Urologie最新文献_第2页

[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 : 2025-06-01 Epub 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":"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":"567-573"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","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

Termine. Termine。

IF 0.5 4区医学

Urologie Pub Date : 2025-06-01 DOI: 10.1007/s00120-025-02611-8

引用次数: 0

[New Work as a toolbox : Organizational development in long-term care]. [新工作作为工具箱：长期护理的组织发展]。

IF 0.5 4区医学

Urologie Pub Date : 2025-06-01 Epub Date: 2025-02-06 DOI: 10.1007/s00120-025-02531-7

Louise Enz

引用次数: 0

Berufspolitik BvDU. Berufspolitik BvDU .

IF 0.5 4区医学

Urologie Pub Date : 2025-06-01 DOI: 10.1007/s00120-025-02613-6

引用次数: 0

[Active surveillance of prostate cancer]. [前列腺癌的主动监测］

IF 0.5 4区医学

Urologie Pub Date : 2025-06-01 Epub Date: 2025-03-20 DOI: 10.1007/s00120-025-02555-z

Christian Bolenz, Marc-Oliver Grimm, Axel Heidenreich, Glen Kristiansen, Lars Schimmöller, Stefanie Schmidt, Martin Schostak, Boris Hadaschik

{"title":"[Active surveillance of prostate cancer].","authors":"Christian Bolenz, Marc-Oliver Grimm, Axel Heidenreich, Glen Kristiansen, Lars Schimmöller, Stefanie Schmidt, Martin Schostak, Boris Hadaschik","doi":"10.1007/s00120-025-02555-z","DOIUrl":"10.1007/s00120-025-02555-z","url":null,"abstract":"The aim of active surveillance (AS) is to avoid overtreatment of clinically insignificant prostate cancer (PCa). It is now strongly recommended for patients diagnosed with localized low-risk PCa. Additionally, it can be considered for selected patients with localized PCa in the International Society of Urological Pathology (ISUP) group 2, provided patients have a favorable risk profile. This profile is histopathologically characterized by the presence of a low percentage of Gleason pattern 4 and the absence of cribriform or intraductal components. The role of magnetic resonance imaging (MRI), including the Prostate Cancer Radiological Estimation of Change in Sequential Evaluation (PRECISE) recommendations on monitoring is increasing. It is crucial to adhere to defined intervals for prostate-specific antigen (PSA) level checks, repeat biopsies, MRI and further targeted and systematic biopsies under AS. The MRI of the prostate (according to the current recommendations as multiparametric MRI, mpMRI), as a noninvasive diagnostic tool, has the potential to be used as a decision aid for determining the need for repeated biopsies during AS. As the trigger for deciding for an active treatment PSA progression alone is not sufficient but there must be a biopsy-confirmed tumor progression with an upgrading. This continuing medical education (CME) article summarizes the current indications, procedures and discontinuation criteria for AS based on the latest evidence and an adaptation to international guidelines.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"595-605"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671268","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

[Management of complications in reconstructive pelvic floor surgery]. 盆底重建手术并发症的处理

IF 0.5 4区医学

Urologie Pub Date : 2025-06-01 Epub Date: 2025-05-12 DOI: 10.1007/s00120-025-02581-x

C Hampel, M Baunacke

{"title":"[Management of complications in reconstructive pelvic floor surgery].","authors":"C Hampel, M Baunacke","doi":"10.1007/s00120-025-02581-x","DOIUrl":"10.1007/s00120-025-02581-x","url":null,"abstract":"Reconstructive pelvic floor surgery offers a wide range of surgical options for treating urinary incontinence, organ prolapse and other pelvic floor disorders. The aim is always to choose the safest and most effective procedure to improve the quality of life of those affected. In addition to expertise in making the appropriate diagnosis and surgical experience, knowledge of how to deal with complications is always essential. When categorising complications, a distinction is made between early and late complications, intraoperative and postoperative complications, and general and procedure-specific complications. If complications arise, conservative and surgical treatment options should be known. The starting point here is adequate diagnostics, which may include basic examinations, sonography, endoscopy and imaging techniques. The aim is to be able to accurately assess the extent of the complication in order to choose the appropriate therapy-preferably conservative methods. Particular challenges in the management of complications in reconstructive pelvic floor surgery are posed by complications with foreign materials. Surgical complication management can be very complex, requires a high level of surgical expertise and may also require an interdisciplinary approach. Gaining expertise in managing complications, whether conservative or surgical methods, can be challenging, especially when aiming to avoid causing those complications yourself. Thus, the best complication management is preventive: knowing the patient well, diagnosing the disease precisely and knowing one's own limits!","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"551-559"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051182","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

GeSRU.

IF 0.5 4区医学

Urologie Pub Date : 2025-06-01 DOI: 10.1007/s00120-025-02610-9

引用次数: 0

[Cooperation instead of competition-new approaches in urological care]. 以合作代替竞争——泌尿外科护理的新途径。

IF 0.5 4区医学

Urologie Pub Date : 2025-05-31 DOI: 10.1007/s00120-025-02615-4

Jens Westphal

{"title":"[Cooperation instead of competition-new approaches in urological care].","authors":"Jens Westphal","doi":"10.1007/s00120-025-02615-4","DOIUrl":"https://doi.org/10.1007/s00120-025-02615-4","url":null,"abstract":"Urological care in Germany is in a state of flux. New interfaces are emerging between outpatient and inpatient structures, which pose not only organizational and professional but also economic challenges. The central challenge is the increasing importance of outpatient care and its integration into everyday clinical practice and the associated cooperation between hospitals and community-based physicians, including in the context of urological training. Only through close and trusting cooperation is it possible to ensure high-quality patient care and act in an economically sensible manner. The author is particularly critical of the \"cold\" streamlining of the hospital landscape in North Rhine-Westphalia due to the increasing insolvency of hospitals. This could also jeopardize urological care in the medium and long term. Existing urological hospital structures, especially inpatient departments, have been closed, while the care of urological patients has been made considerably more difficult due to a lack of opportunities for expansion, e.g., of operating room capacities in the hospitals providing care. At the same time, the article aims to provide encouragement. The younger generation in particular is prepared to think, act and work across sectors. The author appeals to all those involved to see cooperation not as a necessary evil, but as a strategic opportunity. This is the only way that patient care can be guaranteed in the future in a comprehensive and quality-assured manner. It is not just about medical expertise, but also about structure, communication and trust between the people involved.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192348","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

[Pediatric urology-common issues of the external genitalia in boys]. [小儿泌尿学-男孩外生殖器的常见问题]。

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