Aktuelle Urologie最新文献

{"title":"Lungenkrebs-Screening eignet sich zur Prüfung weiterer Pathologien.","authors":"","doi":"10.1055/a-2438-3595","DOIUrl":"https://doi.org/10.1055/a-2438-3595","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"56 3","pages":"218-220"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172146","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":"[Correction: mpMRI of the Urinary Bladder: Significance and Clinical Use].","authors":"Kristina Tuchenhagen, Tibor Vag, Maximilian Christian Kriegmair","doi":"10.1055/a-2606-3046","DOIUrl":"https://doi.org/10.1055/a-2606-3046","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"56 3","pages":"e1"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172176","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":"Moderne Bildgebung.","authors":"Manuel Ritter","doi":"10.1055/a-2517-3038","DOIUrl":"https://doi.org/10.1055/a-2517-3038","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"56 3","pages":"201"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172246","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":"[Bimodal and multimodal endoscopy of the urinary bladder in diagnosis and treatment].","authors":"Malin Nientiedt, Frank Waldbillig","doi":"10.1055/a-2495-8450","DOIUrl":"10.1055/a-2495-8450","url":null,"abstract":"<p><p>White light cystoscopy is a precise instrument for the detection and treatment of papillary bladder tumors. Various additional macroscopic detection methods have been established. Some of them, especially PDD or NBI, have been shown to have an additional benefit on the recurrence rate of bladder tumors, so they should be used as part of the diagnosis and treatment when available. Other microscopic classification techniques or multimodality techniques are currently under development. Widespread use of these techniques is still pending. Newer modalities such as multi-parametric imaging or AI-assisted endoscopy promise a significant leap in innovation in the future and could ensure that real-time urological endoscopy is significantly advanced.</p>","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":" ","pages":"242-247"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057772","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":"Erstlinientherapie bei hormonsensitivem metastasierten Prostatakarzinom (mCSPC/mHSPC).","authors":"","doi":"10.1055/a-2575-5669","DOIUrl":"https://doi.org/10.1055/a-2575-5669","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"56 3","pages":"226-229"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172189","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":"S2k-Leitlinie „Harninkontinenz bei geriatrischen Patienten“ – Teil 6: Hilfsmittel, qualifizierte Pflegefachkräfte für Kontinenzstörungen, instrumentelle Harnblasen-Langzeitdrainage und psychosomatische Aspekte der Harninkontinenz bei älteren Menschen.","authors":"Andreas Wiedemann, Barbara Bojack, Claudia Drews, Ruth Kirschner-Hermanns, Klaus Becher","doi":"10.1055/a-2316-3410","DOIUrl":"10.1055/a-2316-3410","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"56 3","pages":"271-280"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172268","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":"Infektionsrisiko nach transperinealer versus transrektaler Prostatabiopsie.","authors":"","doi":"10.1055/a-2321-2221","DOIUrl":"https://doi.org/10.1055/a-2321-2221","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"56 3","pages":"220-221"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172204","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":"Nichtmuskelinvasives Blasenkarzinom: Gentherapie mit Nadofaragen firadenovec.","authors":"","doi":"10.1055/a-2438-3833","DOIUrl":"https://doi.org/10.1055/a-2438-3833","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"56 3","pages":"210-212"},"PeriodicalIF":0.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172252","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":"[Comparison of Ultrasound and Magnetic Resonance Imaging in Diagnosing a Penile Fracture: A Retrospective Data Analysis].","authors":"Svenja K Morische, Alexander Fürschke, Nils Gilbert, Daniar Osmonov, Axel S Merseburger, Silvia Brozat-Essen","doi":"10.1055/a-2606-4501","DOIUrl":"https://doi.org/10.1055/a-2606-4501","url":null,"abstract":"<p><p>A \"penile fracture\" is a rare urological emergency. According to international literature, a clinical diagnosis is considered sufficient if the patient's history and clinical appearance are characteristic. Imaging modalities such as sonography, cavernosography, and MRI are appropriate diagnostic tools. Sonography is a fast, inexpensive and widely used imaging method; however, MRI offers a higher resolution. The current literature recommends timely surgical treatment.This is a retrospective, single-centre cohort study including all patients who presented at the University Hospital of Lübeck with a suspected penile fracture between 01 January 2018 and 30 September 2024.Sixteen patients were analysed. Eight patients presented on the day the trauma occurred.MRI morphology confirmed a rupture of the corpora cavernosa in 13 of 16 patients. The suspicion was not confirmed in 3 patients. Sonographic and MRI morphological findings correlated in 11 patients, sonography was false negative in 2 patients and false positive in 2 others. In 1 patient, both sonography and MRI yielded inconclusive results.Clinically, a deviation of the penis was seen in about 23% of fractures, 92% showed a haematoma, and about 23% of the patients with a rupture reported that they had heard a \"cracking sound\".The diagnosis can be established clinically, sonographically, and via MRI. Sonography is suitable for the initial assessment of whether there is an interruption in the continuity of the tuniga albuginea. In the hands of experienced examiners, this may be sufficient to precisely localize the defect. However, in rare cases where sonographic expertise is limited, MRI serves as a more sensitive imaging technique that can rule out differential diagnoses and localize defects.In summary, according to the literature, an MRI is helpful for treatment planning, but not necessary for surgical treatment. With a correlation of sonography and MRI in 69% of the cases we examined, sonography is a sufficient diagnostic tool for determining the indication for surgery. Based on our data, we consider a positive sonography to be sufficient for the initiation of further therapy. However, based on our evaluation, we would recommend MRI in cases of negative ultrasound findings with persistent clinical suspicion.</p>","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172169","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":"https://doi.org/10.1055/a-2578-3978","url":null,"abstract":"<p><p>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. 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. 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":""},"PeriodicalIF":0.3,"publicationDate":"2025-04-29","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}