Urologie最新文献_第2页

[Outcomes of surgical strategies for pelvic organ prolapse with or without stress urinary incontinence]. [伴有或不伴有应激性尿失禁的盆腔器官脱垂的手术策略的结果]。

IF 0.4 4区医学

Urologie Pub Date : 2026-10-01 Epub Date: 2026-09-02 DOI: 10.1007/s00120-026-02917-1

Jennifer Kranz, Tanja Hüsch

引用次数: 0

GeSRU.

IF 0.4 4区医学

Urologie Pub Date : 2026-10-01 DOI: 10.1007/s00120-026-02936-y

引用次数: 0

[Geriatric assessments and their practical application in uro-oncology : How do we decide on prostate cancer treatment in an age-appropriate way?] 老年评估及其在泌尿肿瘤学中的实际应用：我们如何以适合年龄的方式决定前列腺癌的治疗？］

IF 0.4 4区医学

Urologie Pub Date : 2026-10-01 Epub Date: 2026-07-09 DOI: 10.1007/s00120-026-02886-5

Christian Fiebig, Andreas Manseck, Joachim Stein, Alexander Piotrowski, Michael Fröhner, Martin Umbehr, Marius Butea-Bocu, Andreas Wiedemann

{"title":"[Geriatric assessments and their practical application in uro-oncology : How do we decide on prostate cancer treatment in an age-appropriate way?]","authors":"Christian Fiebig, Andreas Manseck, Joachim Stein, Alexander Piotrowski, Michael Fröhner, Martin Umbehr, Marius Butea-Bocu, Andreas Wiedemann","doi":"10.1007/s00120-026-02886-5","DOIUrl":"10.1007/s00120-026-02886-5","url":null,"abstract":"The management of geriatric patients with urological cancers is becoming increasingly important due to rising life expectancy and the growing incidence of such diseases. However, treatment decisions are often based primarily on chronological age or clinical guidelines, whilst insufficient consideration is given to the functional reserve of older patients. Geriatric patients exhibit specific physiological changes such as impaired renal or liver function, sarcopenia, multimorbidity, polypharmacy, malnutrition and cognitive impairments, which increase the risk of postoperative complications, functional decline, delirium, falls and the need for care. Standard therapies can therefore lead to significant functional limitations despite their oncological benefits. The aim of modern uro-oncological treatment is not only to prolong life but, in particular, to preserve autonomy, mobility and quality of life. For the purpose of individualised treatment planning, current guidelines recommend a stepwise geriatric assessment. This begins with screening using the G8 and mini-COG©, followed by a simplified geriatric assessment or a comprehensive geriatric assessment (CGA) if any abnormalities are detected. Classifying patients as fit, vulnerable or frail enables risk-adapted treatment decisions and targeted geriatric interventions. This can improve functional reserves, reduce complications and potentially avoid the need for long-term care.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"1050-1057"},"PeriodicalIF":0.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413077","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

BvDU Kurz notiert. BvDU简短注释。

IF 0.4 4区医学

Urologie Pub Date : 2026-10-01 DOI: 10.1007/s00120-026-02934-0

引用次数: 0

AUO.

IF 0.4 4区医学

Urologie Pub Date : 2026-10-01 DOI: 10.1007/s00120-026-02924-2

引用次数: 0

Mitteilungen der DGU. DGU通讯。

IF 0.4 4区医学

Urologie Pub Date : 2026-10-01 DOI: 10.1007/s00120-026-02930-4

引用次数: 0

[Small renal tumors in geriatric patients-surveillance, biopsy, or surgery?] 老年患者肾小肿瘤：监测、活检还是手术？］

IF 0.4 4区医学

Urologie Pub Date : 2026-10-01 Epub Date: 2026-09-30 DOI: 10.1007/s00120-026-02921-5

Joachim Stein, Andreas Wiedemann, Andreas Manseck, Kristin Blanchard, Christian Fiebig, Alexander Piotrowski, Marius Butea-Bocu

