Aktuelle Urologie最新文献

{"title":"[Urogenital Symptoms in Cyclists and Reduction of Perineal Pressure Load Using a Prostate Volume-Adapted Bicycle Saddle].","authors":"Horst Hohmuth, Christoph Möller","doi":"10.1055/a-2879-3182","DOIUrl":"10.1055/a-2879-3182","url":null,"abstract":"<p><strong>Background: </strong>Urogenital symptoms associated with cycling, such as perineal pain, penile numbness, or lower urinary tract symptoms, are frequently reported in routine urological practice and may be of particular clinical relevance in predisposed patients.</p><p><strong>Objectives: </strong>The aim of this study was to assess the prevalence of cycling-associated symptoms in a urological cohort and to investigate perineal pressure distribution using a prostate volume-adapted bicycle saddle (Prostasella). In addition, an exploratory algorithm for non-invasive estimation of prostate volume was developed to enable individualized saddle sizing.</p><p><strong>Materials and methods: </strong>A total of 50 male patients from a urological practice underwent a clinical examination and standardized assessment of cycling-associated symptoms. Prostate volume was determined by transrectal ultrasound.Sensor-based perineal pressure measurements were performed in a subgroup of 24 patients. Two independent groups were evaluated: an intervention group using a prostate volume-adapted bicycle saddle and a control group using a conventional bicycle saddle under comparable measurement conditions.Central perineal pressure load was compared between independent groups rather than in an intra-individual crossover design.The primary endpoint was central perineal pressure load within the predefined perineal measurement area.</p><p><strong>Results: </strong>The use of a prostate volume-adapted bicycle saddle resulted in a significant reduction in central perineal pressure load compared with conventional saddle systems (reduction of approximately 88%, <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>A prostate volume-adapted saddle design enables a clinically relevant reduction in central perineal pressure load and represents a potentially relevant approach for the prevention and treatment of cycling-associated urogenital symptoms. The developed algorithm should be considered exploratory and requires further validation.</p>","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":" ","pages":"392-399"},"PeriodicalIF":0.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13423561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148209777","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":"Kommentar.","authors":"","doi":"10.1055/a-2874-2676","DOIUrl":"https://doi.org/10.1055/a-2874-2676","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"57 4","pages":"334-336"},"PeriodicalIF":0.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629190","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":"[Thrombophlebitis of the superficial dorsal penile vein following a long-haul flight: a case report of penile Mondor's disease without classical risk factors].","authors":"Julio Rodas Garzaro, Mirigbal Mirizada, Johannes Moersler, Matthias May, Christian Gilfrich, Anton Kravchuk","doi":"10.1055/a-2578-3978","DOIUrl":"10.1055/a-2578-3978","url":null,"abstract":"<p><strong>Background: </strong>Penile Mondor's disease (PMD) is a rare, typically self-limiting superficial thrombophlebitis of the dorsal penile vein. Common risk factors include intensive sexual activity, penile trauma, and coagulation disorders. We report the first documented case of PMD occurring after a long-haul flight associated with prolonged immobilisation.</p><p><strong>Case presentation: </strong>A 29-year-old male patient presented with an acute, painful swelling of the penile shaft following a transatlantic long-haul flight. Clinical examination revealed a cord-like induration along the dorsal penile vein. Doppler ultrasonography demonstrated a 4 cm-long hypoechogenic structure within the superficial dorsal penile vein, with no detectable venous flow signals in this region. Subsequent magnetic resonance imaging ruled out involvement of the deep penile vein, the external pudendal veins, and the pelvic veins. Conservative management with nonsteroidal anti-inflammatory drugs, topical heparin ointment application, and anticoagulation with low-molecular-weight heparin - later transitioned to an oral factor Xa inhibitor - resulted in complete remission within four weeks.</p><p><strong>Conclusion: </strong>This case underscores the importance of early diagnosis and conservative management of PMD. Prolonged immobilisation should be recognised as a potential risk factor. Prophylactic administration of low molecular weight heparin prior to long-haul flights may be considered in at-risk patients.</p>","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":" ","pages":"409-412"},"PeriodicalIF":0.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968556","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":"[Posterior Urethral Valves: A Pediatric Urological Condition with Lifelong Relevance].","authors":"Aybike Hofmann","doi":"10.1055/a-2864-6465","DOIUrl":"10.1055/a-2864-6465","url":null,"abstract":"<p><strong>Abstract: </strong>Posterior urethral valves (PUV) are rare congenital malformations affecting both the upper and lower urinary tract and can lead to severe long-term complications. Thanks to advances in prenatal diagnostics, neonatal care, and pediatric urological-nephrological management, an increasing number of patients now reach adulthood. Long-term outcomes are primarily determined by the extent of prenatal renal dysplasia as well as the early recognition and targeted management of bladder dysfunction. Care of adult PUV patients remains challenging, as many adult urologists have limited experience and evidence-based guidelines for long-term management are lacking. Adult PUV patients constitute a clearly defined high-risk cohort with characteristic urological and renal sequelae, including persistent or secondary progressive bladder dysfunction with clinically significant lower urinary tract symptoms (LUTS) and an increased risk of progressive chronic kidney disease (CKD) up to end-stage renal disease (ESRD). In cases of ESRD, kidney transplantation may be required; optimized bladder function is crucial to preserve graft function, and reconstructive procedures, such as bladder augmentation, may be necessary.Bladder function evolves throughout life: initially hypertrophic and hyperactive, it may later decompensate, leading to hypocontractility or atony (\"myogenic failure\"). Adult patients often