Urologie最新文献

{"title":"[The environmentally friendly hospital : Perspectives and practical examples for urology].","authors":"Matthias Albrecht, Jonas Loff, Tim Hoffmann","doi":"10.1007/s00120-026-02884-7","DOIUrl":"10.1007/s00120-026-02884-7","url":null,"abstract":"<p><p>The healthcare sector is one of the most resource-intensive industries in modern societies, contributing substantially to greenhouse gas emissions, water consumption, and waste generation. The concept of the environmentally friendly hospital integrates ecological sustainability, economic efficiency, and patient welfare into a holistic framework. This article examines the key dimensions of sustainable hospital management-energy efficiency, sustainable building concepts, environmentally responsible procurement, environmentally responsible medical procedures, as well as waste and water management-and highlights their specific relevance to urology. Urology departments exhibit a distinctive sustainability profile due to their high consumption of single-use materials, water-intensive procedures such as urological endoscopy, and the use of energy- and resource-intensive surgical robots. Sustainably oriented departments can achieve measurable improvements in clinical outcomes, staff satisfaction, and operating costs.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"959-964"},"PeriodicalIF":0.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399557","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}

{"title":"[Use of artificial intelligence in clinical practice and hospitals].","authors":"Hendrik Borgmann","doi":"10.1007/s00120-026-02885-6","DOIUrl":"10.1007/s00120-026-02885-6","url":null,"abstract":"<p><p>Artificial intelligence (AI) is increasingly evolving from a research technology into a tool for everyday clinical practice. While early applications primarily focused on medical image analysis, generative AI systems and large language models are now available for a wide range of clinical and administrative tasks. These include medical documentation, literature review, guideline-based knowledge management, patient communication, and workflow optimization. At the same time, diagnostic and therapeutic applications continue to evolve. AI-assisted systems support radiological and pathological image interpretation, risk stratification, and clinical decision-making processes. Despite considerable opportunities, important limitations remain. AI hallucinations, algorithmic bias, data protection requirements, and regulatory considerations necessitate continuous human oversight and critical evaluation. Therefore, the long-term success of AI will depend not only on technological performance but also on its responsible integration into existing healthcare structures. This review provides a practice-oriented overview of current and future AI applications in urology and discusses opportunities, limitations, and prerequisites for safe implementation in clinical practice and hospital care.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"942-947"},"PeriodicalIF":0.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621613","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}

{"title":"[Urological training wards - a viable solution to the shortage of healthcare professionals?]","authors":"Christian P Meyer, Rainer Treichel, Patrick Büttner, Yvonne Schmidgen, Stephan Degener, Jost Hohage, Simone Hyun, Friedrich-Carl von Rundstedt","doi":"10.1007/s00120-026-02853-0","DOIUrl":"10.1007/s00120-026-02853-0","url":null,"abstract":"<p><strong>Background/objectives: </strong>The pressing shortage of professionals in urology increases pressure on medical education and recruitment. Interdisciplinary teaching wards (ITWs) may offer a model to enhance clinical training, promote interdisciplinary competencies, and thereby help mitigate scarcity. This review explores the concept, evidence, structure, and specific application in urology.</p><p><strong>Materials and methods: </strong>Systematic literature search of PubMed, Google Scholar, and educational databases up to mid-2025.</p><p><strong>Inclusion criteria: </strong>reports on interdisciplinary/interprofessional teaching wards, clinical teaching units, clerkships, especially in surgical fields and urology; data on structure, outcomes, implementation.</p><p><strong>Results: </strong>Historically, teaching wards arose from clinical teaching hospitals and interprofessional education in the 20th century. Their structure typically includes multidisciplinary teams, rotating learners, supervised patient care, and curriculum with outcomes and feedback. Evidence shows benefits in clinical skills, teamwork, patient satisfaction, and a possible reduction of errors and costs. However, urology-specific data are sparse. In urology, clerkships, electives and subinternships incorporate certain aspects, but fully developed ITWs in urology are rare.</p><p><strong>Conclusion: </strong>ITWs hold significant promise for improving education and may contribute to alleviating the workforce shortage in urology. More empirical studies focused on urology are required, especially randomized controlled trials, economic analyses, and implementation studies.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"973-978"},"PeriodicalIF":0.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206390","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}

