Skip to main content
Erschienen in: World Journal of Urology 2/2006

01.06.2006 | Topic Paper

Status of robotic cystectomy in 2005

verfasst von: Nicole L. Miller, Dan Theodorescu

Erschienen in: World Journal of Urology | Ausgabe 2/2006

Einloggen, um Zugang zu erhalten

Abstract

Minimally invasive approaches have been shown to offer considerable benefits to patients in the treatment of urologic malignancies. While open radical cystectomy remains the gold standard for the treatment of muscle invasive bladder cancer, the continued refinement of laparoscopic techniques and the success of robotic assistance in radical prostatectomy have led to great interest in minimally invasive approaches to radical cystectomy. We review the current experience with laparoscopic and robotic radical cystectomy and its role in the treatment of muscle invasive bladder cancer.
Literatur
1.
Zurück zum Zitat American Cancer Society (2005) Cancer facts and figures 2005. In: ACS (ed) Atlanta American Cancer Society (2005) Cancer facts and figures 2005. In: ACS (ed) Atlanta
2.
Zurück zum Zitat Parra RO, Andrus CH, Jones JP et al (1992) Laparoscopic cystectomy: initial report on a new treatment for the retained bladder. J Urol 148(4):1140–1144PubMed Parra RO, Andrus CH, Jones JP et al (1992) Laparoscopic cystectomy: initial report on a new treatment for the retained bladder. J Urol 148(4):1140–1144PubMed
3.
Zurück zum Zitat Sanchez de Badajoz E, Gallego Perales JL, Reche Rosado A et al (1995) Laparoscopic cystectomy and ileal conduit: case report. J Endourol 9(1):59–62PubMedCrossRef Sanchez de Badajoz E, Gallego Perales JL, Reche Rosado A et al (1995) Laparoscopic cystectomy and ileal conduit: case report. J Endourol 9(1):59–62PubMedCrossRef
4.
Zurück zum Zitat Abdel-Hakim AM, Bassiouny F, Abdel Azim MS et al (2002) Laparoscopic radical cystectomy with orthotopic neobladder. J Endourol 16(6):377–381CrossRefPubMed Abdel-Hakim AM, Bassiouny F, Abdel Azim MS et al (2002) Laparoscopic radical cystectomy with orthotopic neobladder. J Endourol 16(6):377–381CrossRefPubMed
5.
Zurück zum Zitat Abreu SC, Messias FI, Argollo RS et al (2005) Laparoscopic assisted radical cystoprostatectomy with Y-shaped orthotopic ileal neobladder constructed with non-absorbable titanium staples through a 5 cm Pfannensteil incision (discussion 368–369). Int Braz J Urol 31(4):362–367PubMedCrossRef Abreu SC, Messias FI, Argollo RS et al (2005) Laparoscopic assisted radical cystoprostatectomy with Y-shaped orthotopic ileal neobladder constructed with non-absorbable titanium staples through a 5 cm Pfannensteil incision (discussion 368–369). Int Braz J Urol 31(4):362–367PubMedCrossRef
6.
Zurück zum Zitat Arroyo C, Andrews H, Rozet F et al (2005) Laparoscopic prostate-sparing radical cystectomy: the Montsouris technique and preliminary results. J Endourol 19(3):424–428CrossRefPubMed Arroyo C, Andrews H, Rozet F et al (2005) Laparoscopic prostate-sparing radical cystectomy: the Montsouris technique and preliminary results. J Endourol 19(3):424–428CrossRefPubMed
7.
Zurück zum Zitat Basillote JB, Abdelshehid C, Ahlering TE et al (2004) Laparoscopic assisted radical cystectomy with ileal neobladder: a comparison with the open approach. J Urol 172(2):489–493CrossRefPubMed Basillote JB, Abdelshehid C, Ahlering TE et al (2004) Laparoscopic assisted radical cystectomy with ileal neobladder: a comparison with the open approach. J Urol 172(2):489–493CrossRefPubMed
8.
Zurück zum Zitat Canes D, Triaca V, Tuerk I (2005) Laparoscopic radical cystectomy with continent urinary diversion. Curr Urol Rep 6(2):109–117PubMedCrossRef Canes D, Triaca V, Tuerk I (2005) Laparoscopic radical cystectomy with continent urinary diversion. Curr Urol Rep 6(2):109–117PubMedCrossRef
