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Ziel: Erhebung der Untersuchervariabilität in Bezug auf die Prostate Image and Reporting Data System (PI-RADS) Klassifikation sowie der Prostatakarzinom (PC)-Detektion mittels multiparametrischer Magnetresonanztomographie (mpMRT)/Transrektalem Ultraschall (TRUS) fusionierter Prostatabiopsie[zum vollständigen Text gelangen Sie über die oben angegebene URL], 45. Gemeinsame Tagung der Österreichischen Gesellschaft für Urologie und Andrologie und der Bayerischen Urologenvereinigung

Evaluation: prognostischer Marker beim hoch Risiko klarzelligen Nierenzellkarzinom Zielsetzung der Studie Die Signifikanz von B7-H3 als „check-point“ für die Immunantwort ist noch unklar jedoch erinnert das Expressionsprofil und die damit verbundene Prognose an jenes von B7-H1. [zum vollständigen Text gelangen Sie über die oben angegebene URL], 44. gemeinsamen Tagung der Bayerischen Urologenvereinigung und der Österreichischen Gesellschaft für Urologie und Andrologie

Fragestellung: Die präop. Immunnutrition (IN) mit Arginin, Glutamin, Omega-3-Fettsäuren und Nukleotiden ist eine Grad-A-Empfehlung bei großen gastrointestinalen Eingriffen, da besonders infektiöse Komplikationen und die postop. Aufenthaltsdauer signifikant reduziert werden. In der[zum vollständigen Text gelangen Sie über die oben angegebene URL], 43. Gemeinsame Tagung der Österreichischen Gesellschaft für Urologie und Andrologie und der Bayerischen Urologenvereinigung

Fragestellung: Haben zusätzliche anterior-apikale Stanzzylinder im Rahmen von transrektalen Saturations-Rebiopsien der Prostata eine klinische Bedeutung (erhöhte Karzinomdetektionsrate, eventuelle Änderung des Gleason Score)? Methoden: Zwischen Dezember 2010 und Januar 2014 unterzogen[for full text, please go to the a.m. URL], 41. Gemeinsame Tagung der Österreichischen Gesellschaft für Urologie und Andrologie und der Bayerischen Urologenvereinigung

Einleitung: Die optimale Anzahl und Lokalisation zu entnehmender Zylinder bei Männern mit erhöhtem PSA-Wert oder supektem Tastbefund der Prostata ist nach wie vor Gegenstand von Diskussionen. In dieser prospektiven Studie untersuchten wir den diagnostischen Wert ergänzender Zylinder aus[for full text, please go to the a.m. URL], 39. Gemeinsame Tagung der Österreichischen Gesellschaft für Urologie und Andrologie sowie der Bayerischen Urologenvereinigung

Einleitung: Die Stoßwellentherapie (ESWL) hat eine große Bedeutung in der Steintherapie, da sie effektiv und schonend angewendet werden kann. Der Desintegrationserfolg hängt von vielen Faktoren ab, eine davon ist die Größe des Steines. Ab einer Konkrementgröße von [for full text, please go to the a.m. URL], 39. Gemeinsame Tagung der Österreichischen Gesellschaft für Urologie und Andrologie sowie der Bayerischen Urologenvereinigung

Fragestellung: Überprüfung der histopathologischen Parameter der Prostatektomiepräparate von Patienten, welche die Kriterien einer Active Surveillance (AS) Strategie erfüllt hätten. Methodik: In einer retrospektiven Studie wurden 698 konsekutive Patienten, die einer radikalen[for full text, please go to the a.m. URL], 39. Gemeinsame Tagung der Österreichischen Gesellschaft für Urologie und Andrologie sowie der Bayerischen Urologenvereinigung

New York, March 7, 1903. To the Editor: —InThe Journalof March 7, page 665, in the report of the proceedings of the New York County Medical Association it is incorrectly stated that I prefer silk for suturing the kidney. I employ temporary sutures of silkworm gut which are brought out through all the structures of the back and tied over a fold of gauze.

