Urologie最新文献_第2页

[Neurological diagnosis of lower urinary tract dysfunction]. 下尿路功能障碍的神经学诊断。

IF 0.5 4区医学

Urologie Pub Date : 2025-01-14 DOI: 10.1007/s00120-024-02495-0

Uta Kliesch, André Reitz

{"title":"[Neurological diagnosis of lower urinary tract dysfunction].","authors":"Uta Kliesch, André Reitz","doi":"10.1007/s00120-024-02495-0","DOIUrl":"https://doi.org/10.1007/s00120-024-02495-0","url":null,"abstract":"Background: Neurophysiological investigations are infrequently utilized in the diagnostic workup of lower urinary tract symptoms (LUTS).Objective: To determine the potential contributions of neurophysiological assessments in the diagnostic process of LUTS and their integration into systemic neurological and psychosomatic disorders.Materials and methods: This study elucidates the role of neurophysiological tests specific to pelvic floor diagnostics, namely pudendal nerve somatosensory-evoked potentials (SEP) and external anal sphincter electromyography (EMG), through the presentation of two clinical case reports.Results: When combined with clinical history, physical examination, and urodynamic studies, pudendal SEP and external anal sphincter EMG facilitate both diagnostic precision and the topographic localization of LUTS. This allows, particularly in conjunction with supplementary imaging modalities such as magnetic resonance imaging (MRI), for a definitive diagnosis and, consequently, the formulation of individualized, targeted therapeutic strategies.Conclusion: The increased application of specific neurophysiological methods in the diagnostic evaluation of LUTS is warranted, particularly in complex cases. This approach not only enhances diagnostic accuracy but also aligns with the goal of developing personalized, specific, and resource-efficient therapeutic interventions.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980134","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

[Lower urinary tract dysfunction in children]. [儿童下尿路功能障碍]。

IF 0.5 4区医学

Urologie Pub Date : 2025-01-14 DOI: 10.1007/s00120-024-02501-5

Beatriz Carvalho Tomas Alves Gil, Sebastian Grundl, Matthias Saar, Jennifer Kranz

{"title":"[Lower urinary tract dysfunction in children].","authors":"Beatriz Carvalho Tomas Alves Gil, Sebastian Grundl, Matthias Saar, Jennifer Kranz","doi":"10.1007/s00120-024-02501-5","DOIUrl":"https://doi.org/10.1007/s00120-024-02501-5","url":null,"abstract":"Lower urinary tract dysfunction (LUTD) is common in children and can significantly impact the quality of life in affected children and their families. This article provides a comprehensive overview of the causes, diagnostics, and treatment, with a particular focus on nonorganic urinary incontinence and nocturnal enuresis. Accurate diagnostics are essential to differentiate between organic and functional causes, as well as to distinguish primary from secondary forms of urinary incontinence. Basic diagnostics, including medical history, physical examination, and voiding diaries, form the foundation, while specialized diagnostics such as uroflowmetry or imaging enhance the evaluation of complex cases. Treatment of functional LUTD is primarily conservative, involving behavioral interventions as part of urotherapy, supported by pharmacological options like desmopressin or anticholinergics. Effective therapy also requires addressing comorbid conditions, such as chronic constipation or psychological disorders. In this article, the importance of an interdisciplinary approach and individualized therapy to achieve lasting symptom improvement and enhanced quality of life is emphasized.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984823","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

[Building bridges for knowledge transfer and multidisciplinary research : The 15th AuF Symposium in Homburg]. [为知识转移和多学科研究搭建桥梁：第15届世界科学论坛在德国洪堡的研讨会]。

IF 0.5 4区医学

Urologie Pub Date : 2025-01-14 DOI: 10.1007/s00120-024-02509-x

Christoph Becker, Johannes Linxweiler, Margaretha A Skowron, Christian Thomas

引用次数: 0

[Neurogenic lower urinary tract dysfunction following spinal cord injury]. [脊髓损伤后神经源性下尿路功能障碍]。

IF 0.5 4区医学

Urologie Pub Date : 2025-01-12 DOI: 10.1007/s00120-024-02494-1

Albert Kaufmann

引用次数: 0

[A rapid review: quality of life in adult allogeneic kidney transplantation in the last five years : What can we learn?]

IF 0.5 4区医学

Urologie Pub Date : 2025-01-07 DOI: 10.1007/s00120-024-02497-y

Lujza Brunaiova, Stefanie Cermak, Lukas Koneval, Beat Roth, Laila Schneidewind

{"title":"[A rapid review: quality of life in adult allogeneic kidney transplantation in the last five years : What can we learn?]","authors":"Lujza Brunaiova, Stefanie Cermak, Lukas Koneval, Beat Roth, Laila Schneidewind","doi":"10.1007/s00120-024-02497-y","DOIUrl":"https://doi.org/10.1007/s00120-024-02497-y","url":null,"abstract":"Background: Recent studies have also shown that clinical monitoring of quality of life (HRQoL) helps to recognize kidney transplant failure at an early stage.Objectives: Given the potential of improving HRQoL for the long-term outcomes of kidney transplantation, we conducted a rapid review of the last 5 years of quality of life evaluation after adult allogeneic kidney transplantation.Materials and methods: A rapid evidence analysis was carried out using a literature search in MEDLINE in the period 2019-2024.Results: The primary literature search yielded 554 hits, and ultimately only 12 cohort studies could be included, of which 2 were retrospective and 10 prospective cohort studies. Kidney transplant patients have better HRQoL than patients with end-stage renal disease. HRQoL is influenced by physical, psychological, and social factors. Further improvement of HRQoL or the primary influencing factors has the potential to further enhance the outcomes of kidney transplantation. However, studies to identify suitable interventions are lacking. Interesting factors to be influenced could be, for example, respiratory symptoms and support for professional reintegration.Conclusion: Future studies should focus on the identification of adequate interventions to further improve HRQoL in kidney transplant recipients.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059421","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

Erratum zu: Kryokonservierung von Keimzellen aus Ejakulat oder Hodengewebe zur Fertilitätsprotektion. 勘误：冷冻保存射精或睾丸组织中的生殖细胞以保护生育能力。

IF 0.5 4区医学

Urologie Pub Date : 2025-01-01 DOI: 10.1007/s00120-024-02490-5

Simone Bier, Sabine Kliesch

引用次数: 0

BvDU Kurz notiert. BvDU简短注释。

IF 0.5 4区医学

Urologie Pub Date : 2025-01-01 DOI: 10.1007/s00120-024-02503-3

引用次数: 0

AUO.

IF 0.5 4区医学