9.
Zurück zum Zitat Carvalhal EF, Gill IS (2002) Laparoscopic cystectomy: indications and limitations. Arch Esp Urol 55(6):721–729PubMed Carvalhal EF, Gill IS (2002) Laparoscopic cystectomy: indications and limitations. Arch Esp Urol 55(6):721–729PubMed
10.
Zurück zum Zitat Cathelineau X, Arroyo C, Rozet F et al (2005) Laparoscopic assisted radical cystectomy: the montsouris experience after 84 cases. Eur Urol 47(6):780–784CrossRefPubMed Cathelineau X, Arroyo C, Rozet F et al (2005) Laparoscopic assisted radical cystectomy: the montsouris experience after 84 cases. Eur Urol 47(6):780–784CrossRefPubMed
11.
Zurück zum Zitat Cestari A, Naspro R, Riva M et al (2005) Nerve-sparing laparoscopic cystectomy. Curr Urol Rep 6(2):101–105PubMedCrossRef Cestari A, Naspro R, Riva M et al (2005) Nerve-sparing laparoscopic cystectomy. Curr Urol Rep 6(2):101–105PubMedCrossRef
12.
Zurück zum Zitat DeGer S, Peters R, Roigas J et al (2004) Laparoscopic radical cystectomy with continent urinary diversion (rectosigmoid pouch) performed completely intracorporeally: an intermediate functional and oncologic analysis. Urology 64(5):935–939CrossRefPubMed DeGer S, Peters R, Roigas J et al (2004) Laparoscopic radical cystectomy with continent urinary diversion (rectosigmoid pouch) performed completely intracorporeally: an intermediate functional and oncologic analysis. Urology 64(5):935–939CrossRefPubMed
13.
Zurück zum Zitat Gill IS, Fergany A, Klein EA et al (2000) Laparoscopic radical cystoprostatectomy with ileal conduit performed completely intracorporeally: the initial 2 cases (discussion 29–30). Urology 56(1):26–29CrossRefPubMed Gill IS, Fergany A, Klein EA et al (2000) Laparoscopic radical cystoprostatectomy with ileal conduit performed completely intracorporeally: the initial 2 cases (discussion 29–30). Urology 56(1):26–29CrossRefPubMed
14.
Zurück zum Zitat Gill IS, Kaouk JH, Meraney AM et al (2002) Laparoscopic radical cystectomy and continent orthotopic ileal neobladder performed completely intracorporeally: the initial experience. J Urol 168(1):13–18CrossRefPubMed Gill IS, Kaouk JH, Meraney AM et al (2002) Laparoscopic radical cystectomy and continent orthotopic ileal neobladder performed completely intracorporeally: the initial experience. J Urol 168(1):13–18CrossRefPubMed
15.
Zurück zum Zitat Guazzoni G, Cestari A, Colombo R et al (2003) Laparoscopic nerve- and seminal-sparing cystectomy with orthotopic ileal neobladder: the first three cases. Eur Urol 44(5):567–572CrossRefPubMed Guazzoni G, Cestari A, Colombo R et al (2003) Laparoscopic nerve- and seminal-sparing cystectomy with orthotopic ileal neobladder: the first three cases. Eur Urol 44(5):567–572CrossRefPubMed
16.
Zurück zum Zitat Gupta NP, Gill IS, Fergany A et al (2002) Laparoscopic radical cystectomy with intracorporeal ileal conduit diversion: five cases with a 2-year follow-up. BJU Int 90(4):391–396CrossRefPubMed Gupta NP, Gill IS, Fergany A et al (2002) Laparoscopic radical cystectomy with intracorporeal ileal conduit diversion: five cases with a 2-year follow-up. BJU Int 90(4):391–396CrossRefPubMed
17.
Zurück zum Zitat Hemal AK, Singh I, Kumar R (2003) Laparoscopic radical cystectomy and ileal conduit reconstruction: preliminary experience. J Endourol 17(10):911–916CrossRefPubMed Hemal AK, Singh I, Kumar R (2003) Laparoscopic radical cystectomy and ileal conduit reconstruction: preliminary experience. J Endourol 17(10):911–916CrossRefPubMed
18.
