Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 11.122
Filtrar
1.
J Pediatr Urol ; 17(4): 571-572, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34625225

Assuntos
Urologia , Criança , Humanos
2.
Harefuah ; 160(9): 615-618, 2021 Sep.
Artigo em Hebraico | MEDLINE | ID: mdl-34482676

RESUMO

INTRODUCTION: Botulinum toxin is an accepted therapy for several urologic diseases involving the lower urinary tract system. Intravesical injection of the toxin emerged in recent decades as an evidenced-based approach for the treatment of patients with medication refractory neurogenic or idiopathic detrusor over-activity. The use of the toxin for other urologic disease such as benign prostate enlargement, detrusor-sphincter dyssynergia or premature ejaculation - still requires further research.


Assuntos
Toxinas Botulínicas Tipo A , Toxinas Botulínicas , Fármacos Neuromusculares , Doenças Urológicas , Urologia , Humanos , Masculino , Bexiga Urinária
3.
Front Public Health ; 9: 670889, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34490178

RESUMO

COVID-19, the coronavirus disease 2019; SARS-CoV-2, the coronavirus 2; ACE2, angiotensin converting enzyme 2; S protein, spiked glycoprotein; TMPRSS2, transmembrane serine protease 2; WHO, World Health Organization. Purpose: Although the coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2, has been viably controlled in China, a new normal in healthcare strategies has become standard in China and worldwide. We conducted a questionnaire study to disseminate the experience from China in terms of urology outpatient prevention and control measures under standardized prevention policies against COVID-19. Participants and Methods: From May 3, 2020 to June 25, 2020, we conducted an anonymous cross-sectional questionnaire study, focused on the status of and experiences with outpatient urology prevention and control measures during the COVID-19 pandemic. The targeted respondents were urologists in mainland China, covering all levels of hospitals and clinics. Results: A total of 216 (97%) valid responses were collected. We found that 183 (85%) respondents were from outside of Hubei province in China. One-hundred-and-fifty-eight (73%) respondents believed that SARS-CoV-2 could be detected in urine, and that protection against urine exposure was needed. Over 80% of respondents recommended WeChat application or similar online video meetings for virtual outpatient consultations. The suggested flowcharts and recommendations to prevent new cases were easy to understand and approved by most physicians, which could provide reference for outpatient prevention and control. We still need to make adequate preparations under the new normal of the COVID-19 Epidemic, especially for those suspected of being infected. Conclusions: Although the scientific validation of the questionnaire is limited, it provides a first snapshot of the experiences relating to the prevention and control measures in urology clinics in China, and can inform future policies in this field.


Assuntos
COVID-19 , Urologia , China/epidemiologia , Estudos Transversais , Humanos , Pandemias , SARS-CoV-2 , Inquéritos e Questionários
4.
Arch Esp Urol ; 74(7): 637-638, 2021 Sep.
Artigo em Espanhol | MEDLINE | ID: mdl-34472430

RESUMO

Recientemente, Carrión et al. (1) publicaban un acertado análisis sobre el uso de la telemedicina (TM) en urología en el contexto de la pandemia por COVID-19. El escenario de emergencia durante la pandemia debida al SARS-CoV-2 ha propiciado un uso exponencial de la TM que ha permitido mantener el acceso y la continuidad de la atención a los pacientes y apoyar a los profesionales de primera línea, optimizando los servicios presenciales y minimizando las infecciones por transmisión del COVID-19 (2).


Assuntos
COVID-19 , Telemedicina , Urologia , Humanos , Responsabilidade Legal , SARS-CoV-2
5.
Arch Esp Urol ; 74(7): 652-655, 2021 Sep.
Artigo em Espanhol | MEDLINE | ID: mdl-34472433

RESUMO

INTRODUCTION: In Argentina, our institutionhas a urology resident on call who handles requests to the single radio during nighttime. Few studies address this important issue that provides useful information to promote education and optimize hospital dynamics. OBJECTIVE: To describe the characteristics of the calls received in the urology radio during night shifts. MATERIALS AND METHODS: During the night shifts, all calls to the radio were recorded during the period between June and July 2019. We determined: time, source, sex, and age of the patient, reason for the call and classified the calls according to: calls for immediate resolution (which required urological instrumental intervention, bladder catheterization or lavage, etc.), unnecessary calls (wrong number), and the number of emergencies that require calling a superior for immediate surgical resolution. RESULTS: We registered a total of 325 calls, most of them male patients. The main reason for calling was for placement, replacement, or washing of the urinary catheter or suprapubic catheter. We obtained 139 calls that required urological intervention. The highest number of calls was from the emergency department (119), followed by the Internal Medicine staff (47). Most of them (242) did not require patient admission. The total of unnecessary calls was three, corresponding to wrong number. CONCLUSION: This study helped us to characterize the calls to the Urology radio from other services and emergency department, allowing us to identify the most common problems and educate based on this.


