Urologie最新文献

{"title":"Metabolic evaluation of urolithiasis: a narrative review.","authors":"Panagiotis Angelopoulos, Panagiotis Neofytoy, Stamatios Katsimperis, Panagiotis Triantafylloy, Ioannis Manolitsis, Michael Lardas, Titos Markopoulos, Ioannis Varkarakis, Lazaros Tzelves, Andreas Skolarikos","doi":"10.1007/s00120-025-02617-2","DOIUrl":"https://doi.org/10.1007/s00120-025-02617-2","url":null,"abstract":"<p><p>Urolithiasis is a common condition with high recurrence rates, often driven by metabolic abnormalities, dietary habits, and systemic disorders. Metabolic evaluation plays a key role in identifying modifiable risk factors such as hypercalciuria, hyperoxaluria, hypocitraturia, and hyperuricosuria. Despite its clinical value, metabolic evaluation remains underused in practice. This narrative review highlights the rationale, methods, and therapeutic implications of metabolic assessment in patients with recurrent or high-risk stone disease. The evaluation includes medical and dietary history, physical examination, blood and urine tests, 24‑h urine collections, and stone analysis. Tailored interventions-ranging from dietary advice to pharmacologic treatments such as thiazides, potassium citrate, and allopurinol-can reduce stone recurrence and prevent complications such as chronic kidney disease. Ongoing follow-up is essential to assess treatment response and modify strategies. Adherence to current guidelines and broader implementation of metabolic workup can significantly improve patient outcomes and reduce the global burden of stone disease.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334050","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}

{"title":"[Visualizing the 'unspeakable': venereal diseases at the 1926 GeSoLei (Great Exhibition for Health Care, Social Welfare, and Physical Exercise)].","authors":"Matthis Krischel, Sarah Czirr, Friedrich H Moll","doi":"10.1007/s00120-025-02633-2","DOIUrl":"https://doi.org/10.1007/s00120-025-02633-2","url":null,"abstract":"<p><p>The GeSoLei (Great Exhibition for Health Care, Social Welfare, and Physical Exercise) held in Düsseldorf in 1926 was one of the largest exhibitions of the Weimar Republic. At its core was the often visual communication of health-related topics-including the presentation of sexually transmitted diseases. These subjects were conveyed within the complex interplay between medical education, moral normalization, and esthetic staging. The section \"Common Diseases, Common Ailments, Common Vices\" (Main Section Social Welfare) brought together conditions such as tuberculosis, alcoholism, and syphilis-sicknesses that were not only medically, but also socially and morally charged. Through the use of information boards, wax models (moulages), and interactive exhibits, connections between sexuality, disease, and social responsibility were emphasized. The visual strategy followed a pedagogical and often deterrent approach, which, through standardized forms of representation, enabled communication suited for a mass audience. In addition to the guiding principle of social hygiene, the exhibition also incorporated ideas of racial and hereditary health, placing sexually transmitted diseases within the context of \"public health\" and \"rational population management.\" However, aspects of sexual diversity or sexology-as advocated by figures like Magnus Hirschfeld-were deliberately excluded. This article analyzes the visual and conceptual presentation of sexually transmitted diseases at GeSoLei as a representative example of the medicalization and moralization of sexuality in the early 20th century-embedded in a complex web of science, society, politics, and aesthetics.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337125","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}

