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1,257 results on '"Müller, Stefan C"'

101. Chemical Waves

Author

Ross, John, Müller, Stefan C., and Vidal, Christian

Published
1988

105. Management of medium and long term complications following prostate cancer treatment resulting in urinary diversion – a narrative review

Author

Höh, Robert Benedikt, Müller, Stefan C., Kluth, Luis, Wenzel, Mike, Höh, Robert Benedikt, Müller, Stefan C., Kluth, Luis, and Wenzel, Mike

Abstract

The purpose of this narrative review is to discuss and highlight recently published studies regarding the surgical management of patients suffering from prostate cancer treatment complications. Focus will be put on the recalcitrant and more complex cases which might lead to urinary diversion as a definite, last resort treatment. It is in the nature of every treatment, that complications will occur and be bothersome for both patients and physicians. A small percentage of patients following prostate cancer treatment (radical prostatectomy, radiation therapy, or other focal therapies) will suffer side effects and thus, will experience a loss of quality of life. These side effects can persist for months and even years. Often, conservative management strategies fail resulting in recalcitrant recurrences. Prostate cancer patients with “end-stage bladder,” “devastated outlet,” or a history of multiple failed interventions, are fortunately rare, but can be highly challenging for both patients and Urologists. In a state of multiple previous surgical procedures and an immense psychological strain for the patient, urinary diversion can offer a definite, last resort surgical solution for this small group of patients. Ideally, they should be transferred to centers with experience in this field and a careful patient selection is needed. As these cases are highly complex, a multidisciplinary approach is often necessary in order to guarantee an improvement of quality of life.

Published
2021

108. Association Between the Number of Dissected Lymph Nodes During Pelvic Lymphadenectomy and Cancer-Specific Survival in Patients with Lymph Node–Negative Urothelial Carcinoma of the Bladder Undergoing Radical Cystectomy

Author

May, Matthias, Herrmann, Edwin, Bolenz, Christian, Brookman-May, Sabine, Tiemann, Arne, Moritz, Rudolf, Fritsche, Hans-Martin, Burger, Maximilian, Trojan, Lutz, Michel, Maurice S., Wülfing, Christian, Müller, Stefan C., Ellinger, Jörg, Buchner, Alexander, Stief, Christian G., Tilki, Derya, Wieland, Wolf F., Gilfrich, Christian, Höfner, Thomas, Hohenfellner, Markus, Haferkamp, Axel, Roigas, Jan, Zacharias, Mario, and Bastian, Patrick J.

Published
2011
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117. Is standardization transferable? Initial experience of urethral surgery at the University Hospital Frankfurt

Author

Trauma and Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists (EAU YAU), Wenzel, Mike, Krimphove, Marieke Johanna, Lauer, Benedikt, Höh, Robert Benedikt, Müller, Matthias J., Mandel, Philipp, Becker, Andreas, Vetterlein, Malte Wolfram, Müller, Stefan C., Dahlem, Roland, Fisch, Margit, Chun, Felix, Kluth, Luis A., Trauma and Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists (EAU YAU), Wenzel, Mike, Krimphove, Marieke Johanna, Lauer, Benedikt, Höh, Robert Benedikt, Müller, Matthias J., Mandel, Philipp, Becker, Andreas, Vetterlein, Malte Wolfram, Müller, Stefan C., Dahlem, Roland, Fisch, Margit, Chun, Felix, and Kluth, Luis A.

