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  1. Article ; Online: Bildgebung - Harnleitersteine darstellen: Was ist die beste Technik?

    Fritsche, Hans-Martin

    Aktuelle Urologie

    2014  Volume 45, Issue 1, Page(s) 9–12

    Title translation Imaging - displaying ureteral stones: what is the best technique?.
    MeSH term(s) Diagnostic Imaging ; Humans ; Technology Assessment, Biomedical ; Ureteral Calculi/diagnosis
    Language German
    Publishing date 2014-01
    Publishing country Germany
    Document type Comment ; Journal Article
    ZDB-ID 124847-9
    ISSN 1438-8820 ; 0001-7868
    ISSN (online) 1438-8820
    ISSN 0001-7868
    DOI 10.1055/s-0034-1366935
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 676: Show issues Location:
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  2. Book ; Online ; Thesis: Photodynamisch-assistierte TURB mit einmaliger intravesikaler Mitomycin-Instillation vs. Weißlicht-TURB mit fortgesetzter Mitomycin-Instillationstherapie bei EORTC-Score intermediärem nicht-muskelinvasivem Harnblasenkarzinom

    Zierer, Thomas [Verfasser] / Fritsche, Hans-Martin [Akademischer Betreuer]

    2020  

    Author's details Thomas Zierer ; Betreuer: Hans-Martin Fritsche
    Keywords Medizin, Gesundheit ; Medicine, Health
    Subject code sg610
    Language German
    Publisher Universitätsbibliothek Regensburg
    Publishing place Regensburg
    Document type Book ; Online ; Thesis
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  3. Book ; Online ; Thesis: Anwendungsmodalitäten der sakralen Neuromodulation im deutschsprachigen Raum im Jahr 2014

    Wimmer, Klaus Franz Josef [Verfasser] / Fritsche, Hans-Martin [Akademischer Betreuer]

    2019  

    Author's details Klaus Franz Josef Wimmer ; Betreuer: Hans-Martin Fritsche
    Keywords Technische Chemie ; Technical Chemistry
    Subject code sg660
    Language German
    Publisher Universitätsbibliothek Regensburg
    Publishing place Regensburg
    Document type Book ; Online ; Thesis
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  4. Article: Randomized Crossover-Controlled Evaluation of Simultaneous Bilateral Transcutaneous Electrostimulation of the Posterior Tibial Nerve During Urodynamic Studies in Patients With Lower Urinary Tract Symptoms.

    Girtner, Florian / Fritsche, Hans-Martin / Zeman, Florian / Huber, Toni / Haider, Maximilian / Pickl, Christoph / Burger, Maximilian / Mayr, Roman

    International neurourology journal

    2021  Volume 25, Issue 4, Page(s) 337–346

    Abstract: Purpose: Transcutaneous tibial nerve stimulation (TTNS) has proven to be a valuable treatment option for various lower urinary tract conditions, such as overactive bladder syndrome and neurogenic detrusor overactivity. The aim of this study was to ... ...

    Abstract Purpose: Transcutaneous tibial nerve stimulation (TTNS) has proven to be a valuable treatment option for various lower urinary tract conditions, such as overactive bladder syndrome and neurogenic detrusor overactivity. The aim of this study was to investigate acute changes in urodynamic parameters due to bilateral TTNS.
    Methods: Fifty-one patients (18-87 years; 61% female) with various lower urinary tract symptoms were enrolled in this study. They were single-blinded and randomly assigned to receive simultaneous bilateral TTNS either during their first urodynamic examination, followed by a second round using a placebo stimulation technique, or vice versa.
    Results: For subjects without signs of anatomical pathologies, the filling volume at the first desire to void (FDV) increased significantly by 54 mL (interquartile range [IQR], 26-81 mL; P<0.01) under the influence of TTNS compared to placebo. The maximum cystometric capacity increased by 41 mL (IQR, 10-65 mL; P=0.02). The median micturition volume of patients with pathological postvoid residual volumes (>100 mL) increased by 76 mL compared to patients without urinary retention (IQR, 6-166 mL; P=0.03).
    Conclusion: Compared to placebo, simultaneous bilateral TTNS showed significant improvements in bladder functioning, such as delayed FDV, increased maximum cystometric capacity, and reduced urinary retention. Patients with signs of anatomical pathologies did not seem to benefit from TTNS. Further studies need to be conducted to compare the effectiveness of bilateral versus unilateral TTNS.
    Language English
    Publishing date 2021-01-27
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2584447-7
    ISSN 2093-6931 ; 2093-4777
    ISSN (online) 2093-6931
    ISSN 2093-4777
    DOI 10.5213/inj.2040408.204
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  5. Article ; Online: Impact of Male Patient Information on Quality of Urine Examination (PIQUE Study).