Assuntos
Encaminhamento e Consulta , Urologia , Emergências , Serviço Hospitalar de Emergência , Humanos , Masculino
6.
Urologiia ; (4): 138-144, 2021 09.
Artigo em Russo | MEDLINE | ID: mdl-34486287

RESUMO

A review of the literature on the urgent problem of urology, which is therapy of chronic prostatitis (CP) is presented. Despite numerous studies dedicated to the prevention and treatment of CP, it has not yet been possible to reduce the CP incidence. Therapeutic approaches aimed at improving the quality of life are not always effective due to the lack of a clear understanding of the etiology and pathogenesis of the disease. Leading Russian urologists recommend introducing into the complex therapy of CP a domestic drug from the cytomedin, namely Vitaprost, which causes a significant decrease in the severity of trophic disorders, inflammatory and congestive processes, improves microcirculation in the prostate, stimulates cellular and humoral immunity, all of which increase the effectiveness of CP therapy.


Assuntos
Prostatite , Urologia , Doença Crônica , Humanos , Masculino , Prostatite/tratamento farmacológico , Qualidade de Vida , Federação Russa
7.
Curr Urol Rep ; 22(9): 47, 2021 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-34532784

RESUMO

PURPOSE OF REVIEW: To review the integration of robotics in urology residency programs and evaluate how it has impacted a graduates' level of surgical competence. RECENT FINDINGS: Surgical technique training has shown a dramatic shift towards robotics with the most profound occurring in oncology. However, integration of robotics is not uniform across programs nor even among residents themselves. Robotics require graduates to garner a broader skill set within the same prescribed training time. Unfortunately, in this modern era, graduates are feeling more ill-equipped to start independent practice and show an increased need to pursue fellowship training to achieve technical proficiency. The dissemination of robotics in residency programs has gone unchecked. Modulating existing training structures through (1) development of procedure- and surgical technique-specific target metrics for graduation and (2) integration of a formalized robotic curriculum may improve the overall quality and outcome of the educational experience.


Assuntos
Internato e Residência , Procedimentos Cirúrgicos Robóticos , Robótica , Urologia , Competência Clínica , Currículo , Humanos , Urologia/educação
9.
Urologe A ; 60(10): 1277-1290, 2021 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-34476550

RESUMO

BACKGROUND: With the introduction of the MDK (Medizinischer Dienst der Krankenversicherung) Reform Act, there have been multiple new regulations for hospitals, some of which are confusing and interact with one another. A major focus of the legal changes is directly or indirectly on expanding the provision of outpatient services. OBJECTIVES: It can be assumed that-as a result of the new version of the framework conditions and the AOP catalog-the relevant OPS list will be expanded in the future. With the revision of the AOP catalog and the effects of the MDK Reform Act, the number of cases with outpatient potential will increase. Can the effects and challenges for hospitals and especially urology be identified? METHODS: Evaluation of official statistics of inpatient and outpatient treatments. Focusing on the problem based on a fictitious practical example from urology. RESULTS: A strategy is developed for dealing with cases with outpatient potential and identification of different solutions to compensate for this shift in services and enabling an increase in performance or a deliberate reduction in the provision of services. CONCLUSIONS: The choice of the type of service provision is increasingly no longer an issue, and the short-term inpatient treatment of many urological cases is coming under considerable pressure due to political measures such as the MDK Reform Act and the demands of health insurance companies. The reduction of different parts of the inpatient reimbursement for special patient groups must be anticipated. Individual strategies will range from simply not providing outpatient services to complex models of cooperation. This change also means opportunities for hospitals!


Assuntos
Urologia , Assistência Ambulatorial , Hospitalização , Humanos , Pacientes Ambulatoriais
10.
Urologe A ; 60(10): 1291-1303, 2021 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-34524493

