IF 0.5 4区医学

Urologie Pub Date : 2025-05-26 DOI: 10.1007/s00120-025-02599-1

Annette Schröder

引用次数: 0

[Focus on boys' health: knowledge gaps, prevention deficits, and strategies to promote adolescent male wellbeing]. [关注男孩健康：知识差距、预防缺陷和促进青少年男性福祉的战略]。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-26 DOI: 10.1007/s00120-025-02598-2

Sebastian Grundl, Julian Nagler, Matthias Saar, Jennifer Kranz

{"title":"[Focus on boys' health: knowledge gaps, prevention deficits, and strategies to promote adolescent male wellbeing].","authors":"Sebastian Grundl, Julian Nagler, Matthias Saar, Jennifer Kranz","doi":"10.1007/s00120-025-02598-2","DOIUrl":"https://doi.org/10.1007/s00120-025-02598-2","url":null,"abstract":"Adolescent boys make significantly less use of sexual health services and educational resources than their female peers. This article analyses current knowledge, behavioral patterns, and prevention deficits in young males based on recent German studies. Major findings include limited awareness of sexually transmitted infections (STIs), low human papillomavirus (HPV) vaccination uptake, and insufficient understanding of testicular cancer risks. Although health check-ups (J1, J2) and school-based sex education are available, gender-specific barriers hinder effective access and implementation. This article discusses practical solutions, from establishing dedicated urology-based adolescent consultations (Jungensprechstunde) and implementing school-based HPV vaccination programs to using digital media for targeted communication. Physicians, especially urologists, play a crucial role as trusted health educators. Promoting early awareness, structural integration, and cross-sector collaboration is essential to improving health literacy, preventive behavior, equality, and long-term wellbeing among young men.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143779","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}

引用次数: 0

[Importance of documentation. Not documented is deemed to be not done]. [文件的重要性。未形成文件的视为未完成]。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-23 DOI: 10.1007/s00120-025-02618-1

Sarah Göpfert

引用次数: 0

[Taking digital healthcare to the next level: what practices and clinics need for digitalization!] 将数字医疗提升到一个新的水平：哪些实践和诊所需要数字化！］

IF 0.5 4区医学

Urologie Pub Date : 2025-05-22 DOI: 10.1007/s00120-025-02619-0

Thomas Willaschek

{"title":"[Taking digital healthcare to the next level: what practices and clinics need for digitalization!]","authors":"Thomas Willaschek","doi":"10.1007/s00120-025-02619-0","DOIUrl":"https://doi.org/10.1007/s00120-025-02619-0","url":null,"abstract":"Background: Digitalization in urology is bringing about profound changes. While artificial intelligence (AI)-supported diagnoses, telemedical consultations and electronic patient files offer promising advances, challenges remain in the areas of technical infrastructure, interoperability and data security.Objective: The article examines the prerequisites that practices and clinics need for successful digitalization and the legal aspects that need to be taken into account to ensure the digital transformation.Materials and methods: The analysis is based on the evaluation of statistics on the technical equipment of urological practices, the implementation of digital applications (e.g., electronic patient file [ePA], e‑prescription) and the use of AI technologies. This is supplemented by an assessment of the future development of digital systems and regulatory framework conditions.Conclusion: Urology is proving to be a promising field for digitalization. The use of AI-supported diagnostic systems and (asynchronous) telemedicine services can significantly improve the quality of care. However, specialists must be specifically trained and the technical infrastructure created.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120980","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}

引用次数: 0

[Successful implementation of screening for urothelial carcinoma of the upper and lower urinary tract-a critical evaluation of urine-based lateral flow tests]. 【成功实施上、下尿路尿路上皮癌筛查——基于尿侧流试验的关键评价】。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-21 DOI: 10.1007/s00120-025-02606-5

Thorsten H Ecke

引用次数: 0

[Pelvic floor reconstruction and sexual function]. [盆底重建与性功能]。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-20 DOI: 10.1007/s00120-025-02594-6

Juliane Marschke

引用次数: 0

[PSA in the extreme range-an expression of an unfavorable prognosis? : A review of course and treatment of prostate cancer with prostate-specific antigen (PSA) values in the three-to-four-digit range]. PSA在极端范围-预后不良的表现？前列腺特异性抗原（PSA）值在3 - 4位数范围内的前列腺癌的病程和治疗综述。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-19 DOI: 10.1007/s00120-025-02583-9