{"title":"[Small renal tumors in geriatric patients-surveillance, biopsy, or surgery?]","authors":"Joachim Stein, Andreas Wiedemann, Andreas Manseck, Kristin Blanchard, Christian Fiebig, Alexander Piotrowski, Marius Butea-Bocu","doi":"10.1007/s00120-026-02921-5","DOIUrl":"10.1007/s00120-026-02921-5","url":null,"abstract":"Increasing life expectancy has led to a rise in the number of elderly patients with incidental small renal masses (SRMs). These tumors often show slow growth and can be safely monitored in selected cases. Studies demonstrate effective oncological control through active surveillance in elderly patients, particularly in those with low tumor progression and significant comorbidities. Histological subtype impacts growth behavior and metastatic potential. While a biopsy may help to avoid overtreatment, its value must be critically assessed in older patients. Surgical treatment, including partial and radical nephrectomy, remains associated with acceptable complication rates even in the very elderly, particularly in high-volume centers. However, studies show that surgical intervention does not necessarily confer a survival advantage in this population. Minimally invasive and ablative approaches, such as cryo- and microwave ablation, are gaining importance, especially in patients with increased frailty or impaired renal function. The use of geriatric assessments, particularly the G8 score, helps to identify vulnerable individuals and supports individualized treatment decisions. Age alone should not be a contraindication to oncological therapy but should prompt a careful risk-benefit assessment. The goal must be a personalized, risk-adapted therapeutic approach that balances quality of life, functional preservation, and oncological control.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":"65 10","pages":"1039-1049"},"PeriodicalIF":0.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115553","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

[Organizational negligence in hospitals: understanding and mitigating the risks of criminal liability]. [医院组织过失：认识和减轻刑事责任风险]。

IF 0.4 4区医学

Urologie Pub Date : 2026-10-01 Epub Date: 2026-09-16 DOI: 10.1007/s00120-026-02925-1

Katrin Frank

引用次数: 0

[Update renal cell carcinoma : Guideline update on small renal masses]. 【更新肾细胞癌：小肾肿块指南更新】。

IF 0.4 4区医学

Urologie Pub Date : 2026-10-01 Epub Date: 2026-09-11 DOI: 10.1007/s00120-026-02918-0

Philip Zeuschner, Stefan Siemer, Jens-Uwe Stolzenburg

引用次数: 0

[White paper: a future vision for cross-sector integrated urological care]. [白皮书：跨部门综合泌尿科护理的未来展望]。

IF 0.4 4区医学

Urologie Pub Date : 2026-10-01 Epub Date: 2026-06-29 DOI: 10.1007/s00120-026-02874-9

Markus Schöne, Holger Borchers, Margit Fisch, Johannes Huber, Peter Kollenbach, Frank Petersilie, Andreas W Schneider, Daniela Schultz-Lampel, Björn Volkmer, Jens Westphal, Markus Müller

{"title":"[White paper: a future vision for cross-sector integrated urological care].","authors":"Markus Schöne, Holger Borchers, Margit Fisch, Johannes Huber, Peter Kollenbach, Frank Petersilie, Andreas W Schneider, Daniela Schultz-Lampel, Björn Volkmer, Jens Westphal, Markus Müller","doi":"10.1007/s00120-026-02874-9","DOIUrl":"10.1007/s00120-026-02874-9","url":null,"abstract":"The position paper of the Working Group \"Cross-sectoral urological care\" addresses the profound challenges currently facing urological healthcare. Demographic change, workforce shortages, increasing financial pressure, digital transformation, and the political shift toward outpatient care are placing growing strain on both hospitals and private practices. To maintain comprehensive, high-quality care, structural changes are essential. This paper outlines how such a transformation can succeed through coordinated, cross-sectoral collaboration-by developing integrated care networks, hybrid surgical centers linked to hospitals, specialized emergency structures, and flexible employment and training models. Guided by the principle \"digital before outpatient before inpatient\", the goal is to establish a patient-centered, efficient, and future-oriented care system. Achieving this requires stable conditions, sustainable investment, reduced bureaucracy, digital interoperability, and continuous scientific evaluation. Only through joint efforts between hospitals and outpatient providers can this transformation be successfully achieved and urological care be secured for the future. With its broad clinical spectrum, strong professional networking, and established organizational structures, urology is particularly well positioned to take a leading role in developing cross-sectoral models of care.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"1087-1093"},"PeriodicalIF":0.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346216","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