Urologie最新文献_第10页

[Management of isolated urinary bladder amyloidsis]. 【孤立性膀胱淀粉样变性的治疗】。

IF 0.4 4区医学

Urologie Pub Date : 2026-02-01 Epub Date: 2025-06-12 DOI: 10.1007/s00120-025-02621-6

Agneta Seebold, Thomas Büttner, Guido Fechner, Jan-Frederic Lau, Philipp Krausewitz

引用次数: 0

BvDU Kurz notiert. BvDU简短注释。

IF 0.4 4区医学

Urologie Pub Date : 2026-02-01 DOI: 10.1007/s00120-026-02766-y

引用次数: 0

[Indication and outcome of salvage surgery for urogenital malignancies]. [泌尿生殖系统恶性肿瘤抢救手术的适应证和结果]。

IF 0.4 4区医学

Urologie Pub Date : 2026-02-01 Epub Date: 2026-01-16 DOI: 10.1007/s00120-025-02748-6

Julian Heidenreich, David Pfister, Olivia Steenbock, Costantin Rieger, Axel Heidenreich

{"title":"[Indication and outcome of salvage surgery for urogenital malignancies].","authors":"Julian Heidenreich, David Pfister, Olivia Steenbock, Costantin Rieger, Axel Heidenreich","doi":"10.1007/s00120-025-02748-6","DOIUrl":"10.1007/s00120-025-02748-6","url":null,"abstract":"Based on the available data from mostly retrospective clinical studies, the indication for salvage surgery for tumors of the urogenital tract must be very strictly assessed by weighing the oncological benefit and possible therapy-associated complications. All patients should be advised in interdisciplinary tumor boards and the surgical procedure should only be performed by experienced surgeons. In the case of renal cell carcinoma, patients with lung or pancreatic metastases should be advised with regard to salvage surgery due to the favorable long-term results and moderate complication rates. Patients with cerebral metastases are managed via resection in combination with systemic therapy or stereotactic radiotherapy. In the case of urothelial carcinoma of the urinary bladder, only patients with minimal lymph node metastasis and pulmonary oligometastasis that persist stably after systemic therapy seem to benefit. For local recurrence of prostate cancer after radiotherapy, salvage prostatectomy is associated with a tumor-specific survival of over 80% in the case of localized tumor, lack of lymph node metastases, and long prostate-specific antigen (PSA) doubling time. Preoperatively, multiparametric magnetic resonance imaging (mpMRI) and prostate-specific membrane antigen positron-emission tomography/computed tomography (PSMA-PET/CT) are indispensable. Salvage lymphadenectomy for pelvic oligometastases should only be performed if risk factors are favorable. Cure is achieved in very few patients. The primary goal is to extend the time without antihormonal therapy, which can be up to 41 months. In the case of testicular germ cell tumors, salvage operations have a curative character and are only to be performed in designated centers in accordance with guidelines.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"145-154"},"PeriodicalIF":0.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991083","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

[Artificial intelligence in surgical disciplines: Clinical application, advantages, and potential-a Delphi expert consensus]. 【人工智能在外科学科中的临床应用、优势和潜力——德尔菲专家共识】。

IF 0.4 4区医学

Urologie Pub Date : 2026-01-30 DOI: 10.1007/s00120-026-02778-8

G Duwe, K Moench, V Kauth, M Angeloni, J Eckhoff, M Görtz, S Hoefert, T D Kocar, L Kollitsch, S Mehralivand, D Mercier, J Rudolph, J Rueckel, R Schönhof, M Sondermann, Caj von Klot, A Zamzow, J P Struck, H Borgmann

{"title":"[Artificial intelligence in surgical disciplines: Clinical application, advantages, and potential-a Delphi expert consensus].","authors":"G Duwe, K Moench, V Kauth, M Angeloni, J Eckhoff, M Görtz, S Hoefert, T D Kocar, L Kollitsch, S Mehralivand, D Mercier, J Rudolph, J Rueckel, R Schönhof, M Sondermann, Caj von Klot, A Zamzow, J P Struck, H Borgmann","doi":"10.1007/s00120-026-02778-8","DOIUrl":"https://doi.org/10.1007/s00120-026-02778-8","url":null,"abstract":"Background: Artificial intelligence (AI) in surgical disciplines has the potential to support all areas of patient care, with the goal of improving treatment quality and patient safety. A group of multidisciplinary experts discussed the current situation as well as steps required to successfully integrate AI into surgical disciplines in the context of a consensus conference at the second Digital Health Summit (Brandenburg an der Havel, Germany) in August 2024.Methods: A modified Delphi procedure was performed with 16 multidisciplinary physicians and scientists on the topic of AI in surgical disciplines and beyond. In two online meetings with subsequent Delphi survey rounds (LimeSurvey) and a final hybrid meeting, individual statements were contributed, discussed, and consented by all 16 participants based on current national clinical guidelines.Results: From a total of 103 submitted statements, 36 statements on reality (n = 12), utopia (n = 13), and opportunities for digital transformation (n = 11) were consented after discussion and modification. We achieved a consensus of at least 75% for all the statements presented, with six of the statements achieving a strong consensus of 100% agreement.Conclusion: The consensus statements show the great potential of AI for improving patient care in surgical disciplines. Challenges such as the lack of digitalization structures and legal frameworks were identified, and practice-oriented proposals for implementation were developed. The need for multidisciplinary cooperation between medical professionals, politics, and industry was emphasized in order to facilitate the German healthcare system remaining competitive for the future, both nationally and internationally.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087458","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

[Catheter use in management of acute urinary tract infections: indication, techniques, and decision-making]. [导管在急性尿路感染治疗中的应用：适应证、技术和决策]。

IF 0.4 4区医学

Urologie Pub Date : 2026-01-01 Epub Date: 2025-11-25 DOI: 10.1007/s00120-025-02731-1

Fabio Grünhagen, Friedrich Hartung, Christopher Netsch, Sophia Hook, Simon Filmar, Benedikt Becker

引用次数: 0

[The key role of advanced practice nurses]. 【高级实习护士的关键作用】。

IF 0.4 4区医学

Urologie Pub Date : 2026-01-01 Epub Date: 2025-02-27 DOI: 10.1007/s00120-025-02541-5

Sandra Bensch

引用次数: 0

[Charité survey: "Why did you come to the emergency room?"] 慈善调查：“你为什么来急诊室？”］