Zurück zum Zitat Matin SF, Gill IS (2002) Laparoscopic radical cystectomy with urinary diversion: completely intracorporeal technique (discussion 341). J Endourol 16(6):335–341CrossRefPubMed Matin SF, Gill IS (2002) Laparoscopic radical cystectomy with urinary diversion: completely intracorporeal technique (discussion 341). J Endourol 16(6):335–341CrossRefPubMed
19.
Zurück zum Zitat Moinzadeh A, Gill IS (2004) Laparoscopic radical cystectomy with urinary diversion. Curr Opin Urol 14(2):83–87CrossRefPubMed Moinzadeh A, Gill IS (2004) Laparoscopic radical cystectomy with urinary diversion. Curr Opin Urol 14(2):83–87CrossRefPubMed
20.
Zurück zum Zitat Moinzadeh A, Gill IS, Desai M et al (2005) Laparoscopic radical cystectomy in the female. J Urol 173(6):1912–1917CrossRefPubMed Moinzadeh A, Gill IS, Desai M et al (2005) Laparoscopic radical cystectomy in the female. J Urol 173(6):1912–1917CrossRefPubMed
21.
Zurück zum Zitat Puppo P, Ricciotti G (2001) Videoendoscopically assisted transvaginal radical cystectomy (discussion 425–426). J Endourol 15(4):411–413CrossRefPubMed Puppo P, Ricciotti G (2001) Videoendoscopically assisted transvaginal radical cystectomy (discussion 425–426). J Endourol 15(4):411–413CrossRefPubMed
22.
Zurück zum Zitat Simonato A, Gregori A, Lissiani A et al (2003) Laparoscopic radical cystoprostatectomy: a technique illustrated step by step. Eur Urol 44(1):132–138CrossRefPubMed Simonato A, Gregori A, Lissiani A et al (2003) Laparoscopic radical cystoprostatectomy: a technique illustrated step by step. Eur Urol 44(1):132–138CrossRefPubMed
23.
Zurück zum Zitat Simonato A, Gregori A, Lissiani A et al (2005) Laparoscopic radical cystoprostatectomy: our experience in a consecutive series of 10 patients with a 3 years follow-up (discussion 790–792). Eur Urol 47(6):785–790CrossRefPubMed Simonato A, Gregori A, Lissiani A et al (2005) Laparoscopic radical cystoprostatectomy: our experience in a consecutive series of 10 patients with a 3 years follow-up (discussion 790–792). Eur Urol 47(6):785–790CrossRefPubMed
24.
Zurück zum Zitat Sorcini A, Tuerk I (2004) Laparoscopic radical cystectomy with ileal conduit urinary diversion. Urol Oncol 22(2):149–152PubMed Sorcini A, Tuerk I (2004) Laparoscopic radical cystectomy with ileal conduit urinary diversion. Urol Oncol 22(2):149–152PubMed
25.
Zurück zum Zitat Turk I, Deger S, Winkelmann B et al (2001) Complete laparoscopic approach for radical cystectomy and continent urinary diversion (sigma rectum pouch). Tech Urol 7(1):2–6PubMed Turk I, Deger S, Winkelmann B et al (2001) Complete laparoscopic approach for radical cystectomy and continent urinary diversion (sigma rectum pouch). Tech Urol 7(1):2–6PubMed
26.
Zurück zum Zitat Ukimura O, Moinzadeh A, Gill IS (2005) Laparoscopic radical cystectomy and urinary diversion. Curr Urol Rep 6(2):118–121PubMedCrossRef Ukimura O, Moinzadeh A, Gill IS (2005) Laparoscopic radical cystectomy and urinary diversion. Curr Urol Rep 6(2):118–121PubMedCrossRef
27.
Zurück zum Zitat van Velthoven RF, Piechaud T (2005) Laparoscopic radical cystectomy with ileal conduit diversion. Curr Urol Rep 6(2):93–100PubMedCrossRef van Velthoven RF, Piechaud T (2005) Laparoscopic radical cystectomy with ileal conduit diversion. Curr Urol Rep 6(2):93–100PubMedCrossRef
28.
Zurück zum Zitat Yohannes P, Puri V, Yi B et al (2003) Laparoscopy-assisted robotic radical cystoprostatectomy with ileal conduit urinary diversion for muscle-invasive bladder cancer: initial two cases. J Endourol 17(9):729–732CrossRefPubMed Yohannes P, Puri V, Yi B et al (2003) Laparoscopy-assisted robotic radical cystoprostatectomy with ileal conduit urinary diversion for muscle-invasive bladder cancer: initial two cases. J Endourol 17(9):729–732CrossRefPubMed
