Urologie最新文献_第7页

The role of primary RPLND in clinical stage IIA/B testicular germ cell tumor: a narrative review. 原发性RPLND在临床IIA/B期睾丸生殖细胞瘤中的作用：一个叙述性的回顾。

IF 0.4 4区医学

Urologie Pub Date : 2025-08-01 DOI: 10.1007/s00120-025-02648-9

Parth Thakker, Connor Drake, Timothy Masterson, Clint Cary

引用次数: 0

[Healthcare without boundaries: revolution in cross-sector healthcare delivery]. [无国界医疗：跨部门医疗服务的革命]。

IF 0.5 4区医学

Urologie Pub Date : 2025-08-01 Epub Date: 2025-06-24 DOI: 10.1007/s00120-025-02622-5

Severin Pöchtrager

引用次数: 0

[Women in urological research: benefits and opportunities for german urology]. [泌尿学研究中的女性：德国泌尿学的益处和机遇]。

IF 0.5 4区医学

Urologie Pub Date : 2025-08-01 Epub Date: 2025-06-13 DOI: 10.1007/s00120-025-02624-3

Michèle J Hoffmann, Maria Schubert, Kati Erdmann, Laila Schneidewind, Gerit Theil, Melanie Freifrau von Brandenstein, Eva Jüngel, Kerstin Junker

引用次数: 0

[What is needed for a restart in the healthcare system?] [重启医疗系统需要什么？]]

IF 0.5 4区医学

Urologie Pub Date : 2025-08-01 Epub Date: 2025-07-23 DOI: 10.1007/s00120-025-02635-0

Axel Belusa

引用次数: 0

[Securing the future: How can healthcare professions become irresistible to young talent again?] 保障未来：医疗保健行业如何才能再次成为年轻人才无法抗拒的行业？］

IF 0.5 4区医学

Urologie Pub Date : 2025-08-01 Epub Date: 2025-05-16 DOI: 10.1007/s00120-025-02612-7

Samira Reuß, Melina Brohm, Markus Schubert

{"title":"[Securing the future: How can healthcare professions become irresistible to young talent again?]","authors":"Samira Reuß, Melina Brohm, Markus Schubert","doi":"10.1007/s00120-025-02612-7","DOIUrl":"10.1007/s00120-025-02612-7","url":null,"abstract":"Demographic change is leading to a higher number of people who are ill or are in need of care. Medical advances, particularly through minimally invasive procedures, make numerous interventions possible even for older people. This is leading to a current increase in medical demand that is expected to continue into the future. Declining birth rates have led to a shortage of skilled workers in the healthcare sector, which is projected to be even more pronounced in coming years. This is leading to a staff shortage, followed by increasing workloads. Shift work, heavy bureaucratic burdens, and inflexible work hours are making patient-centered careers increasingly unpopular. Although many young people can imagine working in nursing or medical professions, the current working conditions mean that many young professionals prioritize private and family life, seek part-time jobs, or leave the profession altogether. Only improvements in working conditions and, where appropriate, adjusted remuneration can reverse this trend. Reduced bureaucracy, predictable working hours and vacation times, as well as modern personnel development and leadership are potential solutions. Future challenges, such as those posed by the current healthcare reform, can only be met through regional networks for medical education and training.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"778-783"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080956","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

[Urodynamics in Germany: Indications and Application in Urological Hospital and Practice Settings]. [尿动力学在德国：指征和应用在泌尿外科医院和实践设置]。

IF 0.5 4区医学

Urologie Pub Date : 2025-08-01 Epub Date: 2025-04-14 DOI: 10.1007/s00120-025-02579-5

Viktoria Menzel, Livia Kontschak, Marcus Sondermann, Markus Grabbert, Angelika Borkowetz, Sherif Mehralivand, Nicole Eisenmenger, Johannes Huber, Christian Thomas, Daniela Schultz-Lampel, Martin Baunacke

{"title":"[Urodynamics in Germany: Indications and Application in Urological Hospital and Practice Settings].","authors":"Viktoria Menzel, Livia Kontschak, Marcus Sondermann, Markus Grabbert, Angelika Borkowetz, Sherif Mehralivand, Nicole Eisenmenger, Johannes Huber, Christian Thomas, Daniela Schultz-Lampel, Martin Baunacke","doi":"10.1007/s00120-025-02579-5","DOIUrl":"10.1007/s00120-025-02579-5","url":null,"abstract":"Background: Urodynamic studies (UDS) are an established diagnostic tool in urology. However, international studies, including those from Germany, indicate a decline in their use. This trend may be attributed to guideline adjustments and changes in indications.Objective: The study aims to analyse the current practice and distribution of indications for UDS in urological clinics and practices in Germany.Materials and methods: Between March 2023 and October 2023, 259 urological clinics and a representative sample of 280 outpatient urologists nationwide were surveyed about their UDS procedures. Data on methods, personnel and indications were collected.Results: In all, 80% of clinics and 44% of practices participated. 58% of clinics performed fewer than 100 UDS annually. Only 15% of practices performed UDS themselves. Common procedures such as uroflowmetry (99%) and cystometry (98%) are widely implemented, whereas video urodynamics (53%) are less frequent. The most common indications in clinics are neurogenic bladder dysfunction (24%), overactive bladder (21%) and female stress incontinence (19%). Practices showed similar trends, with neurogenic bladder dysfunction (30%) and overactive bladder (26%) as primary indications. University hospitals and specialized centres performed UDS more often for complex conditions, while non-university clinics frequently addressed stress incontinence.Conclusion: Despite declining numbers, UDS remain central to urological diagnostics. Indication patterns vary by clinic type. These results provide insights into the application of UDS in Germany and underline its important role in urological diagnostics.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"793-802"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12287137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013816","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}