    Spachmann, Philipp J / Rupp, Cathrin / Fritsche, Hans-Martin / Denzinger, Stefan / Burger, Maximilian / Breyer, Johannes / Otto, Wolfgang / Schnabel, Marco J

    Urologia internationalis

    2021  Volume 106, Issue 3, Page(s) 269–273

    Abstract: Background: Urine examination has relevance for treatment, and reliability of positive urine culture (UC) is of importance. The technique of urine sampling (US), storage, and transportation is important. The objective of this study was to investigate if ...

    Abstract Background: Urine examination has relevance for treatment, and reliability of positive urine culture (UC) is of importance. The technique of urine sampling (US), storage, and transportation is important. The objective of this study was to investigate if detailed patient information for the technique of US and hygiene reduces rates of contaminated UC in screened male patients, as this group was not investigated yet.
    Methods: All patients independently of complaints were enrolled prospectively and consecutively in an outpatient setting in 2 groups - the first group did not receive detailed information and the second group did. We examined 372 consecutive patients in 2017, 190 not receiving (median age 69 years) and 182 receiving information (median age 70 years), with comparable numbers of patients and age. The result of UC and age was imposed.
    Results: In all,74.2% of preclarification UC showed a contamination (n = 95) and 75.5% after clarification (n = 83), without significant differences (p = 0.827). This study is limited by the fact that adherence could not be checked.
    Conclusions: Similar to studies with females, no difference occurred in rates of contaminated UC, so detailed information regarding the US technique does not decrease rates of contaminated UC and vice versa does not increase the quality of midstream-sampled UC in male patients.
    MeSH term(s) Aged ; Female ; Humans ; Hygiene ; Male ; Reproducibility of Results ; Specimen Handling/methods ; Urinalysis/methods ; Urinary Tract Infections/diagnosis ; Urine
    Language English
    Publishing date 2021-08-26
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 204045-1
    ISSN 1423-0399 ; 0042-1138
    ISSN (online) 1423-0399
    ISSN 0042-1138
    DOI 10.1159/000517783
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  6. Article: Improving the compliance of the recurrent stone-former.

    Fritsche, Hans-Martin / Dötzer, Kristina

    Arab journal of urology

    2012  Volume 10, Issue 3, Page(s) 342–346

    Abstract: Objective: To provide an overview of aspects of compliance by the recurrent stone-former, and to give recommendations for its improvement. About half of all stone-formers have one recurrence during their lifetime. To avoid recurrent stone formation it ... ...

    Abstract Objective: To provide an overview of aspects of compliance by the recurrent stone-former, and to give recommendations for its improvement. About half of all stone-formers have one recurrence during their lifetime. To avoid recurrent stone formation it is necessary to use metaphylaxis, based on individual risks. However, all general and specific efforts are meaningless if patients are not willing or are incapable of following the proposed therapy in the long-term.
    Methods: PubMed was searched for articles on urolithiasis, metaphylaxis, compliance and adherence, and relevant papers were reviewed.
    Results: Compliance is a multidimensional phenomenon which is determined by the interaction of different factors, i.e. social and economic, therapy-related, patient-related, condition-related, and healthcare team and system-related factors. Subsequently there are several different interventional possibilities at the urologist's disposal to effect better compliance by the patient.
    Conclusions: The treatment and metaphylaxis of the recurrent stone-former present a particularly pertinent challenge. Patient compliance has an immense influence on the success of the treatment with respect to metaphylaxis, which is the decisive factor for preventing stone recurrence.
    Language English
    Publishing date 2012-08-14
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2631788-6
    ISSN 2090-598X
    ISSN 2090-598X
    DOI 10.1016/j.aju.2012.07.003
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  7. Book ; Online ; Thesis: Klinische Einflussfaktoren auf das Langzeitüberleben von Patienten mit einem pT1-Nierenzellkarzinom

