UrologiePub Date : 2025-06-01Epub Date: 2025-04-29DOI: 10.1007/s00120-025-02592-8
Annemarie Uhlig
{"title":"[Secondary bladder cancer following radiation therapy for prostate cancer: a systematic review and meta-analysis of incidence and outcomes].","authors":"Annemarie Uhlig","doi":"10.1007/s00120-025-02592-8","DOIUrl":"10.1007/s00120-025-02592-8","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"584-587"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041808","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/s00120-025-02608-3
{"title":"BvDU Kurz notiert.","authors":"","doi":"10.1007/s00120-025-02608-3","DOIUrl":"https://doi.org/10.1007/s00120-025-02608-3","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":"64 6","pages":"613-614"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209685","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: 2025-05-07DOI: 10.1007/s00120-025-02585-7
Simon Gloger, Julia Kempermann, Burkhard Ubrig
{"title":"[Robot-assisted minimally invasive sacrocolpopexy: a comprehensive review].","authors":"Simon Gloger, Julia Kempermann, Burkhard Ubrig","doi":"10.1007/s00120-025-02585-7","DOIUrl":"10.1007/s00120-025-02585-7","url":null,"abstract":"<p><strong>Background: </strong>Sacrocolpopexy is a well-established surgical procedure for treatment of female genital prolapse and complex pelvic floor disorders. The introduction of robotic-assisted minimally invasive surgery has further optimised the precision, invasiveness and efficiency of the procedure.</p><p><strong>Purpose: </strong>This review analyses the indications, surgical techniques, outcomes and management of complications of robotic sacrocolpopexy.</p><p><strong>Results: </strong>Robot-assisted sacrocolpopexy shows comparable anatomical and functional results to laparoscopic and open surgical approaches. Compared to laparotomy, minimally invasive techniques reduce perioperative morbidity and accelerate postoperative recovery.</p><p><strong>Conclusion: </strong>Despite promising results, the treatment decision for robot-assisted sacrocolpopexy must be individually tailored to the severity of the prolapse, location of the prolapse, symptoms and availability of alternative treatment options under consideration of economic aspects.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"533-541"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045332","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/s00120-025-02600-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 : 2025-06-01Epub Date: 2025-04-07DOI: 10.1007/s00120-025-02558-w
Maximilian Haas, Veronika Saberi, Christopher Gossler, Anna Schmelzer, Anton Kravchuk, Johannes Breyer, Johannes Bründl, Simon Engelmann, Clemens Kirschner, Christian Gilfrich, Maximilian Burger, Dominik von Winning, Christian Wülfing, Hendrik Borgmann, Severin Rodler, Axel S Merseburger, Emily Rinderknecht, Matthias May
{"title":"[Making prostate cancer research accessible: chatGPT-4 as a tool to enhance lay communication].","authors":"Maximilian Haas, Veronika Saberi, Christopher Gossler, Anna Schmelzer, Anton Kravchuk, Johannes Breyer, Johannes Bründl, Simon Engelmann, Clemens Kirschner, Christian Gilfrich, Maximilian Burger, Dominik von Winning, Christian Wülfing, Hendrik Borgmann, Severin Rodler, Axel S Merseburger, Emily Rinderknecht, Matthias May","doi":"10.1007/s00120-025-02558-w","DOIUrl":"10.1007/s00120-025-02558-w","url":null,"abstract":"<p><strong>Background and objective: </strong>The abundant potential arising from various applications of artificial intelligence is gradually influencing academic and scientific communication. This study examines the suitability of ChatGPT‑4 for generating layperson's summaries (LS) of scientific articles published in the four journals within the European Urology family and compares the quality of these newly generated LS with the original texts.</p><p><strong>Methods: </strong>A total of 327 articles on prostate cancer published between January 1, 2023, and June 30, 2024, were analyzed. ChatGPT‑4 generated patient summaries using both a basic and an advanced prompt, the latter specifically optimized for enhancing readability. Readability was assessed using established indices, while two blinded reviewers evaluated content quality on a 5-point Likert scale. Additionally, readability, content quality, and adherence to journal guidelines were combined into an overall scoring system.</p><p><strong>Results: </strong>The advanced prompt led to significantly improved readability compared to the basic prompt (p < 0.001) and the original LS (p < 0.001). Content quality was comparable between the two ChatGPT‑4 prompts (p = 0.665) but was higher than that of the original summaries (p = 0.001 and p = 0.002, respectively). Both prompts demonstrated superior adherence to journal guidelines (p < 0.001), with error-free LS rates of 29.4% (original), 76.1% (basic prompt), and 92% (advanced prompt) (p < 0.001).</p><p><strong>Conclusion: </strong>ChatGPT‑4 is a validated and effective tool for generating LS, offering superior readability and high compliance with editorial guidelines. It has the potential to assist researchers and scientific journals in enhancing the accessibility and comprehensibility of scientific content, thereby, improving patient engagement and understanding.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"574-583"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796298","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}