29.
Zurück zum Zitat Wolf JS Jr, Moon TD, Nakada SY (1998) Hand assisted laparoscopic nephrectomy: comparison to standard laparoscopic nephrectomy. J Urol 160(1):22–27CrossRefPubMed Wolf JS Jr, Moon TD, Nakada SY (1998) Hand assisted laparoscopic nephrectomy: comparison to standard laparoscopic nephrectomy. J Urol 160(1):22–27CrossRefPubMed
30.
Zurück zum Zitat Peterson AC, Lance RS, Ahuja S (2002) Laparoscopic hand assisted radical cystectomy with ileal conduit urinary diversion (discussion 2105). J Urol 168(5):2103–2105CrossRefPubMed Peterson AC, Lance RS, Ahuja S (2002) Laparoscopic hand assisted radical cystectomy with ileal conduit urinary diversion (discussion 2105). J Urol 168(5):2103–2105CrossRefPubMed
31.
Zurück zum Zitat McGinnis DE, Hubosky SG, Bergmann LS (2004) Hand-assisted laparoscopic cystoprostatectomy and urinary diversion. J Endourol 18(4):383–386CrossRefPubMed McGinnis DE, Hubosky SG, Bergmann LS (2004) Hand-assisted laparoscopic cystoprostatectomy and urinary diversion. J Endourol 18(4):383–386CrossRefPubMed
32.
Zurück zum Zitat Taylor GD, Duchene DA, Koeneman KS (2004) Hand assisted laparoscopic cystectomy with minilaparotomy ileal conduit: series report and comparison with open cystectomy. J Urol 172(4 Pt 1):1291–1296CrossRefPubMed Taylor GD, Duchene DA, Koeneman KS (2004) Hand assisted laparoscopic cystectomy with minilaparotomy ileal conduit: series report and comparison with open cystectomy. J Urol 172(4 Pt 1):1291–1296CrossRefPubMed
33.
Zurück zum Zitat Abreu SC, Fonseca GN, Cerqueira JB et al (2005) Laparoscopic radical cystectomy with intracorporeally constructed Y-shaped orthotopic ileal neobladder using nonabsorbable titanium staples exclusively. Urology 66(3):657CrossRefPubMed Abreu SC, Fonseca GN, Cerqueira JB et al (2005) Laparoscopic radical cystectomy with intracorporeally constructed Y-shaped orthotopic ileal neobladder using nonabsorbable titanium staples exclusively. Urology 66(3):657CrossRefPubMed
34.
Zurück zum Zitat Turk I, Deger S, Winkelmann B et al (2001) Laparoscopic radical cystectomy with continent urinary diversion (rectal sigmoid pouch) performed completely intracorporeally: the initial 5 cases. J Urol 165(6 Pt 1):1863–1866CrossRefPubMed Turk I, Deger S, Winkelmann B et al (2001) Laparoscopic radical cystectomy with continent urinary diversion (rectal sigmoid pouch) performed completely intracorporeally: the initial 5 cases. J Urol 165(6 Pt 1):1863–1866CrossRefPubMed
35.
Zurück zum Zitat Menon M, Tewari A, Peabody JO et al (2004) Vattikuti Institute prostatectomy, a technique of robotic radical prostatectomy for management of localized carcinoma of the prostate: experience of over 1100 cases. Urol Clin North Am 31(4):701–717CrossRefPubMed Menon M, Tewari A, Peabody JO et al (2004) Vattikuti Institute prostatectomy, a technique of robotic radical prostatectomy for management of localized carcinoma of the prostate: experience of over 1100 cases. Urol Clin North Am 31(4):701–717CrossRefPubMed
36.
Zurück zum Zitat Guillonneau B (2003) What robotics in urology? A current point of view. Eur Urol 43(2):103–105CrossRefPubMed Guillonneau B (2003) What robotics in urology? A current point of view. Eur Urol 43(2):103–105CrossRefPubMed
37.
Zurück zum Zitat Menon M, Hemal AK, Tewari A et al (2003) Nerve-sparing robot-assisted radical cystoprostatectomy and urinary diversion. BJU Int 92(3):232–236CrossRefPubMed Menon M, Hemal AK, Tewari A et al (2003) Nerve-sparing robot-assisted radical cystoprostatectomy and urinary diversion. BJU Int 92(3):232–236CrossRefPubMed
38.
