Urologie最新文献_第3页

Transformation im Gesundheitswesen – Chancen für die Urologie von morgen. 医疗保健转型：未来泌尿学的机会。

IF 0.4 4区医学

Urologie Pub Date : 2026-08-01 Epub Date: 2026-07-24 DOI: 10.1007/s00120-026-02871-y

Axel Belusa

引用次数: 0

[Between catheters and artificial intelligence: High-tech urology-where manual skills meet digital expertise]. [介于导尿管和人工智能之间：高科技泌尿科——手工技能与数字专业知识的结合]。

IF 0.4 4区医学

Urologie Pub Date : 2026-08-01 Epub Date: 2026-06-24 DOI: 10.1007/s00120-026-02867-8

Annemarie Uhlig, Igor Tsaur, Konstantin Nikolaou, Johannes Uhlig

引用次数: 0

[Health care under pressure: what the primary health care system must provide]. [压力下的卫生保健：初级卫生保健系统必须提供什么]。

IF 0.4 4区医学

Urologie Pub Date : 2026-08-01 Epub Date: 2026-07-07 DOI: 10.1007/s00120-026-02873-w

Ellen Lundershausen

引用次数: 0

[Shaping transformation-incorporating education]. [塑造转型结合教育]。

IF 0.4 4区医学

Urologie Pub Date : 2026-08-01 Epub Date: 2026-06-24 DOI: 10.1007/s00120-026-02866-9

Nadim Moharam, Anna Heinrichs, Lucie Telemann, Marcus Sondermann, Anna-Sophie Strauß, Markus Murnik

引用次数: 0

[Beyond the bladder-a specialty rediscovering itself: Outpatient. Networked. Digital]. 膀胱之外——一个重新发现自己的专业：门诊。网络化。数字)。

IF 0.4 4区医学

Urologie Pub Date : 2026-08-01 Epub Date: 2026-06-24 DOI: 10.1007/s00120-026-02864-x

Theodor Klotz, Bernhard Ralla

{"title":"[Beyond the bladder-a specialty rediscovering itself: Outpatient. Networked. Digital].","authors":"Theodor Klotz, Bernhard Ralla","doi":"10.1007/s00120-026-02864-x","DOIUrl":"10.1007/s00120-026-02864-x","url":null,"abstract":"Background: Urology is undergoing a fundamental transformation characterized by increasing outpatient care, digitalization, and cross-sectoral networking.Objective: The aim of this review is to analyze current developments and to show how outpatient surgery, telemedicine structures, artificial intelligence (AI)-based decision support, and networked care models are transforming urological practice.Materials and methods: Narrative review based on current literature and healthcare policy developments in Germany, particularly the introduction of hybrid-diagnosis-related groups (DRG).Results: The introduction of hybrid-DRG from 2024 represents a healthcare policy turning point. Outpatient urological procedures show comparable outcomes to inpatient treatment with higher cost-efficiency when structured pathways are implemented. Telemedicine has been established as an integral tool, with hybrid care models meaningfully complementing personal physician-patient contact. AI systems achieve high diagnostic accuracies in urological imaging and increasingly support clinical decision-making. Patient-reported outcomes are gaining importance for patient-centered care. Central challenges remain balancing digital innovation with reduction of bureaucracy and ensuring data interoperability.Conclusion: Urology is particularly well-positioned for transformation due to its technological affinity, standardizable processes, and established outpatient structures. The presented developments indicate that urology has the potential to become one of the pioneers of modern, hybrid, digitally supported patient care, provided that this transformation is actively shaped.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"821-827"},"PeriodicalIF":0.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309722","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

[The chapter on the properties of stones (Minerologica) from the Ephemeris by the Ulm city physician Johannes Franc]. [乌尔姆市医生约翰内斯·弗兰克在《星历》中关于石头（矿物学）特性的章节]。

IF 0.4 4区医学

Urologie Pub Date : 2026-08-01 Epub Date: 2025-12-03 DOI: 10.1007/s00120-025-02736-w

Vincenzo Damiani, Hans-Joachim Winckelmann

{"title":"[The chapter on the properties of stones (Minerologica) from the Ephemeris by the Ulm city physician Johannes Franc].","authors":"Vincenzo Damiani, Hans-Joachim Winckelmann","doi":"10.1007/s00120-025-02736-w","DOIUrl":"10.1007/s00120-025-02736-w","url":null,"abstract":"The article examines the Mineralogica chapter of the Ephemeris by the Ulm city physician Johannes Franc (1645-1725), in which mineralogical observations, early modern natural philosophy and Franc's practical experience with urinary stones intersect. In his daily practice, Franc treated numerous patients suffering from urolithiasis, employing plant-, animal- and mineral-based remedies, while surgical interventions remained the responsibility of specialised lithotomists. His interest in mineral structures was sparked by the discovery of a naturally occurring stone shaped like an orchid, which reminded him of a finger-shaped urinary stone painfully expelled by his patient Litzelhirn in 1679. This analogy prompted Franc to interpret natural and pathological stone formations in parallel. In his theoretical reflections he draws on Paracelsian models, which assign kidneys and bladder to the influence of Venus (copper), as well as on G.B. de Saint-Romain's descriptions of crystalline structures in antimony regulus. On this basis, he seeks to integrate the formation of secondary concretions of the excretory organs - including kidney stones, bladder stones and other gastroliths - into a cosmological and metallurgical framework. A particular focus lies on bezoars and uroliths. Using excerpts from Robert Boyle's Exercitationes, Franc discusses the actual medical efficacy of these concretions. Boyle reports on stones removed from human bladders, to which - despite their low esteem - a pronounced diuretic and sudorific effect was attributed (urinam et sudores ciere). Franc employs these observations to reflect both on the possible therapeutic relevance of bladder stones and on their supposedly \"planetarily\" influenced structure and formation.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"872-878"},"PeriodicalIF":0.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145669994","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