引用次数: 0

[Taking digital healthcare to the next level: what practices and clinics need for digitalization!] 将数字医疗提升到一个新的水平：哪些实践和诊所需要数字化！］

IF 0.5 4区医学

Urologie Pub Date : 2025-08-01 Epub Date: 2025-05-22 DOI: 10.1007/s00120-025-02619-0

Thomas Willaschek

{"title":"[Taking digital healthcare to the next level: what practices and clinics need for digitalization!]","authors":"Thomas Willaschek","doi":"10.1007/s00120-025-02619-0","DOIUrl":"10.1007/s00120-025-02619-0","url":null,"abstract":"Background: Digitalization in urology is bringing about profound changes. While artificial intelligence (AI)-supported diagnoses, telemedical consultations and electronic patient files offer promising advances, challenges remain in the areas of technical infrastructure, interoperability and data security.Objective: The article examines the prerequisites that practices and clinics need for successful digitalization and the legal aspects that need to be taken into account to ensure the digital transformation.Materials and methods: The analysis is based on the evaluation of statistics on the technical equipment of urological practices, the implementation of digital applications (e.g., electronic patient file [ePA], e‑prescription) and the use of AI technologies. This is supplemented by an assessment of the future development of digital systems and regulatory framework conditions.Conclusion: Urology is proving to be a promising field for digitalization. The use of AI-supported diagnostic systems and (asynchronous) telemedicine services can significantly improve the quality of care. However, specialists must be specifically trained and the technical infrastructure created.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"773-777"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120980","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

[Uro-geriatrics-"we are all aging" : Multimorbidity in geriatric patients: challenges and implications for urological care using a case example]. [泌尿-老年病学-“我们都在衰老”：老年患者的多病：泌尿科护理的挑战和意义（以一例为例）]。

IF 0.5 4区医学

Urologie Pub Date : 2025-08-01 Epub Date: 2025-07-18 DOI: 10.1007/s00120-025-02636-z

Clemens Linné

引用次数: 0

[Administration of tranexamic acid for percutaneous nephrolithotomy]. 经皮肾镜取石术中氨甲环酸的应用。

IF 0.5 4区医学

Urologie Pub Date : 2025-08-01 Epub Date: 2025-07-18 DOI: 10.1007/s00120-025-02640-3

Frank Kunath

引用次数: 0

[Practical artificial intelligence for urology : Technical principles, current application and future implementation of AI in practice]. [泌尿外科实用人工智能：人工智能在实践中的技术原理、应用现状及未来实现]。

IF 0.5 4区医学

Urologie Pub Date : 2025-08-01 Epub Date: 2025-06-24 DOI: 10.1007/s00120-025-02620-7

Severin Rodler, Konrad Hügelmann, Hans Christoph von Knobloch, Marie-Luise Weiss, Leonhard Buck, Jakob Kohler, Alexander Fabian, Jonas Jarczyk, Philipp Nuhn

{"title":"[Practical artificial intelligence for urology : Technical principles, current application and future implementation of AI in practice].","authors":"Severin Rodler, Konrad Hügelmann, Hans Christoph von Knobloch, Marie-Luise Weiss, Leonhard Buck, Jakob Kohler, Alexander Fabian, Jonas Jarczyk, Philipp Nuhn","doi":"10.1007/s00120-025-02620-7","DOIUrl":"10.1007/s00120-025-02620-7","url":null,"abstract":"Artificial intelligence (AI) is a disruptive technology that is currently finding widespread application after having long been confined to the domain of specialists. In urology, in particular, new fields of application are continuously emerging, which are being studied both in preclinical basic research and in clinical applications. Potential applications include image recognition in the operating room or interpreting images from radiology and pathology, the automatic measurement of urinary stones and radiotherapy. Certain medical devices, particularly in the field of AI-based predictive biomarkers, have already been incorporated into international guidelines. In addition, AI is playing an increasingly more important role in administrative tasks and is expected to lead to enormous changes, especially in the outpatient sector. For urologists, it is becoming increasingly more important to engage with this technology, to pursue appropriate training and therefore to optimally implement AI into the treatment of patients and in the management of their practices or hospitals.","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"845-855"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477019","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