{"title":"[Surgical techniques to improve continence after robot-assisted laparoscopic radical prostatectomy based on video-anatomy-a review].","authors":"Jens Rassweiler, Sara Sander","doi":"10.1007/s00120-025-02627-0","DOIUrl":"https://doi.org/10.1007/s00120-025-02627-0","url":null,"abstract":"<p><strong>Background: </strong>Since robot-assisted laparoscopic prostatectomy (RALP) has become widely accepted in German-speaking countries, there needs to be an agreement on the most efficient surgical techniques. This should be based on the video-anatomy of the prostate and a summary of the actual literature.</p><p><strong>Materials and methods: </strong>Based on video material of different surgical techniques, a systematic literature search in PubMed has been performed focusing on preservation of continence and minimal rates of positive margins. This is based on the anatomy of the male pelvis applying a standard nomenclature. The original 3825 publications could be reduced to 604 articles according to the inclusion criteria (randomized controlled trials, meta-analyses, systematic reviews, and clinical studies). When expanding the search to encompass individual operation techniques, we identified 27 relevant articles.</p><p><strong>Results: </strong>Crucial surgical details include preserving the levator fascia, the puboprostatic collar, a long urethral stump with protection of the urethral lissosphincter and posteriorly reconstruction of the rectourethralis with the prostatovesical muscle. Fascial preservation for the levator ani muscle results in 1‑year continence between 78.0 and 98.3%, preservation of the puboprostatic collar and detrusor apron between 95.6 and 100%, maximal functional urethral length between 90.5 and 97.5%. Posterior reconstruction leads to a 3-month continence between 92.3 and 96.9%. Preserving the Retzius' space and thus the total anterior sphincter apparatus results in 1‑year continence of 95.8%; however, it is associated with a higher rate of positive surgical margins (14-42 vs. 10-29%).</p><p><strong>Conclusion: </strong>Based on the increase of knowledge and the feasibility to translate this into novel surgical techniques, the continence rates could be significantly improved. This includes approaches to spare anatomical structures of the sphincter apparatus, such as preservation of the levator fascia, the puboprostatic collar, the urethral lissosphincter, but also reconstructive techniques, such as posterior reconstruction of the vesicoprostatic and rectourethralis muscle. Demanding techniques, such as the Retzius-sparing approach result in higher continence rates, but are also associated with a higher rate of surgical margins.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303081","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}

{"title":"[Women in urological research: benefits and opportunities for german urology].","authors":"Michèle J Hoffmann, Maria Schubert, Kati Erdmann, Laila Schneidewind, Gerit Theil, Melanie Freifrau von Brandenstein, Eva Jüngel, Kerstin Junker","doi":"10.1007/s00120-025-02624-3","DOIUrl":"https://doi.org/10.1007/s00120-025-02624-3","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286644","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}

{"title":"[Management of isolated urinary bladder amyloidsis].","authors":"Agneta Seebold, Thomas Büttner, Guido Fechner, Jan-Frederic Lau, Philipp Krausewitz","doi":"10.1007/s00120-025-02621-6","DOIUrl":"https://doi.org/10.1007/s00120-025-02621-6","url":null,"abstract":"<p><p>Isolated bladder amyloidosis is a rare condition characterized by amyloid deposits within the bladder wall. We present the case of a patient with recurrent, painless gross hematuria accompanied by irritative and dysuric voiding symptoms-clinical features typical of bladder amyloidosis. This case highlights the diagnostic challenges and therapeutic strategies associated with the disease, emphasizing the importance of appropriate surveillance intervals, follow-up techniques, and long-term symptom management.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276075","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}

{"title":"[Invisible in the culture of remembrance in medicine? The Dresden-based urologist and venereologist Dora Gerson (1884-1941) was persecuted because of her Jewish heritage].","authors":"Julia Nebe, Matthis Krischel","doi":"10.1007/s00120-025-02614-5","DOIUrl":"https://doi.org/10.1007/s00120-025-02614-5","url":null,"abstract":"<p><p>The history of urology is traditionally considered to be male-dominated. However, the field has never been exclusively \"male medicine\"-neither in terms of patients nor medical staff. This article highlights the life and work of Dresden-based physician Dora Gerson (1884-1941), one of the first German female specialists in urology and dermatovenereology, and draws attention to the widespread invisibility of women in the culture of memory of the field. Gerson studied medicine in Munich and Leipzig at the beginning of the 20th century and worked in both clinical and social medicine in the following years. In her Dresden practice, she combined urology, dermatology, and venereology, while also running a public counseling center for women with sexually transmitted diseases. In 1933, Gerson's health insurance license was revoked, and she was forced to close her practice. From 1940 onward, she worked as a Jewish \"medical practitioner\" at the horticultural school in Ahlem, Hannover. In September 1941, under increasing pressure from repression, she took her own life. Her biography exemplifies a dual marginalization: as a member of a structurally disadvantaged gender and as a victim of Nazi persecution. The article connects Gerson's life story with issues of gender, memory culture, and recognition practices in medicine. It demonstrates how professional cultural memory functions selectively and explores how social background, gender, and political circumstances influence visibility and oblivion in medical history. The reflection on Dora Gerson's history thus also represents a critically reflective culture of remembrance within urology.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235396","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}