[Far more than a dress code: more women, new leadership styles : Rethinking leadership in medicine-perspectives of the German Medical Women's Association]. [不仅仅是着装要求：更多的女性，新的领导风格：重新思考医学中的领导——德国女医务人员协会的观点]。

IF 0.4 4区医学

Urologie Pub Date : 2026-08-01 Epub Date: 2026-07-08 DOI: 10.1007/s00120-026-02868-7

Barbara Puhahn-Schmeiser, Jana Pannenbäcker

{"title":"[Far more than a dress code: more women, new leadership styles : Rethinking leadership in medicine-perspectives of the German Medical Women's Association].","authors":"Barbara Puhahn-Schmeiser, Jana Pannenbäcker","doi":"10.1007/s00120-026-02868-7","DOIUrl":"10.1007/s00120-026-02868-7","url":null,"abstract":"Background: The transformation of the healthcare system requires fundamental rethinking of medical leadership. Despite rising numbers of female physicians in both education and practice, their presence in leadership roles remains significantly underrepresented.Objectives: This article examines this structural discrepancy from the perspective of the German Medical Women's Association (DÄB). It argues that gender equality is not merely a question of fairness, but a decisive factor for the quality, innovation, and sustainability of medical care.Methods: Analysis of current literature.Results: Diverse leadership teams make more informed decisions, act with greater resilience, and demonstrably contribute to improved outcomes. Traditional role models, nontransparent selection processes, and inadequate structural conditions often prevent female physicians from gaining equal access to leadership positions.Conclusion: Innovative leadership and working models, such as top-level sharing, tandem structures, and part-time leadership, enhance both work-life balance and the attractiveness of medical careers. Mentoring, transparent career development, and the early promotion of leadership skills also contribute. Participation of patients, interprofessionalism, and digital skills are becoming increasingly important. The DÄB sees these developments as an opportunity to redefine leadership-as cooperative, diverse, and forward-looking. This requires structural reforms that systematically support female physicians and involve them in key decision-making processes.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"855-860"},"PeriodicalIF":0.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406114","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

[Prevention instead of remediation-screening, lifestyle factors, and prostate care 2.0-transition of urology to healthcare coach : Holistic approach to prostate health]. [预防代替补救——筛查、生活方式因素和前列腺护理2.0——泌尿科向保健教练的转变：前列腺健康的整体方法]。

IF 0.4 4区医学

Urologie Pub Date : 2026-08-01 Epub Date: 2026-06-26 DOI: 10.1007/s00120-026-02865-w

Fabian Falkenbach, Rouvier Al-Monajjed, Philipp Reimold, Johannes Huber, Sigrid V Carlsson

{"title":"[Prevention instead of remediation-screening, lifestyle factors, and prostate care 2.0-transition of urology to healthcare coach : Holistic approach to prostate health].","authors":"Fabian Falkenbach, Rouvier Al-Monajjed, Philipp Reimold, Johannes Huber, Sigrid V Carlsson","doi":"10.1007/s00120-026-02865-w","DOIUrl":"10.1007/s00120-026-02865-w","url":null,"abstract":"Background: Establishment of an organized, risk-adapted prostate cancer screening program in Germany could serve as a key entry point for preventive men's health.Objectives: How can the introduction of an organized, risk-adapted prostate cancer screening program in Germany shape preventive urology of the future?Materials and methods: This narrative review article is based on guidelines and expert consensus supported by a literature search in PubMed. The cited studies represent the most relevant work on this topic and were selected to illustrate developments and fundamental concepts; however, completeness is not claimed.Results: Serum prostate-specific antigen (PSA) levels and prostate MRI not only identify patients at increased risk for prostate cancer but also offer insights into other urological conditions, such as lower urinary tract symptoms and hypogonadism. In analogy to other early detection strategies, PSA testing at the age of 45-50 years could serve as a simple triage test to guide risk-adapted follow-up and timely referral to urological care. Lifestyle factors-including regular physical activity, a balanced diet, and pelvic floor training-may favorably influence urological health and related outcomes. While organized prostate cancer screening has already been shown to improve cancer-specific mortality to a level comparable to mammography, a more holistic approach may further enhance its overall benefit.Conclusion: Urology has significant opportunities to actively promote healthy behaviors among aging men. The establishment of an organized prostate cancer screening program provides an ideal entry point for this purpose. Modern screening concepts should incorporate holistic health promotion for aging men alongside direct oncological endpoints.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"842-848"},"PeriodicalIF":0.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340464","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

[Environmental sustainability in urology]. 泌尿外科的环境可持续性。

IF 0.4 4区医学

Urologie Pub Date : 2026-08-01 Epub Date: 2025-10-30 DOI: 10.1007/s00120-025-02720-4

Bernd Wullich, Holger Borchers, Christian Eggersmann, Maximilian Burger, Marlene Thöne

引用次数: 0

[Antibiotic stewardship in urology : Time to rethink?] 泌尿外科的抗生素管理：是时候重新思考了？］

IF 0.4 4区医学

Urologie Pub Date : 2026-08-01 Epub Date: 2026-07-01 DOI: 10.1007/s00120-026-02876-7

Fabian P Stangl, Giuseppe Magistro

引用次数: 0