Abstract

Background: Since January 2018 performance of urethroplasties is done on regular basis at the University Hospital Frankfurt (UKF). We aimed to implement and transfer an institutional standardized perioperative algorithm for urethral surgery (established at the University Hospital Hamburg-Eppendorf—UKE) using a validated Urethral Stricture Surgery Patient-Reported Outcome Measure (USS-PROM) in patients undergoing urethroplasty at UKF. Materials and Methods: We retrospectively analyzed all patients who underwent urethroplasty for urethral stricture disease between January 2018 and January 2020 at UKF. All patients were offered to revisit for clinical follow-up (FU) and completion of USS-PROM. Primary end point was stricture recurrence-free survival (RFS). Secondary endpoints were functional outcomes, quality of life (QoL), and patient satisfaction. Results: In total, 50 patients underwent urethroplasty and 74 and 24% had a history of previous urethrotomy or urethroplasty, respectively. A buccal mucosal graft urethroplasty was performed in 86% (n = 43). After patient's exclusion due to lost of FU, FU <3 months, and/or a pending second stage procedure, 40 patients were eligible for final analysis. At median FU of 10 months (interquartile-range 5.0–18.0), RFS was 83%. After successful voiding trial, the postoperative median Qmax significantly improved (24.0 vs. 7.0 mL/s; p < 0.01). Conversely, median residual urine decreased significantly (78 vs. 10 mL; p < 0.01). Overall, 95% of patients stated that QoL improved and 90% were satisfied by the surgical outcome. Conclusions: We demonstrated a successful implementation and transfer of an institutional standardized perioperative algorithm for urethral surgery from one location (UKE) to another (UKF). In our short-term FU, urethroplasty showed excellent RFS, low complication rates, good functional results, improvement of QoL and high patient satisfaction. PROMs allow an objective comparison between different centers.

Published
2020

131. EXTERNAL VALIDATION OF DISEASE-FREE SURVIVAL AT 2 OR 3 YEARS AS A SURROGATE AND NEW PRIMARY ENDPOINT FOR PATIENTS UNDERGOING RADICAL CYSTECTOMY FOR MUSCLE INVASIVE UROTHELIAL CANCER OF THE BLADDER: 530

Author

Bastian, Patrick J., May, Matthias, Fritsche, Hans-Martin, Buchner, Alexander, Brookman-May, Sabine, Bolenz, Christian, Hermann, Edwin, Burger, Maximillian, Höfner, Thomas, Elliger, Jörg, Tilki, Derya, Trojan, Lutz, Wülfing, Christian, Haferkamp, Axel, Gilfrich, Christian, Hohenfellner, Markus, Wieland, Wolf F., Müller, Stefan C., and Nuhn, Philipp

Published
2012

133. Multicenter evaluation of the prognostic value of pT0 stage after radical cystectomy due to urothelial carcinoma of the bladder

Author

May, Matthias, Bastian, Patrick J., Burger, Maximilian, Bolenz, Christian, Trojan, Lutz, Herrmann, Edwin, Wülfing, Christian, Müller, Stefan C., Ellinger, Jörg, Buchner, Alexander, Stief, Christian G., Tilki, Derya, Otto, Wolfgang, Höfner, Thomas, Hohenfellner, Markus, Haferkamp, Axel, Roigas, Jan, Zacharias, Mario, Wieland, Wolf F., and Fritsche, Hans-Martin

Published
2011
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140. Lymphovascular invasion is an independent predictor of oncological outcomes in patients with lymph node-negative urothelial bladder cancer treated by radical cystectomy: a multicentre validation trial

Author

Bolenz, Christian, Herrmann, Edwin, Bastian, Patrick J., Michel, Maurice S., Wülfing, Christian, Tiemann, Arne, Buchner, Alexander, Stief, Christian G., Fritsche, Hans-Martin, Burger, Maximilian, Wieland, Wolf F., Höfner, Thomas, Haferkamp, Axel, Hohenfellner, Markus, Müller, Stefan C., Ströbel, Philipp, and Trojan, Lutz

Published
2010
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144. SOFT TISSUE SURGICAL MARGIN STATUS IS A POWERFUL PREDICTOR OF OUTCOMES AFTER RADICAL CYSTECTOMY: A MULTICENTER STUDY OF OVER 4300 PATIENTS: 346

Author

Novara, Giacomo, Svatek, Robert S, Karakiewicz, Pierre I, Skinner, Eila, Fradet, Yves, Lotan, Yair, Capitanio, Umberto, Bastian, Patrick J, Montorsi, Francesco, Kassouf, Wassim, Fritsche, Hans-Martin, Müller, Stefan C, Izawa, Jonathan I, Isbarn, Hendrik, Stief, Christian G, Ficarra, Vincenzo, Dinney, Colin P, Lerner, Seth P, Schoenberg, Mark P, Sagalowsky, Arthur I, Kamat, Ashish, Volkmer, Bjoern G, and Shariat, Shahrokh F

Published
2009

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