RESUMO

BACKGROUND: The conservative and surgical treatment of children is a fundamental pillar of the urological specialist training program and represents one of the core competencies within urological healthcare. The loss of this expertise has been a reoccurring topic within urologic occupational policy. The aim of this study is to analyse actual case numbers and to compare the distribution and dynamics of pediatric urologic surgeries between the specialist departments of urology and pediatric surgery in Germany. MATERIALS AND METHODS: We defined the surgical treatments of maldecensus testis, hypospadias, and vesicoureteral reflux (VUR) as index interventions. Using the tool reimbursement.INFO (RI Innovation GmbH, Hürth, Germany) we analysed publicly available quality report data of German hospitals between 2006 and 2019. RESULTS: While orchidopexy was more commonly performed in the field of urology, the correction of hypospadias and the surgical treatment of VUR showed higher case numbers in the field of pediatric surgery. Proportionally, there was no relevant shift between urologic and pediatric surgical clinics for orchidopexy and surgical VUR therapy during the study period. For hypospadias corrections, the proportion of surgeries performed in pediatric surgical units is increasing (p < 0.0001). In pediatric surgery 84-93% of the analyzed procedures are performed in high-volume units, while this proportion is 56-73% in urology. In particular, a high proportion of VUR therapy in urology is performed as an occasional procedure (30% very low volume). CONCLUSIONS: The quality report data enable the compilation of case numbers and the analysis of the distribution between urology and pediatric surgery in Germany. Merely the correction of hypospadias has shown a relevant shift towards pediatric surgery. The causes and possible consequences for professional policy of this preliminary investigation are complex and require further analysis.


Assuntos
Hipospadia , Urologia , Criança , Atenção à Saúde , Alemanha , Humanos , Hipospadia/epidemiologia , Hipospadia/cirurgia , Masculino , Procedimentos Cirúrgicos Urológicos
11.
Harefuah ; 160(9): 603-607, 2021 09.
Artigo em Hebraico | MEDLINE | ID: mdl-34482674

RESUMO

INTRODUCTION: Gender-specific medicine seeks to identify and understand differences in the ways in which diseases manifest in men and women. This article claims that, in urology, gender awareness is crucial to providing female patients with apposite medical treatment. While the majority of urological patients are men and a number of urological diseases are male-specific, urologic practitioners must nevertheless be familiar with urologic issues in women. In particular, they must be aware of those which present with gender specific signs and symptoms, and thus require different clinical approaches and therapies. In urologic oncology, for example, most malignancies are more common among men, but women are also affected. In Transitional Cell Carcinoma (TCC) of the bladder, women are usually diagnosed at a later stage and their prognosis tends to be poorer. In contrary, in renal cell carcinoma, men are usually diagnosed with more progressive disease, and the prognosis for women was found to be better. In the field of endo-urology, nephrolithiasis is more common in men, although its prevalence in women is rising. In pregnant women, stones in the urinary tract present a diagnostic and treatment challenge because some of the diagnostic and therapeutic tools may put the mother and/or fetus at risk. Understanding this divergence between men and women in urologic disease is vital to treating patients appropriately. The impact of gender differences is addressed in many medical disciplines. This same perception is needed in urology. To provide women with optimal treatment, female urology must focus not only on urologic disorders specific to women, but also on disorders suffered by both genders, which manifest differently in women. Another step toward developing gender-awareness research and treatment in urology is increasing the number of women who choose to specialize in urology.


Assuntos
Carcinoma de Células de Transição , Urologia , Feminino , Humanos , Masculino , Gravidez , Prognóstico , Fatores Sexuais
12.
Urologe A ; 60(9): 1125-1140, 2021 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-34351439

RESUMO

Ultimately, new (digital) techniques and artificial intelligence (AI) applications are changing the working environment in urology. This can be an opportunity for further development, but also a change which is not desired. Adjustments to work processes may be necessary. So-called disruptive processes lead to fundamental changes. In the context of the digital transformation, our way of working is changing. Classic hierarchies, working hours, and working environments are dissolving in favor of creative and flexible working models and corporate structures. Clinics and practices in urology must prepare themselves for changing requirements and be able to provide answers.


Assuntos
Inteligência Artificial , Urologia , Humanos
14.
J Pediatr Urol ; 17(4): 573-574, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34419347
15.
Urologe A ; 60(9): 1211-1219, 2021 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-34398255

RESUMO

A fundamental understanding of the physical properties is necessary for the application of lasers in medicine in order to be able to understand and appreciate the biological effect. The most important parameters are emission mode, wavelength of the laser and power output measured in watts. Pulsed lasers can be used for the treatment of stones and soft tissues, whereby in urology this essentially applies to the prostate gland and to a lesser extent also for the ureter, urethra, bladder and kidneys.


Assuntos
Lasers de Estado Sólido , Ureter , Urologia , Humanos , Masculino , Próstata , Túlio
16.
Obstet Gynecol Clin North Am ; 48(3): 487-499, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34416933

RESUMO

Telemedicine, which provides safe, equitable, patient-centered care, has gained significant momentum in recent years. Success using telemedicine has been seen across diverse groups of patients for a variety of diagnoses, including older adults and gynecology patients. In response to the coronavirus disease 2019 pandemic, federal and local governments have issued provisions to improve reimbursement and accessibility to telemedicine. In urogynecology, virtual care is growing in popularity, along with a growing body of literature in support of this method of providing care. Providers should use clinical judgment and existing data to guide them on which clinical conditions are appropriate for virtual care.