Christian Dirscherl, Thomas Ebert, Bernd J Schmitz-Dräger, Peter J Goebell

{"title":"[PSA in the extreme range-an expression of an unfavorable prognosis? : A review of course and treatment of prostate cancer with prostate-specific antigen (PSA) values in the three-to-four-digit range].","authors":"Christian Dirscherl, Thomas Ebert, Bernd J Schmitz-Dräger, Peter J Goebell","doi":"10.1007/s00120-025-02583-9","DOIUrl":"https://doi.org/10.1007/s00120-025-02583-9","url":null,"abstract":"Background: Extremely high baseline prostate-specific antigen (bPSA) values in the range of 100 to ≥ 1000 ng/ml prior to the start of systemic therapy pose a challenge, as they can lead to the impression of a very unfavorable prognosis.Objective: We investigated factors influencing 5‑year overall survival (5-yOS) and the treatment modalities of patients with bPSA levels ≥ 100 ng/ml using retrospective data.Materials and methods: We defined items from a limited initial collective, which we then used for a query in the UroCloud database. A total of 695 patients were included.Results and conclusion: For the entire collective, the 5‑yOS was 68.5% ± 2.7%. The bPSA value had a significant (p < 0.001) influence on 5‑yOS in the following groups: 100-149 ng/ml, 150-249 ng/ml, 250-649 ng/ml, and ≥ 650 ng/ml (5-yOS: 77.0% ± 4.9% vs. 76.9% ± 4.5% vs. 61.4% ± 6.0 vs. 57.4% ± 6.1%, respectively). Age ≤ 70 years compared to > 70 years at first diagnosis resulted in a significant difference regarding 5‑yOS (74.8% ± 3.5% vs. 60.1% ± 4.4, respectively). A PSA response of > 90%, which was achieved in 79.0% of cases, had a significant influence on 5‑yOS compared to a response of ≤ 90% (73.5% ± 2.9% vs. 48.6% ± 6.7%, respectively). There was also a significant 5‑yOS advantage if a first PSA nadir of ≤ 0.20 ng/ml was achieved (in 22.2%) compared to a first PSA nadir of > 0.20 ng/ml (89.8% ± 3.3% vs. 60.4% ± 3.5%, respectively). In 49.4% (n = 343) of cases, androgen deprivation therapy (ADT) monotherapy was started as first-line systemic therapy. Between 1999 and 2023, we saw an increase in escalated and initial combination therapies. The analysis shows that an extreme bPSA value is not in itself an expression of an unfavorable prognosis.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094246","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}

引用次数: 0

[Innovative systemic treatment approaches for advanced penile cancer]. 【晚期阴茎癌的创新系统治疗方法】。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-19 DOI: 10.1007/s00120-025-02605-6

Désirée L Dräger

引用次数: 0

[Reliability of digital health information on stress urinary incontinence compared between different platforms]. [不同平台间压力性尿失禁数字健康信息可靠性比较]。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-19 DOI: 10.1007/s00120-025-02593-7

Tanja Hüsch, Sita Ober, Anita Thomas, Axel Haferkamp, Matthias Saar, Jennifer Kranz

{"title":"[Reliability of digital health information on stress urinary incontinence compared between different platforms].","authors":"Tanja Hüsch, Sita Ober, Anita Thomas, Axel Haferkamp, Matthias Saar, Jennifer Kranz","doi":"10.1007/s00120-025-02593-7","DOIUrl":"https://doi.org/10.1007/s00120-025-02593-7","url":null,"abstract":"Background: The interest in digital information on pelvic floor dysfunction is constantly increasing. Various digital platforms offer an easy and anonymous way for patients to seek information about their condition. However, little is known about the quality of the information on the different platforms or about the how the quality of different sites compares.Objective: The aim of this study was to investigate the completeness and quality of information on the search term \"stress urinary incontinence\" in comparison between different digital platforms.Materials and methods: A systematic analysis of the keyword search \"stress urinary incontinence\" was performed on Google and the social networks Facebook, YouTube, Instagram, and LinkedIn. The first 30 search results on each platform were evaluated. The results were categorized according to information content and readability. The Health On the Net Foundation (HON) seal was used to assess medical quality.Results: The proportion of informative content was highest on YouTube (97%) and Google (93%). Content was predominantly provided by professional organizations on Google and YouTube. Information on conservative therapies dominated across all platforms. Surgical therapies were only discussed in up to 63% of results on Google and in up to 50% of results on YouTube. In most cases, there was also no comprehensive presentation of all surgical options. The readability of the texts was unsuitable for laypersons on all platforms, and HON certification was only present on Google (37%) and YouTube (3%).Conclusion: The results offer practical insights into the quality of digital information on stress urinary incontinence. However, they show deficits in readability and comprehensive presentation of surgical therapies. The physician-patient relationship remains indispensable for taking individual needs into account and avoiding misinformation.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152099","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}

引用次数: 0

[Securing the future: How can healthcare professions become irresistible to young talent again?] 保障未来：医疗保健行业如何才能再次成为年轻人才无法抗拒的行业？］

IF 0.5 4区医学

Urologie Pub Date : 2025-05-16 DOI: 10.1007/s00120-025-02612-7

Samira Reuß, Melina Brohm, Markus Schubert

{"title":"[Securing the future: How can healthcare professions become irresistible to young talent again?]","authors":"Samira Reuß, Melina Brohm, Markus Schubert","doi":"10.1007/s00120-025-02612-7","DOIUrl":"https://doi.org/10.1007/s00120-025-02612-7","url":null,"abstract":"Demographic change is leading to a higher number of people who are ill or are in need of care. Medical advances, particularly through minimally invasive procedures, make numerous interventions possible even for older people. This is leading to a current increase in medical demand that is expected to continue into the future. Declining birth rates have led to a shortage of skilled workers in the healthcare sector, which is projected to be even more pronounced in coming years. This is leading to a staff shortage, followed by increasing workloads. Shift work, heavy bureaucratic burdens, and inflexible work hours are making patient-centered careers increasingly unpopular. Although many young people can imagine working in nursing or medical professions, the current working conditions mean that many young professionals prioritize private and family life, seek part-time jobs, or leave the profession altogether. Only improvements in working conditions and, where appropriate, adjusted remuneration can reverse this trend. Reduced bureaucracy, predictable working hours and vacation times, as well as modern personnel development and leadership are potential solutions. Future challenges, such as those posed by the current healthcare reform, can only be met through regional networks for medical education and training.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080956","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}

引用次数: 0

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