《国际泌尿系统杂志》稿约

《国际泌尿系统杂志》(原国外医学-泌尿系统分册)是中华人民共和国国家卫生健康委员会主管的医学科技期刊,中国科技统计源期刊,中国科技核心期刊,中华医学会系列杂志。主要刊登述评、专题报道、论著、综述、诊疗经验、病例报告等泌尿系统领域(含泌外、肾内及相关基础医学)的最新研究进展。     

《国际泌尿系统杂志》稿约

《国际泌尿系统杂志》(原国外医学-泌尿系统分册)是中华人民共和国国家卫生健康委员会主管的医学科技期刊,中国科技统计源期刊,中国科技核心期刊,中华医学会系列杂志。主要刊登述评、专题报道、论著、综述、诊疗经验、病例报告等泌尿系统领域(含泌外、肾内及相关基础医学)的最新研究进展。     

《国际泌尿系统杂志》稿约

《国际泌尿系统杂志》（原国外医学一泌尿系统分册）是中华人民共和国国家卫生和计划生育委员会主管的医学科技期刊，中国科技统计源期刊，中国科技核心期刊，中华医学会系列杂志。主要刊登述评、专题报道、论著、综述、诊疗经验、病例报告等泌尿系统领域（含泌外、肾内及相关基础医学）的最新研究进展。     

放射影像检查在泌尿系统疾病中的应用

以医学成像为目的将某种特定物质引入人体内,改变机体局部组织的影像对比度,这种被引人的物质称为对比剂（contrast medium）,也称之为造影剂。泌尿系统放射影像检查方法包括普通X线检查、尿路造影检查、数字减影血管造影检查、计算机断层扫描技术（CT）检查和核磁共振成像（MRI）检查。对比剂在泌尿系统疾病放射影像检查中的广泛应用,使得泌尿系统疾病的临床影像诊断已经从解剖形态影像学深入到器官功能影像学水平。     

《国际泌尿系统杂志》简介

《国际泌尿系统杂志》创刊于1980年，原名《国外医学泌尿系统分册》，系中华人民共和国国家卫生和计划生育委员会主管，中华医学会、湖南省医学会共同主办的国家级医学学术类期刊，国内、外公开发行。属于中国科技论文统计源期刊、中国科技核心期刊、中国科学文献计量评价中心统计源期刊。杂志的服务宗旨是：为泌尿外科、肾内科和涉及泌尿系统医学的相关学科的科技工作者提供学术交流的平台。促进医学科技的发展，为人类健康事业服务。     

欢迎订阅《国际泌尿系统杂志》

《国际泌尿系统杂志》（原国外医学－泌尿系统分册）是国家卫生和计划生育委员会主管的医学科技期刊，中国科技统计源期刊，中国科技核心期刊，中华医学会系列杂志。     

欢迎订阅《国际泌尿系统杂志》

《国际泌尿系统杂志》(原国外医学_泌尿系统分册)是国家卫生健康委员会主管的医学科技期刊,中国科技统计源期刊,中国科技核心期刊,中华医学会系列杂志。《国际泌尿系统杂志》(双月刊),邮发代号:42-80,大16开本,单月15曰出版,定价20元/册,全年120元。     

浅谈对元宇宙理念促进中国智慧医疗创新发展的思考

元宇宙指数字化虚拟世界和现实世界能够在一定程度上共存共生的数字样态。数字样态与医学科学相嵌相融后形成的智慧医疗理念, 在医学实践、医学教育、医学研究领域, 特别是外科学领域有巨大发展。分析能促进这一发展的主要因素, 其一, 智慧医疗领域元宇宙理念的技术源头为实实在在的人体解剖数字化数据集的生成技术;其二, 智慧医疗领域成功的元宇宙技术产业实践, 符合真实可信的"以人为本, 为人服务"的根本宗旨。     

傅晓骏名中医从“虚、瘀、湿”论治肾性水肿经验介绍

正过多液体在组织间隙或体腔积聚称为水肿,是一种常见而重要病理过程[1]。肾性水肿属于祖国医学"水肿"范畴[1]。水肿往往是慢性肾炎最常见、最重要、最早出现症状之一,也是我们临床医师早期发现、诊断慢性肾炎重要依据。傅晓骏名中医,教授、全国第六批老中医专家学术经验继承工作指导老师、硕士生导师、浙江省名中医,浙江省中医药重点学科带头人,长期从事肾脏疾病临床医疗、教学、科研工作,擅长以中医治疗肾病综合征、慢性肾小球肾炎及慢性肾衰等泌尿系统疾病,     

