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  1. Article: Minimalinvasive Therapie der gutartigen Prostatavergrösserung.

    Rieken, Malte

    Therapeutische Umschau. Revue therapeutique

    2023  Volume 80, Issue 3, Page(s) 107–112

    Abstract: Minimally Invasive Treatment of Benign Prostate ... ...

    Title translation Minimally Invasive Treatment of Benign Prostate Enlargement.
    Abstract Minimally Invasive Treatment of Benign Prostate Enlargement
    MeSH term(s) Humans ; Male ; Minimally Invasive Surgical Procedures/methods ; Prospective Studies ; Prostate/diagnostic imaging ; Prostate/surgery ; Prostatic Hyperplasia/diagnostic imaging ; Prostatic Hyperplasia/surgery ; Prostheses and Implants ; Transurethral Resection of Prostate/methods ; Treatment Outcome
    Language German
    Publishing date 2023-04-25
    Publishing country Switzerland
    Document type Comparative Study ; English Abstract ; Journal Article
    ZDB-ID 82044-1
    ISSN 1664-2864 ; 0040-5930
    ISSN (online) 1664-2864
    ISSN 0040-5930
    DOI 10.1024/0040-5930/a001422
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  2. Article: Latest Evidence on Post-Prostatectomy Urinary Incontinence.

    Gacci, Mauro / De Nunzio, Cosimo / Sakalis, Vasileios / Rieken, Malte / Cornu, Jean-Nicolas / Gravas, Stavros

    Journal of clinical medicine

    2023  Volume 12, Issue 3

    Abstract: A radical prostatectomy is frequently used as the first-line treatment for men with prostate cancer. Persistent urinary incontinence after surgery is one of the most severe adverse events. We report the results of a comprehensive literature search ... ...

    Abstract A radical prostatectomy is frequently used as the first-line treatment for men with prostate cancer. Persistent urinary incontinence after surgery is one of the most severe adverse events. We report the results of a comprehensive literature search focused on post-prostatectomy urinary incontinence (PPI), performed by a panel of experts on non-neurogenic lower urinary tract symptoms. The data on the prevalence and timing of PPI are very heterogeneous. The etiology of PPI can be multifactorial and mainly dependent on patient characteristics, lower urinary tract function or surgical issues. The medical history with a physical examination, the use of validated questionnaires with a voiding diary and pad tests are determinants in identifying the contributing factors and choosing the right treatment. Lifestyle intervention and urinary containment are the most frequently used strategies for the conservative management of PPI, while antimuscarinics, beta-3 agonists and duloxetine (off-label) are drugs indicated to manage PPI with a concomitant overactive bladder. Surgical therapies for the management of post-prostatectomy SUI include non-adjustable trans-obturator slings in men with mild-to-moderate incontinence and an artificial urinary sphincter in men with moderate-to-severe incontinence.
    Language English
    Publishing date 2023-02-02
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12031190
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  3. Article ; Online: Enucleation, Vaporization, and Resection: How To Choose the Best Surgical Treatment Option for a Patient with Male Lower Urinary Tract Symptoms.

    Rieken, Malte / Kaplan, Stephen A

    European urology focus

    2018  Volume 4, Issue 1, Page(s) 8–10

    Abstract: Transurethral resection of the prostate remains the reference technique for patients with a prostate <100ml. Endoscopic enucleation is a safe and effective alternative, while photoselective vaporization of the prostate appears to be the treatment of ... ...

    Abstract Transurethral resection of the prostate remains the reference technique for patients with a prostate <100ml. Endoscopic enucleation is a safe and effective alternative, while photoselective vaporization of the prostate appears to be the treatment of choice for patients on anticoagulation medication.
    MeSH term(s) Clinical Decision-Making ; Humans ; Laser Therapy/methods ; Lower Urinary Tract Symptoms/complications ; Lower Urinary Tract Symptoms/epidemiology ; Lower Urinary Tract Symptoms/surgery ; Male ; Prostate/pathology ; Prostate/surgery ; Prostatic Hyperplasia/complications ; Prostatic Hyperplasia/surgery ; Quality of Life ; Transurethral Resection of Prostate/methods ; Treatment Outcome ; Urethral Stricture/complications
    Language English
    Publishing date 2018-05-10
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2405-4569
    ISSN (online) 2405-4569
    DOI 10.1016/j.euf.2018.04.020
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  4. Article ; Online: Lower Urinary Tract Symptoms: Much More than Just Benign Prostatic Hyperplasia!