{"title":"Zum 78. Kongress der Deutschen Gesellschaft für Urologie e. V.","authors":"Susanne Krege","doi":"10.1007/s00120-026-02901-9","DOIUrl":"https://doi.org/10.1007/s00120-026-02901-9","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":"65 Suppl 2","pages":"21-22"},"PeriodicalIF":0.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833031","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}

{"title":"Abstracts des 78. Kongresses der Deutschen Gesellschaft für Urologie e. V.","authors":"","doi":"10.1007/s00120-026-02903-7","DOIUrl":"https://doi.org/10.1007/s00120-026-02903-7","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":"65 Suppl 2","pages":"25-189"},"PeriodicalIF":0.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833010","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}

{"title":"Dem Leben eine Zukunft geben.","authors":"Susanne Krege","doi":"10.1007/s00120-026-02891-8","DOIUrl":"https://doi.org/10.1007/s00120-026-02891-8","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":"65 9","pages":"923-925"},"PeriodicalIF":0.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814186","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}

{"title":"[Diagnosis or encounter : On the medical perception of gender, transgender and nonbinarity].","authors":"Annette Güldenring","doi":"10.1007/s00120-026-02883-8","DOIUrl":"10.1007/s00120-026-02883-8","url":null,"abstract":"<p><p>This article reflects on the significance of medical perception in encounters with gender, trans identity and nonbinarity. Starting from the role of urology in the medical care of gender-diverse people, it shows that gender-affirming and gender-modifying treatments cannot be understood solely as somatic-medical or organ-focused interventions. They are part of complex developmental processes in which bodily well-being, gendered self-experience, social participation, sexuality, quality of life and other dimensions are closely intertwined. Gender is understood as a multidimensional self-experience that cannot be conclusively defined. Medical classifications may provide orientation, but they also carry the risk of reducing diversity to deviation or treatment need. The article juxtaposes different concepts of perception and shows that medical perception is never neutral, but is shaped by assumptions, affects, biographical experiences, cultural norms, and professional routines. This is particularly relevant in urology, where clinical practice involves intimate body regions that are highly sensitive in terms of gender and individually significant. Medical responsibility does not begin with intervention, but already in the way the patient is first encountered. In the article, the author argues for a culture of perception that pauses between first impression and clinical assessment, reflects on its interpretations and takes patients' gendered self-description seriously within a dialogical encounter.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"934-941"},"PeriodicalIF":0.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391804","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}

{"title":"[Artificial intelligence in the care of geriatric patients-more of a curse or more of a blessing?]","authors":"Andreas Wiedemann, Andreas Manseck, Joachim Stein, Michael Fröhner, Christian Fiebig, Alexander Piotrowski, Martin Umbehr","doi":"10.1007/s00120-026-02890-9","DOIUrl":"10.1007/s00120-026-02890-9","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) is conquering medicine in many fields. With geriatric patients, it is important not only to understand the decision tree of, for example, a tumor disease, but also to assess their functionality and functional deficits.</p><p><strong>Methods: </strong>For potential (urological) care of geriatric patients, AI-supported tumor boards, AI-simulated human interaction, and AI-based polypharmacy tools were identified. The advantages and disadvantages, risks and benefits, and practical aspects are weighed against each other.</p><p><strong>Results: </strong>The specific characteristics of geriatric patients arise from their multidimensionality. These often involve functional impairments that can only be systematically assessed. The challenge will be to integrate these functional deficits, along with appropriate cut-offs, life expectancy, patient goals, anamnesis, and the potential risks of any therapy, into treatment decisions, in addition to the characteristics of a (tumor) disease. Ensuring the psychosocial care of nursing home residents during times of staff shortages also presents a challenge. \"Learning\" and \"responsive\" cuddly toys and robots could provide valuable support in this area. A third application of AI is certainly a comprehensive medication tool that compares multiple databases with the patient's specific needs.</p><p><strong>Conclusion: </strong>AI applications in medicine and urology are inevitable. Their integration into the care of the particularly complex and vulnerable geriatric patient requires careful consideration: What information is needed regarding the patient, their illness, therapy, and therapy risks, and how can this information be applied? The question of whether AI is a curse or a blessing can perhaps currently be rephrased as \"opportunities, but also risks.\"</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"950-958"},"PeriodicalIF":0.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621633","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}