{"title":"[Secondary bladder cancer following radiation therapy for prostate cancer: a systematic review and meta-analysis of incidence and outcomes].","authors":"Annemarie Uhlig","doi":"10.1007/s00120-025-02592-8","DOIUrl":"10.1007/s00120-025-02592-8","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"584-587"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041808","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}

{"title":"BvDU Kurz notiert.","authors":"","doi":"10.1007/s00120-025-02608-3","DOIUrl":"https://doi.org/10.1007/s00120-025-02608-3","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":"64 6","pages":"613-614"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209685","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}

{"title":"[Robot-assisted minimally invasive sacrocolpopexy: a comprehensive review].","authors":"Simon Gloger, Julia Kempermann, Burkhard Ubrig","doi":"10.1007/s00120-025-02585-7","DOIUrl":"10.1007/s00120-025-02585-7","url":null,"abstract":"<p><strong>Background: </strong>Sacrocolpopexy is a well-established surgical procedure for treatment of female genital prolapse and complex pelvic floor disorders. The introduction of robotic-assisted minimally invasive surgery has further optimised the precision, invasiveness and efficiency of the procedure.</p><p><strong>Purpose: </strong>This review analyses the indications, surgical techniques, outcomes and management of complications of robotic sacrocolpopexy.</p><p><strong>Results: </strong>Robot-assisted sacrocolpopexy shows comparable anatomical and functional results to laparoscopic and open surgical approaches. Compared to laparotomy, minimally invasive techniques reduce perioperative morbidity and accelerate postoperative recovery.</p><p><strong>Conclusion: </strong>Despite promising results, the treatment decision for robot-assisted sacrocolpopexy must be individually tailored to the severity of the prolapse, location of the prolapse, symptoms and availability of alternative treatment options under consideration of economic aspects.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"533-541"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045332","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}

{"title":"[Making prostate cancer research accessible: chatGPT-4 as a tool to enhance lay communication].","authors":"Maximilian Haas, Veronika Saberi, Christopher Gossler, Anna Schmelzer, Anton Kravchuk, Johannes Breyer, Johannes Bründl, Simon Engelmann, Clemens Kirschner, Christian Gilfrich, Maximilian Burger, Dominik von Winning, Christian Wülfing, Hendrik Borgmann, Severin Rodler, Axel S Merseburger, Emily Rinderknecht, Matthias May","doi":"10.1007/s00120-025-02558-w","DOIUrl":"10.1007/s00120-025-02558-w","url":null,"abstract":"<p><strong>Background and objective: </strong>The abundant potential arising from various applications of artificial intelligence is gradually influencing academic and scientific communication. This study examines the suitability of ChatGPT‑4 for generating layperson's summaries (LS) of scientific articles published in the four journals within the European Urology family and compares the quality of these newly generated LS with the original texts.</p><p><strong>Methods: </strong>A total of 327 articles on prostate cancer published between January 1, 2023, and June 30, 2024, were analyzed. ChatGPT‑4 generated patient summaries using both a basic and an advanced prompt, the latter specifically optimized for enhancing readability. Readability was assessed using established indices, while two blinded reviewers evaluated content quality on a 5-point Likert scale. Additionally, readability, content quality, and adherence to journal guidelines were combined into an overall scoring system.</p><p><strong>Results: </strong>The advanced prompt led to significantly improved readability compared to the basic prompt (p < 0.001) and the original LS (p < 0.001). Content quality was comparable between the two ChatGPT‑4 prompts (p = 0.665) but was higher than that of the original summaries (p = 0.001 and p = 0.002, respectively). Both prompts demonstrated superior adherence to journal guidelines (p < 0.001), with error-free LS rates of 29.4% (original), 76.1% (basic prompt), and 92% (advanced prompt) (p < 0.001).</p><p><strong>Conclusion: </strong>ChatGPT‑4 is a validated and effective tool for generating LS, offering superior readability and high compliance with editorial guidelines. It has the potential to assist researchers and scientific journals in enhancing the accessibility and comprehensibility of scientific content, thereby, improving patient engagement and understanding.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"574-583"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796298","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}