1007/s00120-025-02529-1","DOIUrl":"https://doi.org/10.1007/s00120-025-02529-1","url":null,"abstract":"<p><strong>Background: </strong>The idea of orthotopic bladder substitution (OBS) was born in 1888. Since then, more than 50 surgical procedures with different names have been described in the literature. These historical procedures, as well as almost all modern procedures have lost their original names and have increasingly been referred to the term ileal neobladder (INB). In 1987/88 the era of modern low pressure reservoirs began. The goal of this paper is to present for the first time and before all contemporary witnesses are no longer available the etymology of the word \"neobladder\". Etymology is the science of the origin and history of words and their meanings. A second goal was the analysis of all terms of surgical techniques reported prior to the neobladder era, which spanned from 1888-2022.</p><p><strong>Materials and methods: </strong>Terms of surgical techniques of OBSs were included in the study if their name appeared in the title of the publication that was referenced in 1 of the 4 representative reviews or meta-analyses of open or robot-assisted radical cystectomy used for our databank.</p><p><strong>Results: </strong>From 1888-1987 the term INB was unknown. Instead more than 50 terms have been reported in the German, English, French, and Italian literature. In 1985 the term \"ileal neobladder\" was coined in Ulm by G. Egghart specifically for the W‑INB after he had assisted the first INB and wrote the surgical report. In 2023, nearly all OBS worldwide are \"ileal neobladder\", a Greek-English hybrid term.</p><p><strong>Conclusion: </strong>The most likely reason for the use of the Greek-English hybrid term INB instead of OBS is that it is a simpler description of the operation compared to terms like orthotopic reconstruction, and easier to understand for patients and laymen and that it is international.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
UrologiePub Date : 2025-02-21DOI: 10.1007/s00120-025-02536-2
H Schülke, C Süfke, A J Gross
{"title":"[Ensuring the patient does not become an adversary-a \"how to\" guide for handling allegations of medical malpractice].","authors":"H Schülke, C Süfke, A J Gross","doi":"10.1007/s00120-025-02536-2","DOIUrl":"https://doi.org/10.1007/s00120-025-02536-2","url":null,"abstract":"<p><p>If there is an allegation of medical malpractice, it significantly strains the physician-patient relationship. To avoid a conflict-ridden dispute with the patient, it is crucial to internally analyze the course of treatment. The legal focus is on whether the patient's complaints are attributable to medical misconduct or if they stem from an inevitable complication that is part of the treatment's risk spectrum. Additionally, the insights gained from the internal review help establish operating procedures and responsibilities. Open communication promotes the recognition of any misconduct and contributes to its prevention in the future. If medical malpractice is suspected, the competent departments should be informed early, and the documentation of the hospital treatment should be checked for completeness and plausibility. Moreover, a transparent explanation of the treatment course-regardless of fault-alleviates patient's fears and concerns, which can help to avoid potential conflict situations.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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