{"title":"[\"Do you still have sex, or do you already play golf?\"-Sex lives in comparison: golfers, physically active and physically inactive middle aged men].","authors":"Victoria A Göldner, Jürgen E Gschwend, Kathleen Herkommer","doi":"10.1007/s00120-026-02910-8","DOIUrl":"https://doi.org/10.1007/s00120-026-02910-8","url":null,"abstract":"<p><strong>Background: </strong>In Germany, the phrase \"Do you still have sex, or do you already play golf?\" ironically reflects the stereotype that golf serves as a substitute for sexual activity in older age and conveys the assumption that sexuality becomes irrelevant in later life.</p><p><strong>Objectives: </strong>The aim of this study was to compare the sex lives of golfers, physically active men, and physically inactive men, focusing on sexual activity, the perceived importance of sexuality, and sexual satisfaction.</p><p><strong>Materials and methods: </strong>The analysis included 50-year-old men participating in the Bavarian Men's Health (BMH) study between April 2020 and March 2025. Standardized questionnaires were used to assess sociodemographic data, lifestyle factors, and parameters of sex life. Participants were categorized into three groups: golfers, physically active (nongolfers), and physically inactive men. Group comparisons regarding sociodemographic, lifestyle, and sexual parameters were conducted using χ² and Fisher's exact tests, as appropriate.</p><p><strong>Results: </strong>Among 8062 men (mean age 50.3 ± 0.58 years), 1.6% identified as golfers, 63.2% as physically active, and 35.2% as inactive. Both golfers and physically active men were significantly more likely to be sexually active compared to inactive men, reported more than one sexual partner within the past year, and indicated higher sexual desire as well as greater importance of sexual life (all p < 0.001). Moreover, they achieved significantly higher International Index of Erectile Function-Erectile Function domain (IIEF-EF) scores and Erection Hardness Scores (EHS; both p < 0.001). No differences were observed regarding sexual satisfaction, masturbation frequency, or the desire to change sexual activity.</p><p><strong>Conclusion: </strong>The findings indicate that playing golf and maintaining an active sexual life are by no means mutually exclusive. On the contrary, golfers demonstrated, on average, higher levels of sexual activity than comparison groups.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798640","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}

{"title":"[Sustainability in urology: from vision to implementation : Results from a member survey conducted by the German Society of Urology].","authors":"Marlene Thöne, Bernd Wullich, Anna Heinrichs, Carolin Siech, Christian Eggersmann, Mareike Ahlers","doi":"10.1007/s00120-026-02906-4","DOIUrl":"10.1007/s00120-026-02906-4","url":null,"abstract":"<p><p>Healthcare is closely linked to climate change: on the one hand, climate change has negative effects on (urological) health; on the other hand, resource intensive patient care has negative effects on global warming. Currently, there is a lack of data on current status, potential benefits, barriers, and expectations regarding environmental sustainability among urologists practicing in Germany. Thus, a survey was conducted among members of the German Society of Urology (Deutsche Gesellschaft für Urologie e. V., DGU). The 339 participants consider sustainability to be relevant. While sustainable urology is associated with more efficient use of resources, cost reductions, and a stronger contribution to societal responsibility, the main barriers identified are low prioritization in daily practice, lack of clarity regarding ecological effects of individual measures, and insufficient personnel and financial resources. Members of the DGU who took part in the survey consider sustainability to be an important area of action that has seen little practical implementation to date. They call for support from professional associations, industry, politics, and research in terms of education, strategies, prioritization, and financing for sustainable action in urology.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722548","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}