Aktuelle UrologiePub Date : 2025-06-01Epub Date: 2025-05-28DOI: 10.1055/a-2537-1911
Sascha Kaufmann, Stephan Kruck
{"title":"[Capabilities and Advances of Transrectal Ultrasound in 2025].","authors":"Sascha Kaufmann, Stephan Kruck","doi":"10.1055/a-2537-1911","DOIUrl":"10.1055/a-2537-1911","url":null,"abstract":"<p><p>Transrectal ultrasound, particularly in the combination of high-frequency ultrasound and MR-TRUS fusion technologies, provides a highly precise and effective method for correlation and targeted biopsy of suspicious intraprostatic lesions detected by MRI. Advances in imaging technology, driven by 29 Mhz micro-ultrasound transducers, robotic-assisted systems, and the integration of AI-based analyses, promise further improvements in diagnostic accuracy and a reduction in unnecessary biopsies. Further technological advancements and improved TRUS training could contribute to a decentralized and cost-effective diagnostic evaluation of prostate cancer in the future.</p>","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"56 3","pages":"237-241"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172173","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}
Aktuelle UrologiePub Date : 2025-06-01Epub Date: 2025-05-28DOI: 10.1055/a-2517-3011
{"title":"Folgetherapie beim metastasierten kastrations-resistenten Prostatakarzinom (mCRPC) nach Versagen einer Therapie mit NHA und Taxanen.","authors":"","doi":"10.1055/a-2517-3011","DOIUrl":"https://doi.org/10.1055/a-2517-3011","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"56 3","pages":"224-225"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172191","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}
Aktuelle UrologiePub Date : 2025-06-01Epub Date: 2025-05-28DOI: 10.1055/a-2438-3767
{"title":"Prostatabiopsie: Infektionsrisiko bei transrektalem und transperitonealem Vorgehen.","authors":"","doi":"10.1055/a-2438-3767","DOIUrl":"https://doi.org/10.1055/a-2438-3767","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"56 3","pages":"221-222"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172264","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}
Aktuelle UrologiePub Date : 2025-06-01Epub Date: 2025-03-18DOI: 10.1055/a-2523-5885
Philipp Krausewitz
{"title":"[Indications for performing PSMA-PET-CT as part of prostate cancer diagnostics].","authors":"Philipp Krausewitz","doi":"10.1055/a-2523-5885","DOIUrl":"10.1055/a-2523-5885","url":null,"abstract":"<p><p>Prostate-specific membrane antigen positron emission tomography/computed tomography (PSMA-PET/CT) is increasingly being applied in the diagnostic landscape of prostate cancer. This study aims to elucidate and assess both established and emerging indications for PSMA-PET/CT imaging. Current evidence on PSMA-PET/CT is summarised, with relevant guideline recommendations and enhanced by recent study findings. PSMA-PET/CT demonstrates superiority over conventional imaging techniques and can be applied either complementarily or substitutively across all stages of prostate cancer based on clinical indications. It offers advantages in terms of reduced time and radiation exposure. PSMA-PET/CT use enables a more accurate assessment of disease status and facilitates optimised treatment planning. Applications span from initial cancer suspicion through diagnosis, staging, and therapeutic planning in cases of biochemical recurrence and metastatic prostate cancer. However, evidence for the prognostic value of PSMA-PET/CT-guided therapy decisions is currently limited. PSMA-PET/CT provides substantial diagnostic and therapeutic benefits for nearly all subgroups of prostate cancer patients. Its use supports the evaluation of possible intensification or de-escalation strategies, thereby enabling personalised treatment planning.</p>","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":" ","pages":"263-270"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655980","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}
Aktuelle UrologiePub Date : 2025-06-01Epub Date: 2025-05-13DOI: 10.1055/a-2573-7345
Konrad Friedrich Stock, Katharina Hauner
{"title":"[Clinical, multimodal sonography of the kidneys and urinary tract - Update 2025].","authors":"Konrad Friedrich Stock, Katharina Hauner","doi":"10.1055/a-2573-7345","DOIUrl":"10.1055/a-2573-7345","url":null,"abstract":"<p><p>Modern ultrasound diagnostics holds a firm position as the first and ubiquitously available imaging modality in urology. The era of pocket ultrasound devices enables their highly mobile use at the bedside for any urological issue. In addition, technical advances in mid-range and high-end ultrasound devices are leading to improvements in existing B-mode sonography, particularly with high-resolution ultrasound probes with greater penetration depth, and give significant improvements in Doppler sonography for vascular imaging. Contrast-enhanced sonography allows the bedside examination of tissue microperfusion. This is helpful not only for perfusion issues in emergencies, but also for the differential diagnosis of renal lesions, and provides important diagnostic input to uro-oncological image conferences. Standardised examination protocols, electronic image documentation, and training of medical staff enable the efficient, reliable, and reproducible use of ultrasound diagnostics.</p>","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":" ","pages":"230-236"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957835","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}
Aktuelle UrologiePub Date : 2025-06-01Epub Date: 2025-05-28DOI: 10.1055/a-2438-3675
{"title":"Stressharninkontinenz der Frau: Bulkamid ist effektiv und sicher.","authors":"","doi":"10.1055/a-2438-3675","DOIUrl":"https://doi.org/10.1055/a-2438-3675","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"56 3","pages":"221"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172270","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}