It is too often the custom to regard every discharge from the uterus as evidence of endometritis and to submit the endometrium to vigorous treatment either by caustic or astringent applications or curettage or both. This is unscientific and an error both in diagnosis and treatment. Even when the diagnosis of endometritis is correct, such measures, as they are usually applied, are not effectual, and they submit the patient to needless risk and the uterus to much unnecessary violence. If every case so maltreated was actually an endometritis, there would still be no justification for the vigorous and even harsh measures sometimes blindly employed against it. I believe I am not far wrong when I say that if a cure results after such treatment it is not because of it, but in spite of it. If the case is one of simple hyperemia of the endometrium

For some years past the surgical tendency of the gynecologist has completely overshadowed the rational treatment of diseases of the uterine appendages, and may be regarded as a confession of inability to cure; for it can no more be claimed that ablation of organs so important to the female economy is a cure of the morbid process, than amputation of a limb is a cure of the injured or diseased member. General surgery has passed this stage of wholesale sacrifice of useful members, and to-day the saving of an injured limb is more creditable to the surgeon than a skillfully performed amputation. Gynecology must soon pass this stage also, for the limit of extreme pelvic surgery has been reached and the sad plight of the woman (?) who has survived the removal of her ovaries, tubes and uterus is beginning to be realized. I venture to predict that the gynecologist who

Examination for the purpose of making a gynecologic diagnosis comprises, or should comprise, more than is ordinarily realized by many who undertake it. As a rule, it is too casual to be thorough or accurate, and in consequence associated conditions, often of relative importance, are overlooked and disregarded. In presenting this subject for your consideration, I have no idea that I shall offer anything new, nor yet anything with which you are not already familiar. My object is chiefly to direct attention to some salient features of these examinations that are sometimes disregarded and to emphasize the importance of certain apparently unimportant details that are essential for accurate and complete diagnosis of these conditions. HISTORY OF THE PATIENT. The history 1 and manner of taking it is of much importance. It may be brief, but should be complete and thorough, the essential points bearing on the condition being brought out

It will be admitted that a cure of retrodeviations of the uterus is seldom, if ever, accomplished by the ordinary methods of treatment and that they demand more careful consideration than is usually accorded them. The routine plan of inserting a pessary and dismissing the case from further attention is an error, unfortunately, too often committed. The pessary can only be regarded as a splint which is serviceable as an aid to other measures in bringing about the desired result, but nothing more and will accomplish very little unaided. It may be true that all such displacements of the uterus do not require surgical intervention for their cure, but when structural changes have taken place in the walls of the organ nothing else will yield a prompt and satisfactory result. A pessary might be worn throughout the lifetime of these patients and even if it maintained the uterus in a

Prolapse of the kidney may cause or maintain disease of the female pelvic organs by interfering with the return circulation from the pelvis and producing pelvic congestion. This may be brought about chiefly in two ways: The renal artery being less yielding than the other structures constituting the renal pedicle, dragging upon it by the kidney crowds the aorta over against the vena cava and distorts that great channel of return circulation when it is the right kidney that is prolapsed. When the displaced kidney reaches a certain point in its descent it is situated immediately in front of the ovarian vein as it ascends to empty into the vena cava just below the renal vein on the right or into the left renal vein on the left side. Hence, pressure backward upon the kidney, as from corsets, or clothing at the waist, or from accumulation of gas or feces

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That so many modifications of this operation have been made since it was originally attempted by Hahn in 1881 is the best evidence of the necessity of correcting prolapse of the kidney by permanent fixation, despite the opposition to operative interference in some quarters by those who favor belts and corsets. It suggests also the possible inefficiency of many of these procedures. Almost every well-known surgeon has some special technic of his own, but few of them have many followers. It is my purpose in submitting here a technic of my own, which I have employed now for nearly three years and have found uniformly successful, to point out some of the causes of failure with this operation and show how it may be made successful and satisfactory. The inadequacy of belts or corsets or any other form of external support when the kidney has descended below the border of the

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It is my purpose to submit to my colleagues, both in gynecological and general practice, some of the fruits of my observations and to suggest some improvements in technique, the outcome of personal experience, which will, I hope, prove useful. Progressive men are ever ready to improve their methods, hence suggestions are always acceptable. We may all learn something from each other; some detail that one may lose sight of may be suggested by another's methods. The general practitioner often does excellent work in our line, and we may gain some points from him. I shall hope, therefore, to have a full discussion of the subject from that side of the house also. It is easy enough to be clean in every-day gynecological work. It is either a matter of taste or habit. Yet, you know very well, cleanliness is one of those good habits for which some never acquire