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10. Minimally invasive treatment of benign prostatic hyperplasia

Author

Salem, Johannes, primary, Becher, Klaus F., additional, Bschleipfer, Thomas, additional, Dreikorn, Kurt, additional, Höfner, Klaus, additional, Madersbacher, Stephan, additional, Magistro, Giuseppe, additional, Muschter, Rolf, additional, Oelke, Matthias, additional, Reich, Oliver, additional, Rieken, Malte, additional, Schönburg, Sandra, additional, and Abt, Dominik, additional

Published
2024
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14. Surgical treatment options of lower urinary tract symptoms due to benign prostatic obstruction

Author

Magistro, Giuseppe, primary, Abt, S. Dominik, additional, Becher, Klaus F., additional, Bschleipfer, Thomas, additional, Dreikorn, Kurt, additional, Höfner, Klaus, additional, Muschter, Rolf, additional, Oelke, Matthias, additional, Reich, Oliver, additional, Salem, Johannes, additional, Schönburg, Sandra, additional, Madersbacher, Stephan, additional, and Rieken, Malte, additional

Published
2023
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20. Vorwort

Author

Lent, Volkmar, additional and Salem, Johannes, additional

Published
2020
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46. Die transperineale Biopsie der Prostata ohne Antibiotikaprophylaxe - eine sichere Alternative zur transrektalen Biopsie

Author

Achtelik, Katharina, Kohl, Tobias, Siegle, August, Kuru, Timur H., Salem, Johannes, Rolfs, Hanjo, Kowalke, Tobias, Jilg, Cordula A., Grabbert, Markus, Gratzke, Christian, and Porres, Daniel

Subjects
ddc: 610, Medicine and health
Abstract

Einleitung: Die transperineale Biopsie der Prostata (TPB) verspricht selbst ohne Antibiotikaprophylaxe eine sichere Alternative, zu der mit steigenden Infektkomplikationen in Verruf geratenen herk��mmlichen transrektalen Biopsie der Prostata, zu sein. Insbesondere die Rate der postoperativen Sepsis [zum vollst��ndigen Text gelangen Sie ��ber die oben angegebene URL]

Published
2022
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47. Clinically latent and autopsy-verified inflammatory disorders and malignant tumours in transplant patients

Author

Mund, Elias, Salem, Johannes, Kreipe, Hans H., Hussein, Kais, Mund, Elias, Salem, Johannes, Kreipe, Hans H., and Hussein, Kais

Abstract

Aims The number of clinical autopsies decreases while the rate of missed relevant diagnoses is known to be 2%-20%. In this study, we focused on postmortem examinations of patients after transplantation of solid organs. Methods A total of 122 cases were assessed for this study. Transplant organs included liver (LiTx; n=42/122, 34%), heart (n=8/122, 7%), lungs (n=32/122, 26%), kidney (KTx; n=38/122, 31%) and KTx+LiTx (n=2/122, 2%). Results The most frequent autopsy-verified causes of death were cardiac or respiratory failure (together n=85/122, 70%). The frequency of malignant tumours that were identified at autopsy was 5% (n=6/122). In 3% (n=4/122) of cases, Goldman class I discrepancies between clinical diagnosis and autopsy findings were identified. Conclusions The rate of missed relevant diagnoses might be relatively low, but these cases nevertheless refute the contention that modern diagnostic techniques negate the need for autopsies in patients who died after transplantation.

Published
2022

50. Discrepancy between German S3 Guideline Recommendations and Daily Urologic Practice in the Management of Nonmuscle Invasive Bladder Cancer: Results of a Binational Survey.

Author

Struck, Julian P., Hennig, Martin J.P., Hupe, Marie C., Moharam, Nadim, Paffenholz, Pia, Nestler, Tim, Frank, Tanja, Worst, Thomas S., Grabbert, Markus, Pohlmann, Philippe-Fabian, Dogan, Serkan, Hofbauer, Sebastian L., Kalogirou, Charis, Mattigk, Angelika, Brandt, Maximilian P., Krabbe, Laura-Maria, Reis, Henning, Dressler, Franz F., Kramer, Mario W., and Salem, Johannes

Subjects
NON-muscle invasive bladder cancer, BLADDER cancer, TRANSURETHRAL resection of bladder
Abstract

Introduction: Guideline recommendations are meant to help minimize morbidity and to improve the care of nonmuscle invasive bladder cancer (NMIBC) patients but studies have suggested an underuse of guideline-recommended care. The aim of this study was to evaluate the level of adherence of German and Austrian urologists to German guideline recommendations. Methods: A survey of 27 items evaluating diagnostic and therapeutic recommendations (15 cases of strong consensus and 6 cases of consensus) for NMIBC was administered among 14 urologic training courses. Survey construction and realization followed the checklist for reporting results of internet e-surveys and was approved by an internal review board. Results: Between January 2018 and June 2019, a total of 307 urologists responded to the questionnaire, with a mean response rate of 71%. The data showed a weak role of urine cytology (54%) for initial diagnostics although it is strongly recommended by the guideline. The most frequently used supporting diagnostic tool during transurethral resection of the bladder was hexaminolevulinate (95%). Contrary to the guideline recommendation, 38% of the participants performed a second resection in the case of pTa low-grade NMIBC. Correct monitoring of Bacille Calmette-Guérin (BCG) response with cystoscopy and cytology was performed by only 34% of the urologists. Conclusions: We found a discrepancy between certain guideline recommendations and daily routine practice concerning the use of urine cytology for initial diagnostics, instillation therapy with a low monitoring rate of BCG response, and follow-up care with unnecessary second resection after pTa low-grade NMIBC in particular. Our survey showed a moderate overall adherence rate of 73%. These results demonstrate the need for sharpening awareness of German guideline recommendations by promoting more intense education of urologists to optimize NMIBC care thus decreasing morbidity and mortality rates. [ABSTRACT FROM AUTHOR]

Published
2023
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