UrologiePub Date : 2025-06-01DOI: 10.1007/s00120-025-02600-x
Torsten Nölling, Lisa-Marie Büchner
{"title":"[Patient education during outpatient procedures].","authors":"Torsten Nölling, Lisa-Marie Büchner","doi":"10.1007/s00120-025-02600-x","DOIUrl":"10.1007/s00120-025-02600-x","url":null,"abstract":"<p><p>Patient education is a key obligation for doctors under the treatment contract. The expansion of the AOP catalogue (catalogue of operations that can be performed on an outpatient basis in accordance with Section 115b of the Fifth Book of the German Social Code (SGB V)) from January 2023 opens up new outpatient treatment options that tend to involve higher risks. This risk profile must be taken into account when informing patients.In any case, the timing of the information should be chosen so that the patient can give their consent in a well-considered manner. There is no fixed \"blocking period\" between information and consent, so the patient can consent immediately. In the case of high-risk procedures, the patient should be informed several days in advance. Criteria for determining the right time are the type and severity of the procedure, urgency and individual circumstances of the patient. The information provided should be complete and comprehensible, including the diagnosis, need for treatment, risks and alternatives. Comprehensive documentation of the information provided goes without saying.Telemedical counselling is possible in suitable cases, but the risk of timely and complete counselling remains with the doctor performing the procedure. In view of outpatient procedures that require follow-up care at home, the safety information should be more comprehensive.The expansion of the AOP catalogue opens up new opportunities for outpatient procedures, but harbours legal risks. Adapted risk and safety information is required, whereby telemedicine can optimise practice organisation.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"588-591"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050685","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}
UrologiePub Date : 2025-06-01DOI: 10.1007/s00120-025-02609-2
{"title":"Mitteilungen der DGU.","authors":"","doi":"10.1007/s00120-025-02609-2","DOIUrl":"https://doi.org/10.1007/s00120-025-02609-2","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":"64 6","pages":"606-612"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209687","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}
UrologiePub Date : 2025-06-01Epub Date: 2025-05-20DOI: 10.1007/s00120-025-02594-6
Juliane Marschke
{"title":"[Pelvic floor reconstruction and sexual function].","authors":"Juliane Marschke","doi":"10.1007/s00120-025-02594-6","DOIUrl":"10.1007/s00120-025-02594-6","url":null,"abstract":"<p><p>Urogynecological surgeries aim to restore and preserve quality of life and enable social participation with as few impairments as possible. In addition to bladder and bowel function, sexual function is often affected in the context of pelvic floor dysfunction. This article aims to present the impact of various surgical techniques for pelvic floor reconstruction on female sexual function. Both anatomical knowledge and psychosexual aspects are discussed. Reconstructions using native tissue as well as synthetic mesh and different surgical approaches for the treatment of pelvic organ prolapse and urinary incontinence are examined, also with respect to their effects on sexuality. Surgical outcomes and therapeutic options are presented. The findings highlight the need for individualized patient education and counseling.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"560-566"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112037","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}
UrologiePub Date : 2025-06-01Epub Date: 2025-05-19DOI: 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":"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"567-573"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133905/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
UrologiePub Date : 2025-06-01Epub Date: 2025-04-30DOI: 10.1007/s00120-025-02591-9
Thomas Fink
{"title":"[Vaginal pelvic floor reconstruction techniques].","authors":"Thomas Fink","doi":"10.1007/s00120-025-02591-9","DOIUrl":"10.1007/s00120-025-02591-9","url":null,"abstract":"<p><p>Pelvic organ prolapse (POP) is a common condition affecting women. It results from weakening of the pelvic floor muscles and connective tissues and is particularly common among postmenopausal women. This weakening can lead to descent of the pelvic organs, including the bladder, uterus, and rectum, into or beyond the vaginal canal, causing significant discomfort and impairment of quality of life. Vaginal prolapse surgery is a key therapeutic approach for severe cases of POP, aiming to restore pelvic anatomy and improve functional outcomes. Surgical interventions for vaginal prolapse can be broadly categorized into native tissue repair, mesh-augmented procedures, and obliterative techniques, each with distinct indications, benefits, and risks. While traditional colporrhaphy remains a widely used technique, the introduction of synthetic meshes has improved anatomical success rates, albeit with concerns regarding complications such as erosion and dyspareunia. This article provides an overview of current surgical techniques for vaginal prolapse repair, evaluating their outcomes and complications as well as recent developments in the field. Understanding these aspects is crucial for optimizing patient-centered treatment strategies and ensuring long-term success.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"542-550"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019445","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}
UrologiePub Date : 2025-06-01Epub Date: 2025-02-06DOI: 10.1007/s00120-025-02531-7
Louise Enz
{"title":"[New Work as a toolbox : Organizational development in long-term care].","authors":"Louise Enz","doi":"10.1007/s00120-025-02531-7","DOIUrl":"10.1007/s00120-025-02531-7","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"592-594"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256930","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}
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