    Rieken, Malte / Lee, Richard K

    European urology focus

    2018  Volume 4, Issue 1, Page(s) 1

    MeSH term(s) Europe/epidemiology ; Humans ; Lower Urinary Tract Symptoms/diagnosis ; Lower Urinary Tract Symptoms/epidemiology ; Lower Urinary Tract Symptoms/etiology ; Male ; Prostatic Hyperplasia/complications ; Prostatic Hyperplasia/pathology
    Language English
    Publishing date 2018-05-03
    Publishing country Netherlands
    Document type Editorial
    ISSN 2405-4569
    ISSN (online) 2405-4569
    DOI 10.1016/j.euf.2018.04.015
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  5. Article ; Online: Risk of Bleeding Versus Venous Thromboembolism in Urological Surgery-Finding the Right Balance Is Not Always Easy!

    Rieken, Malte / Bachmann, Alexander

    European urology

    2017  Volume 73, Issue 2, Page(s) 252–253

    MeSH term(s) Hemorrhage ; Humans ; Risk ; Venous Thromboembolism ; Venous Thrombosis
    Language English
    Publishing date 2017-09-08
    Publishing country Switzerland
    Document type Editorial ; Comment
    ZDB-ID 193790-x
    ISSN 1873-7560 ; 1421-993X ; 0302-2838
    ISSN (online) 1873-7560 ; 1421-993X
    ISSN 0302-2838
    DOI 10.1016/j.eururo.2017.08.021
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  6. Article ; Online: Medical Treatment of Male Lower Urinary Tract Symptoms: Does One Fit All?

    Rieken, Malte / Gratzke, Christian

    European urology

    2017  Volume 71, Issue 4, Page(s) 582–583

    Language English
    Publishing date 2017-04
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 193790-x
    ISSN 1873-7560 ; 1421-993X ; 0302-2838
    ISSN (online) 1873-7560 ; 1421-993X
    ISSN 0302-2838
    DOI 10.1016/j.eururo.2016.11.019
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  7. Article ; Online: Medical Treatment Incidence and Persistence After Surgical Relief of Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Obstruction: A Critical Analysis of the Literature.

    Rieken, Malte / de Nunzio, Cosimo / Cornu, Jean-Nicolas / Ramasamy, Ranjith / Misrai, Vincent / Malde, Sachin / Oelke, Matthias / Gacci, Mauro / Madersbacher, Stephan

    European urology focus

    2023  

    Abstract: Context: The incidence and risk factors for persisting pharmacotherapy following surgical treatment of benign prostatic obstruction (BPO) remain unclear.: Objective: To evaluate the evidence on persisting pharmacotherapy of lower urinary tract ... ...

    Abstract Context: The incidence and risk factors for persisting pharmacotherapy following surgical treatment of benign prostatic obstruction (BPO) remain unclear.
    Objective: To evaluate the evidence on persisting pharmacotherapy of lower urinary tract symptoms (LUTS) following surgical treatment of BPO.
    Evidence acquisition: A systematic review of the literature was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses checklist (PROSPERO ID CRD42022310598). PubMed and EMBASE databases were searched in February 2022, with an updated search in October 2022. Studies evaluating pharmacotherapy in men aged >18 yr following surgical treatment of BPO were included.
    Evidence synthesis: Overall, ten nonrandomized studies and one post hoc analysis of two randomized controlled trials were included. The incidence of persisting medical treatment or medical retreatment varied strongly between time points and investigated surgical techniques. Among the investigated techniques, most data were available for transurethral resection of the prostate (TURP). Persistence of pharmacotherapy after TURP at 6 mo ranged from 8.7% to 57% for the use of alpha-blockers. The use of 5-alpha reductase inhibitors after TURP ranged from 5.5% at 6 mo to 19% at 6-24 mo, whereas the use of antimuscarinics ranged from 3.4% to 28.1% at 6 mo. Data on initiation of pharmacotherapy after TURP also differed between study and type of medication. At 12 yr, the use of alpha-blockers after TURP ranged from 12% to 38%. The risk factors associated with medication after BPO surgery were age, history of diabetes mellitus, history of cerebrovascular accident, preoperative medication use, as well as surgical techniques other than laser enucleation of the prostate.
    Conclusions: Pharmacotherapy for LUTS is common after BPO surgery. The outcomes following different surgical techniques are heterogeneous, with limited data from randomized controlled trials. Future studies on surgical treatment of BPO should include the use of LUTS-related pharmacotherapy after BPO surgery as a secondary endpoint.
    Patient summary: In the present systematic review, we investigated the risk of ongoing or novel therapy with drugs following surgery for benign prostate enlargement. We found that a non-negligible proportion of men will need to take drug therapy after surgery. Certain risk factors can be identified, which are associated with a higher risk of drug therapy after surgery.
    Language English
    Publishing date 2023-09-25
    Publishing country Netherlands
    Document type Journal Article ; Review
    ISSN 2405-4569
    ISSN (online) 2405-4569
    DOI 10.1016/j.euf.2023.08.013
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  8. Article ; Online: Minimalinvasive Therapien des benignen Prostatasyndroms : Die deutsche S2e-Leitlinie 2023 – Teil 4/4.