直肠癌的精准治疗进展

正直肠癌是胃肠道最常见的恶性肿瘤之一,新发病例逐年增加,术后平均生存时间往往只有5.5年左右~([1])。2015年1月"精准医学"的提出~([2]),标志着现代医学迈入"精准时代"。本文就目前直肠癌的精准治疗进展做一简要概述。1精准医学的内涵精准医学不同于以往的经验医学和循证医学,它更关注疾病的个体化,但与疾病的个体化治疗并不等同~([3])。本质上精准医学是通过基因组和蛋白质组等组学技术和尖端医疗技术,结合患者的生活环     

扬长避短 协同攻关 加速发展——再谈泌尿外科临床研究

临床研究是医学创新和发展的重要基石。近十年来,国际泌尿外科领域在临床研究方面有一些突破性的成果,然而我国泌尿外科临床研究与国际一流水平相比还存在较大差距。全国的泌尿同道应该把临床研究提高到一个新的认识高度,从更好地为患者服务这个情怀出发,把临床研究作为我们的重点工作。我们可以从真实世界临床研究、前瞻性随机对照研究、转化医学、人工智能等多个领域,大力开展多中心临床研究。临床研究过程中要采取规范的方法,注重科研诚信。我们的临床研究成果,不仅要发表在国际杂志上,更应重视在国内杂志发表,提倡把研究成果"写在祖国的大地上"。     

Urologische Aspekte bei Patienten mit Leberzirrhose

Background

Patients with liver cirrhosis (LC) are multimorbid and have urological diseases that occur more often than in the general population. The short life expectancy and poor general health complicate diagnosis and treatment. Due to the rising prevalence of LC, the number of patients from this group will increasingly present to urological practices.

Topics

There are only a few studies about urological diseases in LC which describe the diagnostic and therapeutic challenges in this patient group. LC patients have altered baseline PSA values, which must be considered in PSA monitoring as part of preventative prostate care. In addition, difficulties arise in diagnosis and treatment of bladder dysfunction, genitourinary infections/sepsis, hypogonadism, erectile dysfunction, and urological malignancies. The implementation of invasive/tumor surgical interventions depends on LC severity. The safest surgical approach possible should be used.

Conclusion

The worldwide prevalence of LC continues to rise but urological diagnosis and therapy in affected patients is often complicated due to their poor performance status.

     

Evolution of urological imaging

The evolution of urological imaging has had a major impact on the diagnosis and treatment of urological diseases since the discovery of the X‐ray by Roentgen in 1895. Early developments included plain films of the abdomen, retrograde urographic techniques, development of contrast media, excretory urography, renal mass puncture, renal angiography, cystography and nuclear medicine procedures. These procedures led to the maturation of the specialties of diagnostic radiology and urology, and the development of the subspecialties of pediatric urology and urological radiology during the first seven decades of the 20th century. Subsequently, many imaging advances have occurred leading to changes in diagnosis and management of urological patients. Ultrasound and cross‐sectional imaging technologies (computed tomography and magnetic resonance imaging) are increasingly applied in urological evaluation, treatment and surveillance. Current developments include dual energy computed tomography, positron emission tomography computed tomography, renal donor and renal transplant imaging, prostate magnetic resonance imaging, and microbubble contrast enhanced ultrasound. Imaging advances will continue. It is the responsibility of all physicians to assess the advantages of new developments while weighing those advantages against the additional radiation exposure and the costs associated with new procedures.     

Clinical factors associated with shock in bacteremic UTI

Purpose

Urinary tract infection (UTI) often causes bacteremia, resulting in shock. The purpose of this study is to investigate urological bacteremia and bacteremia shock cases and seek for the clinical factors associated with urological bacteremic shock.

Methods

Seventy consecutive cases with bacteremia caused by UTI from the Department of Urology, Kobe University Hospital were studied. These cases were diagnosed from 2000 to 2010 and had full data available for analysis. We investigated the potential clinical factors associated with bacteremic shock (systolic blood pressure ≤90 mmHg with UTI), including: (1) the number of basal general diseases (such as diabetes, malignancy, immune diseases, heart diseases, liver diseases, and kidney diseases), (2) causative bacteria, (3) antibiotics and therapeutic intervention, (4) gram-negative bacteria, (5) resistance to imipenem (which is often used in this infection), and (6) serum white blood cell counts and C-reactive protein (CRP) at the time of diagnosis of bacteremic UTI.