report voiding difficulties, post-void residual urine, urgency, incontinence, and recurrent urinary tract infections, which can significantly impair quality of life, self-esteem, and sexual self-efficacy. Treatment is guided by the individual urodynamic phenotype and may include conservative, pharmacological, and, when necessary, interventional strategies.Sexual function and fertility are preserved in most patients; limitations primarily occur in advanced CKD or complex bladder management scenarios. Psychosocial burdens related to altered body image, incontinence, catheterization, or concerns regarding partnership and family planning are common and should be addressed early. Optimal care for PUV patients requires lifelong, interdisciplinary follow-up, structured transition from pediatric to adult care, and close coordination between urology, nephrology, pediatric urology/nephrology, and transplant medicine to ensure long-term preservation of renal function, quality of life, and graft survival.</p>","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":" ","pages":"352-359"},"PeriodicalIF":0.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148282823","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":"Kommentar.","authors":"","doi":"10.1055/a-2891-0485","DOIUrl":"https://doi.org/10.1055/a-2891-0485","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"57 4","pages":"336-338"},"PeriodicalIF":0.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629238","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":"Orchidopexie und Funikulolyse.","authors":"Julia Heinzelbecker, Christina Maßmann","doi":"10.1055/a-2682-1154","DOIUrl":"https://doi.org/10.1055/a-2682-1154","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"57 4","pages":"413-422"},"PeriodicalIF":0.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629265","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":"Benign and Inflammatory Lesions of the Human Female Prostate: A Narrative Review of Diagnostic and Therapeutic Approaches.","authors":"Radion Garaz, Arnulf Stenzl, Igor Tsaur, Niklas Harland, Bastian Amend","doi":"10.1055/a-2546-1307","DOIUrl":"10.1055/a-2546-1307","url":null,"abstract":"<p><strong>Introduction: </strong>Skene's glands are recognised as the female equivalent of the male prostate gland. They can be affected by a variety of benign, inflammatory, or malignant conditions.</p><p><strong>Objective: </strong>This review critically analyses the current literature on the diagnosis and management of non-malignant lesions associated with Skene's gland.</p><p><strong>Methodology: </strong>A comprehensive search of Scopus, Web of Science, and PubMed/MEDLINE was conducted, focusing on non-malignant lesions of Skene's gland while excluding studies involving newborns and animals.</p><p><strong>Results: </strong>Sixty relevant articles were identified, primarily comprising small case series. The benign lesions reviewed include cysts, hyperplasia, tubular-squamous vaginal polyps, leiomyomas, adenofibromas, and Skene's gland lithiasis. Inflammatory conditions such as abscesses and female prostatitis were also analysed.</p><p><strong>Conclusion: </strong>Physical examination, ultrasound, cystoscopy, MRI, and micro-ultrasound are essential diagnostic modalities for evaluating Skene's gland pathologies. Timely conservative or surgical interventions can effectively manage benign conditions, with treatment options typically guided by the severity of symptoms. This review underscores the necessity for further research into the biology of Skene's gland, particularly regarding potential diagnostic and therapeutic implications, and emphasizes the importance of a routine evaluation of Skene's gland in urological and gynaecological practice.</p>","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":" ","pages":"400-408"},"PeriodicalIF":0.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708085","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":"Capivasertib plus Abirateron beim metastasierten hormonsensiblen Prostatakarzinom.","authors":"","doi":"10.1055/a-2812-7249","DOIUrl":"https://doi.org/10.1055/a-2812-7249","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"57 4","pages":"336"},"PeriodicalIF":0.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629199","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":"Obstruierende Urolithiasis: Perkutane Nephrostomie versus interne Stenteinlage.","authors":"","doi":"10.1055/a-2812-7456","DOIUrl":"https://doi.org/10.1055/a-2812-7456","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"57 4","pages":"330"},"PeriodicalIF":0.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629205","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":"[Hypospadias: A Long-Term Problem?]","authors":"Inga Kunz","doi":"10.1055/a-2864-6416","DOIUrl":"10.1055/a-2864-6416","url":null,"abstract":"<p><strong>Abstract: </strong>The transition from pediatric to adult care poses particular challenges for patients with hypospadias. Not infrequently, patients who underwent corrective surgery in early childhood have little or no knowledge of the initial severity or phenotype of their hypospadias or of the surgical technique that was used. Sometimes they are unable to name the center or the surgeon or to recall the number of prior procedures, and sometimes the only information available is that \"some\" form of penile surgery was performed.The spectrum of problems occurring in adolescence and adulthood is broad, and many patients report more than one complaint. We encounter urethral strictures of varying complexity, a meatus that is not or no longer in glanular location, urethrocutaneous fistulae, post-void dribbling, diverticula, spraying of the urinary stream, residual or recurrent penile curvature, cutaneous scarring, insufficient ventral penile skin, recurrent urinary tract infections, lichen sclerosus, and other sequelae.Therapeutic planning must take into account the patient's expectations and concerns, while also realistically prioritizing individual treatment goals. In many cases, more than one reconstructive procedure is required to achieve the desired outcome.Within the transition process, the primary objectives should be to reduce patient anxiety, address concerns with empathy, and maintain a comprehensive armamentarium of reconstructive options in order to provide individualized treatment strategies.</p>","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":" ","pages":"344-351"},"PeriodicalIF":0.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148209698","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}