    Ochs, Ludwig [Verfasser] / Fritsche, Hans-Martin [Akademischer Betreuer]

    2018  

    Author's details Ludwig Ochs ; Betreuer: Hans-Martin Fritsche
    Keywords Medizin, Gesundheit ; Medicine, Health
    Subject code sg610
    Language German
    Publisher Universitätsbibliothek Regensburg
    Publishing place Regensburg
    Document type Book ; Online ; Thesis
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  8. Article ; Online: Final results of the PräVAC trial: prevention of wound complications following inguinal lymph node dissection in patients with penile cancer using epidermal vacuum-assisted wound closure.

    Schmid, Sebastian C / Seitz, Anna K / Haller, Bernhard / Fritsche, Hans-Martin / Huber, Toni / Burger, Maximilian / Gschwend, Jürgen E / Maurer, Tobias

    World journal of urology

    2020  Volume 39, Issue 2, Page(s) 613–620

    Abstract: Purpose: Inguinal lymphadenectomy in penile cancer is associated with a high rate of wound complications. The aim of this trial was to prospectively analyze the effect of an epidermal vacuum wound dressing on lymphorrhea, complications and ... ...

    Abstract Purpose: Inguinal lymphadenectomy in penile cancer is associated with a high rate of wound complications. The aim of this trial was to prospectively analyze the effect of an epidermal vacuum wound dressing on lymphorrhea, complications and reintervention in patients with inguinal lymphadenectomy for penile cancer.
    Patients and methods: Prospective, multicenter, randomized, investigator-initiated study in two German university hospitals (2013-2017). Thirty-one patients with penile cancer and indication for bilateral inguinal lymph node dissection were included and randomized to conventional wound care on one side (CONV) versus epidermal vacuum wound dressing (VAC) on the other side.
    Results: A smaller cumulative drainage fluid volume until day 14 (CDF) compared to contralateral side was observed in 15 patients (CONV) vs. 16 patients (VAC), with a median CDF 230 ml (CONV) vs. 415 ml (VAC) and a median maximum daily fluid volume (MDFV) of 80 ml (CONV) vs. 110 ml (VAC). Median time of indwelling drainage: 7 days (CONV) vs. 8 days (VAC). All grade surgery-related complications were seen in 74% patients (CONV) vs. 74% patients (VAC); grade 3 complications in 3 patients (CONV) vs. 6 patients (VAC). Prolonged hospital stay occurred in 32% patients (CONV) vs. 48% patients (VAC); median hospital stay was 11.5 days. Reintervention due to complications occurred in 45% patients (CONV) vs. 42% patients (VAC).
    Conclusions: In this prospective, randomized trial we could not observe a significant difference between epidermal vacuum treatment and conventional wound care.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Humans ; Inguinal Canal ; Lymph Node Excision ; Male ; Middle Aged ; Negative-Pressure Wound Therapy ; Penile Neoplasms/surgery ; Postoperative Complications/prevention & control ; Prospective Studies ; Surgical Wound Dehiscence/prevention & control ; Surgical Wound Infection/prevention & control ; Vacuum
    Language English
    Publishing date 2020-05-05
    Publishing country Germany
    Document type Journal Article ; Multicenter Study ; Randomized Controlled Trial
    ZDB-ID 380333-8
    ISSN 1433-8726 ; 0724-4983
    ISSN (online) 1433-8726
    ISSN 0724-4983
    DOI 10.1007/s00345-020-03221-z
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    Zs.A 1832: Show issues Location:
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  9. Article: Prospective Evaluation of Predictive Parameters for Urinary Tract Infection in Patients with Acute Renal Colic.

    Rosenhammer, Bernd / Spachmann, Philipp J / Burger, Maximilian / Fritsche, Hans-Martin / Schnabel, Marco J

    The Journal of emergency medicine

    2018  Volume 55, Issue 3, Page(s) 319–326

    Abstract: Background: Acute renal colic (ARC) is an emergency that can mostly be treated conservatively, but can be life threatening in combination with urinary tract infection (UTI). Assessment for infection includes white blood cell (WBC) count and C-reactive ... ...