Zurück zum Zitat Menon M, Hemal AK, Tewari A et al (2004) Robot-assisted radical cystectomy and urinary diversion in female patients: technique with preservation of the uterus and vagina. J Am Coll Surg 198(3):386–393CrossRefPubMed Menon M, Hemal AK, Tewari A et al (2004) Robot-assisted radical cystectomy and urinary diversion in female patients: technique with preservation of the uterus and vagina. J Am Coll Surg 198(3):386–393CrossRefPubMed
39.
Zurück zum Zitat Gettman MT, Blute ML, Peschel R et al (2003) Current status of robotics in urologic laparoscopy. Eur Urol 43(2):106–112CrossRefPubMed Gettman MT, Blute ML, Peschel R et al (2003) Current status of robotics in urologic laparoscopy. Eur Urol 43(2):106–112CrossRefPubMed
40.
Zurück zum Zitat Shah NL, Hemal AK, Menon M (2005) Robot-assisted radical cystectomy and urinary diversion. Curr Urol Rep 6(2):122–125PubMedCrossRef Shah NL, Hemal AK, Menon M (2005) Robot-assisted radical cystectomy and urinary diversion. Curr Urol Rep 6(2):122–125PubMedCrossRef
41.
Zurück zum Zitat Konety BR, Joslyn SA, O’Donnell MA (2003) Extent of pelvic lymphadenectomy and its impact on outcome in patients diagnosed with bladder cancer: analysis of data from the Surveillance, Epidemiology and End Results Program data base. J Urol 169(3):946–950CrossRefPubMed Konety BR, Joslyn SA, O’Donnell MA (2003) Extent of pelvic lymphadenectomy and its impact on outcome in patients diagnosed with bladder cancer: analysis of data from the Surveillance, Epidemiology and End Results Program data base. J Urol 169(3):946–950CrossRefPubMed
42.
Zurück zum Zitat Poulsen AL, Horn T, Steven K (1998) Radical cystectomy: extending the limits of pelvic lymph node dissection improves survival for patients with bladder cancer confined to the bladder wall (discussion 2020). J Urol 160(6 Pt 1):2015–2019CrossRefPubMed Poulsen AL, Horn T, Steven K (1998) Radical cystectomy: extending the limits of pelvic lymph node dissection improves survival for patients with bladder cancer confined to the bladder wall (discussion 2020). J Urol 160(6 Pt 1):2015–2019CrossRefPubMed
43.
Zurück zum Zitat Herr HW, Bochner BH, Dalbagni G et al (2002) Impact of the number of lymph nodes retrieved on outcome in patients with muscle invasive bladder cancer. J Urol 167(3):1295–1298CrossRefPubMed Herr HW, Bochner BH, Dalbagni G et al (2002) Impact of the number of lymph nodes retrieved on outcome in patients with muscle invasive bladder cancer. J Urol 167(3):1295–1298CrossRefPubMed
44.
Zurück zum Zitat Leissner J, Hohenfellner R, Thuroff JW et al (2000) Lymphadenectomy in patients with transitional cell carcinoma of the urinary bladder; significance for staging and prognosis. BJU Int 85(7):817–823CrossRefPubMed Leissner J, Hohenfellner R, Thuroff JW et al (2000) Lymphadenectomy in patients with transitional cell carcinoma of the urinary bladder; significance for staging and prognosis. BJU Int 85(7):817–823CrossRefPubMed
45.
Zurück zum Zitat Stein JP, Cai J, Groshen S et al (2003) Risk factors for patients with pelvic lymph node metastases following radical cystectomy with en bloc pelvic lymphadenectomy: concept of lymph node density. J Urol 170(1):35–41CrossRefPubMed Stein JP, Cai J, Groshen S et al (2003) Risk factors for patients with pelvic lymph node metastases following radical cystectomy with en bloc pelvic lymphadenectomy: concept of lymph node density. J Urol 170(1):35–41CrossRefPubMed
46.
Zurück zum Zitat Bochner BH, Herr HW, Reuter VE (2001) Impact of separate versus en bloc pelvic lymph node dissection on the number of lymph nodes retrieved in cystectomy specimens. J Urol 166(6):2295–2296CrossRefPubMed Bochner BH, Herr HW, Reuter VE (2001) Impact of separate versus en bloc pelvic lymph node dissection on the number of lymph nodes retrieved in cystectomy specimens. J Urol 166(6):2295–2296CrossRefPubMed