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

    Urologie (Heidelberg, Germany)

    2024  Volume 63, Issue 1, Page(s) 58–66

    Abstract: Background: Lower urinary tract symptoms suggestive for benign prostatic obstruction (LUTS/BPO) are one of the most frequent diseases in men and can have a significant impact on quality of life. Instrumental therapies are common, and many patients seek ... ...

    Title translation Minimally invasive treatment of benign prostatic hyperplasia : The German S2e guideline 2023-part 4.
    Abstract Background: Lower urinary tract symptoms suggestive for benign prostatic obstruction (LUTS/BPO) are one of the most frequent diseases in men and can have a significant impact on quality of life. Instrumental therapies are common, and many patients seek minimally invasive treatment options.
    Objective: Presentation and evidence-based evaluation of the minimally invasive therapy for benign prostatic syndrome.
    Materials and methods: Summary and overview of chapters 11-13 on minimally invasive therapies for LUTS/BPO of the current long version of the German S2e guideline.
    Results: In case of absolute indication for surgery or after unsatisfactory or undesired medical therapy, minimally invasive treatments such as UroLift® (Neotract Inc., Pleasanton, CA, USA), Rezῡm™ (Boston Scientific, Malborough, MA, USA), iTIND™ (Olympus America Inc., Westborough, MA, USA), and prostatic artery embolization (PAE) can be considered. These indirect/delayed ablative therapies offer lower morbidity and the possibility of performing them under local anesthesia, but they are inferior to direct ablative/resective techniques in terms of effectiveness and sustainability.
    Conclusions: The updated German S2e guideline summarizes evidence-based recommendations for new minimally invasive therapies for LUTS/BPO, which present alternative treatment options for selected patients.
    MeSH term(s) Male ; Humans ; Prostatic Hyperplasia/surgery ; Prostate/blood supply ; Embolization, Therapeutic/adverse effects ; Quality of Life ; Treatment Outcome ; Lower Urinary Tract Symptoms/etiology ; Urethral Obstruction/etiology
    Language German
    Publishing date 2024-01-09
    Publishing country Germany
    Document type English Abstract ; Journal Article ; Review
    ISSN 2731-7072
    ISSN (online) 2731-7072
    DOI 10.1007/s00120-023-02249-4
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  9. Article ; Online: Words of wisdom. Re: GreenLight™ laser (XPS) photoselective vapo-enucleation versus holmium laser enucleation of the prostate for the treatment of symptomatic benign prostate hyperplasia: a randomized controlled study.

    Bachmann, Alexander / Rieken, Malte

    European urology

    2015  Volume 67, Issue 5, Page(s) 976

    MeSH term(s) Humans ; Laser Therapy ; Lasers, Solid-State/therapeutic use ; Male ; Prostatectomy/methods ; Prostatic Hyperplasia/surgery
    Language English
    Publishing date 2015-05
    Publishing country Switzerland
    Document type Comment ; Journal Article
    ZDB-ID 193790-x
    ISSN 1873-7560 ; 1421-993X ; 0302-2838
    ISSN (online) 1873-7560 ; 1421-993X
    ISSN 0302-2838
    DOI 10.1016/j.eururo.2014.12.066
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  10. Article ; Online: Reply to Michael Froehner, Rainer Koch, Manfred P. Wirth's Letter to the Editor re: Malte Rieken, Shahrokh F. Shariat, Luis A. Kluth, et al. Association of Cigarette Smoking and Smoking Cessation with Biochemical Recurrence of Prostate Cancer in Patients Treated with Radical Prostatectomy. Eur Urol. In press. http://dx.doi.org/10.1016/j.eururo.2015.05.038.

    Rieken, Malte / Shariat, Shahrokh F

    European urology

    2015  Volume 68, Issue 5, Page(s) e104–5

    MeSH term(s) Humans ; Male ; Prostatectomy ; Prostatic Neoplasms/surgery ; Smoking ; Smoking Cessation
    Language English
    Publishing date 2015-11
    Publishing country Switzerland
    Document type Comment ; Letter
    ZDB-ID 193790-x
    ISSN 1873-7560 ; 1421-993X ; 0302-2838
    ISSN (online) 1873-7560 ; 1421-993X
    ISSN 0302-2838
    DOI 10.1016/j.eururo.2015.08.012
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