Assuntos
COVID-19/epidemiologia , Ginecologia/métodos , Telemedicina/métodos , Urologia/métodos , Feminino , Acesso aos Serviços de Saúde , Humanos , Reembolso de Seguro de Saúde , Pandemias , Procedimentos Cirúrgicos Reconstrutivos/métodos , SARS-CoV-2 , Infecções Urinárias/diagnóstico
18.
Curr Urol Rep ; 22(9): 45, 2021 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-34427779

RESUMO

PURPOSE OF REVIEW: The COVID-19 pandemic brought unprecedented challenges for urology resident education. In this review, we discuss the pandemic's impact on urology trainees and their education. RECENT FINDINGS: Urology trainees were often redeployed to frontline services in unfamiliar clinical settings. Residents often experienced increased levels of stress, anxiety, and depression. Many programs instituted virtual "check-ins" and formed liaisons with mental health services to foster cohesiveness. Urology trainees experienced the integration of telehealth into the clinical realm. Virtual surgery lectures and simulations were utilized to augment surgical education. Academic governing bodies upheld resident protections and provided dynamic guidance for training requirement throughout the pandemic. Medical students were unable to participate in traditional in-person away rotations and interviews, complicating the residency application process. The COVID-19 pandemic shook the healthcare system and ushered in seismic changes for urology trainees worldwide. Though the longstanding effects of the pandemic remain to be seen, urology residents have demonstrated tremendous resilience and bravery throughout this challenging period, and those qualities will undeniably withstand the test of time.


Assuntos
COVID-19 , Internato e Residência , Urologia , Humanos , Pandemias , SARS-CoV-2 , Urologia/educação
19.
Ann R Coll Surg Engl ; 103(8): 546-547, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34464564

RESUMO

INTRODUCTION: The aim of this study was to identify the causes of urological litigation in the NHS and to make recommendations how to reduce the burden of litigation to both injured patients and urologists. METHODS: Under the Freedom of Information Act, the National Health Service Resolution (NHSR) was asked to provide the figures for the number of cases of litigation in urology reported between 2010 and 2020. RESULTS: The number of urological claims more than doubled between 2011 and 2020. Many of the claims that are made result from avoidable errors. CONCLUSION: More education is needed, of both urologists in training and consultant urologists, on the causes of errors that lead to litigation and how many of them can be avoided.


Assuntos
Imperícia/estatística & dados numéricos , Urologia , Humanos , Imperícia/legislação & jurisprudência , Medicina Estatal/legislação & jurisprudência , Reino Unido
20.
Ann R Coll Surg Engl ; 103(8): 599-603, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34464571

RESUMO

INTRODUCTION: The COVID-19 pandemic has demanded radical changes in service delivery. Our centre adopted the use of outpatient telemedicine to reduce close-contact interactions between patients and staff. We hypothesised that incidental gains may be associated with this. We evaluated financial, practical and environmental implications of substituting virtual clinics (VCs) for in-person urology outpatient appointments. METHODS: VCs were studied over a 3-month period. Based on patient-reported 'usual mode of transport' to the hospital, travel distance, time, petrol and parking costs, and the carbon emissions avoided by virtue of remote consultations were calculated. The underlying symptom/diagnosis and the 'effectiveness' of the VC were evaluated. RESULTS: Of 1,016 scheduled consultations, 736 (72.44%) were conducted by VCs over the study period. VCs resulted in an agreed treatment plan in 98.4% of a representative patient sample. The use of VCs was associated with an overall travel distance saving for patients of 31,038 miles (49,951km) over 3 months, with an average round-trip journey of 93.8 miles (151km) avoided for each rural-dwelling patient and an average financial saving of £25.91 (€28.70) per rural-dwelling car traveller. An estimated 1,257.8 hours of patient time were saved by avoidance of travel and clinic waiting times. Based on car-travelling patients alone, a 6.07-tonne reduction in carbon emissions was achieved with the use of VCs. CONCLUSIONS: In appropriate clinical circumstances, VCs appear to provide efficiency across a number of domains. Future healthcare may involve offering outpatients the option of telemedicine as an alternative to physical attendance.


Assuntos
Redução de Custos , Consulta Remota , Viagem , Emissões de Veículos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , COVID-19 , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reino Unido , Urologia , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...