47.
Zurück zum Zitat Finelli A, Gill IS, Desai MM et al (2004) Laparoscopic extended pelvic lymphadenectomy for bladder cancer: technique and initial outcomes. J Urol 172(5 Pt 1):1809–1812CrossRefPubMed Finelli A, Gill IS, Desai MM et al (2004) Laparoscopic extended pelvic lymphadenectomy for bladder cancer: technique and initial outcomes. J Urol 172(5 Pt 1):1809–1812CrossRefPubMed
48.
Zurück zum Zitat Hemal AK, Abol-Enein H, Tewari A et al (2004) Robotic radical cystectomy and urinary diversion in the management of bladder cancer. Urol Clin North Am 31(4):719–729, viii Hemal AK, Abol-Enein H, Tewari A et al (2004) Robotic radical cystectomy and urinary diversion in the management of bladder cancer. Urol Clin North Am 31(4):719–729, viii
49.
Zurück zum Zitat Fisch M, Wammack R, Muller SC et al (1993) The Mainz pouch II (sigma rectum pouch). J Urol 149(2):258–263PubMed Fisch M, Wammack R, Muller SC et al (1993) The Mainz pouch II (sigma rectum pouch). J Urol 149(2):258–263PubMed
50.
Zurück zum Zitat Fisch M, Wammack R, Steinbach F et al (1993) Sigma-rectum pouch (Mainz pouch II). Urol Clin North Am 20(3):561–569PubMed Fisch M, Wammack R, Steinbach F et al (1993) Sigma-rectum pouch (Mainz pouch II). Urol Clin North Am 20(3):561–569PubMed
51.
Zurück zum Zitat Potter SR, Charambura TC, Adams JB II et al (2000) Laparoscopic ileal conduit: five-year follow-up. Urology 56(1):22–25CrossRefPubMed Potter SR, Charambura TC, Adams JB II et al (2000) Laparoscopic ileal conduit: five-year follow-up. Urology 56(1):22–25CrossRefPubMed
52.
Zurück zum Zitat Beecken WD, Wolfram M, Engl T et al (2003) Robotic-assisted laparoscopic radical cystectomy and intra-abdominal formation of an orthotopic ileal neobladder. Eur Urol 44(3):337–339CrossRefPubMed Beecken WD, Wolfram M, Engl T et al (2003) Robotic-assisted laparoscopic radical cystectomy and intra-abdominal formation of an orthotopic ileal neobladder. Eur Urol 44(3):337–339CrossRefPubMed
53.
Zurück zum Zitat Gaboardi F, Simonato A, Galli S et al (2002) Minimally invasive laparoscopic neobladder. J Urol 168(3):1080–1083CrossRefPubMed Gaboardi F, Simonato A, Galli S et al (2002) Minimally invasive laparoscopic neobladder. J Urol 168(3):1080–1083CrossRefPubMed
Metadaten
Titel
Status of robotic cystectomy in 2005
verfasst von
Nicole L. Miller
Dan Theodorescu
Publikationsdatum
01.06.2006
Verlag
Springer-Verlag
Erschienen in
World Journal of Urology / Ausgabe 2/2006
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-006-0066-2

Weitere Artikel der Ausgabe 2/2006

World Journal of Urology 2/2006 Zur Ausgabe

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

Stufenschema weist Prostatakarzinom zuverlässig nach

22.04.2024 Prostatakarzinom Nachrichten

Erst PSA-Test, dann Kallikrein-Score, schließlich MRT und Biopsie – ein vierstufiges Screening-Schema kann die Zahl der unnötigen Prostatabiopsien erheblich reduzieren: Die Hälfte der Männer, die in einer finnischen Studie eine Biopsie benötigten, hatte einen hochgradigen Tumor.

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

20.04.2024 EAU 2024 Kongressbericht

Beim chronischen Harnwegsinfekt bei Frauen wird bisher meist eine Antibiotikaprophylaxe eingesetzt. Angesichts der zunehmenden Antibiotikaresistenz erweist sich das Antiseptikum Methenamin-Hippurat als vielversprechende Alternative, so die Auswertung einer randomisierten kontrollierten Studie.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.