Results

A total of 81 causative bacteria were isolated: 42 cases were gram-negative and 39 were gram-positive bacteria. In detail, Escherichia coli was the most common, followed by Methicillin-resistant Staphylococcus aureus. The comparison data revealed that urological bacteremic shock cases had significantly increased CRP (p < 0.001). Our univariate analyses showed indwelling urinary tract catheters (p = 0.02) as a significant clinical factor associated with urological bacteremic shock and multivariate analyses showed that the presence of indwelling urinary tract catheters before UTI was a significant clinical factor associated with urological bacteremic shock (p = 0.04).

Conclusions

Indwelling urinary catheters before UTI and high CRP were clinical factors associated with urological bacteremic shock. This result should be considered during decision-making for UTI treatments in high risk cases or urological bacteremia cases.     

Die demographische Entwicklung in Deutschland

Urology is affected by the demographic development in Germany more than any other medical discipline. Despite a relatively stable total population, by the year 2040 there will be an absolute and relevant increase in urological diseases caused only by the demographic development in the population. This is particularly true for the increase in oncological treatment just in the field of the discipline of urology. Even now the current numbers for tumor development in Germany (RKI 2014) in the urological oncology segment of all tumor diseases show an increasing trend with more than 23 %. This significant increase in performance is in contrast to the age development of the specialists in this discipline. In total but especially due to the significantly over-aged specialist medical profession in urology, this leads to a substantial bottleneck of specialists in the discipline of urology. This deficiency of personnel resources in urology is aggravated by the requirements of Generation Y for a well-adjusted work-life balance and the associated feminization of the medical profession. This requires intelligent strategies for     

Urologische Erkrankungen in einer „Allgemeinarztpraxis“ im 17. und frühen 18. Jahrhundert

Of national medicohistorical importance was the town physician Johannes Franc (1649–1725). His diary written in Latin gives – among other diseases – an overview of urological diseases affecting citizens in Ulm around 1700. It also allows a look into the “workshop” of a scholar who studied contemporary medicine in comprehensive manner. Franc’s case reports illustrate a fundamental change in the perception of the patient at the end of the 17th/beginning of the18th century.     

Chronische Pollakisurie

Background

Persistent unexplained urological complaints and diseases are a common problem in clinical practice. Psychological components can play an important role in urological complaints. Neglect of these facts can lead to an insufficient or incorrect treatment. Therefore, apart from the specific medical diagnostics, a complete examination of mental and psychological functions before an invasive intervention is also required.

Psychosomatics in urology

Illustrated by the case of a young woman with a request for a cystectomy while suffering from a chronic pollakiuria, this paper explains the importance of good interdisciplinary collaboration for evidence-based, guideline-oriented medical treatment. The patient’s suffering and urge for removing the bladder was contrasted by a lack of medical indication for surgery and the principle of proportionality. The essay gives insight into the discipline of psychosomatic medicine, somotoform disorders found in urology and, especially, the symptoms of pollakiuria and overactive bladder.

Conclusion

The case illustrates the importance of timely and simultaneous medical and psychosocial diagnostics for the treatment outcome in patients with unspecific physical complaints. Treatment recommendations for patients with somatoform complaints in clinical practice are provided.     

Benefits of Retroperitoneoscopic Surgery in Pediatric Urology

Purpose of Review

The aim of this review is to find out the benefits of retroperitoneoscopy for the most common urological diseases in children.

Recent Findings

The emergence of minimally invasive surgery about 20 years ago revolutionized pediatric urology. In this context, laparoscopy and later retroperitoneoscopy were developed and applied to a wide spectrum of urological diseases. Both approaches have since presented benefits and disadvantages that have been documented in various series. The main indications of retroperitoneoscopy are presented, from the classical ablative surgery, like total or partial nephrectomy, to more advanced reconstructive surgery. The success rate is similar to open surgery. However, few comparative studies have been conducted.

Summary

According to the most recent findings, retroperitoneoscopic surgery in children is feasible and safe if performed by well-trained surgeons. A pediatric urologist would favor the retroperitoneoscopic access to reach the upper urinary tract and the kidney because this is the “natural” way to treat the most common urological pediatric diseases.