    Abstract Background: Acute renal colic (ARC) is an emergency that can mostly be treated conservatively, but can be life threatening in combination with urinary tract infection (UTI). Assessment for infection includes white blood cell (WBC) count and C-reactive protein (CRP), but these parameters are often unspecifically elevated and might lead to antibiotic over-therapy. In times of increasing antibiotic resistance, however, unnecessary antibiotic therapy should be avoided.
    Objectives: The goal of the study was to investigate the prevalence of UTI proven by urine culture (UC) in patients with ARC and to identify predictive factors in the emergency setting.
    Patients and methods: We prospectively enrolled 200 consecutive patients with ARC and evaluated blood test results, urinalysis, UC, symptoms suspicious for UTI, and time between symptom onset and admission, as well as body temperature. Logistic regression analyses were performed to identify predictive factors.
    Results: There were 196 patients eligible for statistical analysis. UTI proven by positive UC was detected in 26 patients (13%). On multivariate logistic regression analysis, suspicious urinalysis (positive nitrite or bacteria > 20/high-power field [hpf] or WBC > 20/hpf), patient age ≥ 54 years and CRP ≥ 1.5 mg/dL (fivefold increase) were significant predictors for the presence of UTI. Neither elevated WBC count nor typical UTI symptoms were associated with UTI.
    Conclusions: Based on our results, a routine antibiotic prophylaxis in patients with ARC does not seem to be appropriate. Patient age and CRP can help to decide if antibiotic treatment might be indicated, even in case of a not clearly suspicious urinalysis.
    MeSH term(s) Age Factors ; Antibiotic Prophylaxis/statistics & numerical data ; C-Reactive Protein/analysis ; Diagnosis, Differential ; Female ; Humans ; Leukocytosis/diagnosis ; Male ; Middle Aged ; Pain Management ; Predictive Value of Tests ; Prospective Studies ; Renal Colic/complications ; Urinalysis ; Urinary Tract Infections/complications ; Urinary Tract Infections/diagnosis
    Chemical Substances C-Reactive Protein (9007-41-4)
    Language English
    Publishing date 2018-06-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2018.05.019
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  10. Article: Urolithiasis – Diagnostik und Therapie der akuten Harnleiterkolik

    Schnabel, Marco J. / Fritsche, Hans-Martin

    Urologie Scan

    2014  Volume 01, Issue 02, Page(s) 127–140

    Abstract: Die Urolithiasis ist eine Volkskrankheit, der bis zuletzt eine steigende Inzidenz in Industrieländern bescheinigt wurde. Neuesten Daten zufolge beläuft sich die Prävalenz in Deutschland auf ca. 3 %, bei einer jährlichen Neuerkrankungsrate von 0,4 %. ... ...

    Abstract Die Urolithiasis ist eine Volkskrankheit, der bis zuletzt eine steigende Inzidenz in Industrieländern bescheinigt wurde. Neuesten Daten zufolge beläuft sich die Prävalenz in Deutschland auf ca. 3 %, bei einer jährlichen Neuerkrankungsrate von 0,4 %. Rezidive treten bei einem Viertel der Patienten mit meist zwei oder mehr Episoden auf. Während Nierensteine oft asymptomatisch sind, führt deren Migration in den Ureter i. d. R. zu akuten Flankenschmerzen, die häufig zu einer notfallmäßigen, ärztlichen Konsultation führen. Mit steigender Inzidenz des Harnsteinleidens wurde eine Zunahme notärztlicher Vorstellungen und stationärer Aufnahmen beobachtet. Dieser Artikel widmet sich dem diagnostischen und therapeutischen Vorgehen bei akuten Flankenschmerzen mit dem Verdacht auf einen Harnleiterstein. Hierbei wird v. a. auf das Einschätzen der Dringlichkeit einer Therapie und den zur Verfügung stehenden Therapieoptionen Wert gelegt.
    Language German
    Publishing date 2014-09-01
    Publisher © Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ISSN 2198-9117 ; 2198-9109
    ISSN (online) 2198-9117
    ISSN 2198-9109
    DOI 10.1055/s-0034-1377989
    Database Thieme publisher's database

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