1
|
Manseck A, Piotrowski A, Butea MC, Foller S, Gleissner J, Kahlmeyer A, Karstedt H, Kirschner-Hermanns R, Liebald T, Linné C, Moll V, Otto U, Schorn A, Stein J, Wagner A, Wiedemann A. [Guidelines for consultations regarding incontinence care products]. Urologe A 2022; 61:3-12. [PMID: 35006283 DOI: 10.1007/s00120-021-01721-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/05/2021] [Indexed: 10/19/2022]
Abstract
An investigation of the German consumer organisation "Stiftung Warentest" in 2017 confirmed significant deficiencies in the information, advice and supply of incontinence care products received by urinary incontinence patients. The German Society of Urology (DGU) thereupon drafted and later published guidelines concerning the consultation of patients in the context of incontinence care. Important aspects of the consultation process include the determination of the type of incontinence as well as its severity, clinical examination, and advice regarding possible curative treatments. However, the advice appointment takes centre stage and should ideally be conducted by a qualified person in a separate room granting sufficient privacy and time. Furthermore, repeated supply of a selection of samples for differing degrees and types of incontinence, accommodating the patient's individual preferences and anatomical features, is crucial in order to ensure optimal incontinence care. In the case of commercial health care service providers, transparency relating to the financial implications of e.g. expensive products is key, which is what has been intended by German health insurance providers. The new guidelines concerning urinary incontinence care consultation constitute a step towards the improvement and structuring of processes in the consultation regarding, and the supply of, incontinence care products.
Collapse
Affiliation(s)
- Andreas Manseck
- Urologischen Klinik, Klinikum Ingolstadt, Krumenauerstr. 25, 85049, Ingolstadt, Deutschland.
| | - A Piotrowski
- Urologische Klinik, Pyhrn-Eisenwurzen Klinikum Steyr, Steyr, Österreich
| | - M C Butea
- Urologisches Kompetenzzentrum für die Rehabilitation - UKR, Kliniken Hartenstein, Bad Wildungen, Deutschland
| | - S Foller
- Klinik und Poliklinik für Urologie, Universitätsklinikum Jena, Jena, Deutschland
| | - J Gleissner
- Urologische Praxis, Uro-Gyn-Zentrum, Wuppertal, Deutschland
| | - A Kahlmeyer
- Urologische Praxis, Urologie am Weinberg Kassel, Kassel, Deutschland
| | - H Karstedt
- Praxis für Urologie, Gelsenkirchen, Deutschland
| | - R Kirschner-Hermanns
- Neuro-Urologie, Universitätsklinikum Bonn, Bonn, Deutschland.,Neuro-Urologie, Neurologisches Rehabilitationszentrum Bonn-Godeshöhe, Bonn, Deutschland
| | - T Liebald
- Urologische Praxis, Dresden, Deutschland
| | - C Linné
- Urologische Praxis, Dresden, Deutschland
| | - V Moll
- Praxis für Urologie, Augsburg, Deutschland
| | - U Otto
- Urologisches Kompetenzzentrum für die Rehabilitation - UKR, Kliniken Hartenstein, Bad Wildungen, Deutschland
| | - A Schorn
- Praxis für Urologie, Saarburg, Deutschland
| | - J Stein
- Urologische Abteilung, Klinikum Großburgwedel, Großburgwedel, Deutschland
| | - A Wagner
- Praxis für Urologie, Limburgerhof, Deutschland
| | - A Wiedemann
- Urologische Abteilung, Evangelisches Krankenhaus Witten gGmbH, Lehrstuhl für Geriatrie, Universität Witten/Herdecke, Witten, Deutschland
| |
Collapse
|
2
|
Schroeder-Printzen I, Schroeder-Printzen J, Gleissner J, Weidner W. [New aspects of case law on andrological questions: what does this mean for physicians in private practice?]. Urologe A 2008; 47:1592-5. [PMID: 18854966 DOI: 10.1007/s00120-008-1801-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
In recent years there have been several Supreme Court adjudications concerning andrological issues. Among other things it was reconfirmed that drug therapy for erectile dysfunction does not have to be paid by compulsory health insurance providers. In contrast one Supreme Court decided that cryoconservation of ejaculates has to be paid by compulsory health insurance providers under certain circumstances.Vasectomy in men under guardianship is performed approximately 100 times per year in Germany. Before vasectomy is performed judicial authorisation has to be obtained in an extensive court proceeding.The Tissue Act regulates the implementation of the EG guideline 2004/23/EG into German law. This is only important for urologists who perform MESA/TESE procedures. Current case law does not allow use of the title Männerarzt as patients can confuse it with the official title andrologist.
Collapse
Affiliation(s)
- I Schroeder-Printzen
- Universitätsklinikum Giessen und Marburg, Standort Giessen, Rudolf-Buchheimstrasse 8, 35385 Giessen.
| | | | | | | |
Collapse
|
3
|
Welter HF, Gleissner J. [Laparoscopic resection of the colon]. MMW Fortschr Med 2006; 148:44-5. [PMID: 16669281 DOI: 10.1007/bf03364626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
In terms of achievable outcome, laparoscopic resection of the colon is equally as good as the conventional open procedure. The sole contraindications are patients with severe cardiopulmonary disease, massive adhesions, and peritonitis following a perforation (relative contraindication). The question as to whether the minimally invasive approach is justifiable from the oncological point of view remains to be clarified in further studies.
Collapse
Affiliation(s)
- H F Welter
- Klinik am Zuckerberg, Braunschweig, und Eilenriedeklinik, Hannover.
| | | |
Collapse
|
4
|
Welter HF, Wendland S, Gleissner J. [Fundoplication reborn--thanks to laparoscopic surgical techniques]. MMW Fortschr Med 2006; 148:32-3. [PMID: 16526337 DOI: 10.1007/bf03364551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Irrespective of the exact procedure employed, laparoscopic fundoplication--in the hands of the expert--is a rapidly performed operation with a low complication rate. Over the long-term, young patients with severe reflux complaints (GERD) in particular should benefit from this operation.
Collapse
|
5
|
Liedl B, Gleissner J, Göckel-Beining B, Knopf HJ, Kopp I, Lenk S, Naber K, Tschuschke C, Piechota HJ. Blasenkatheterversorgung bei Pflegebedürftigen: Ein ungelöstes Problem! Urologe A 2005; 44:1369-70, 1372-3. [PMID: 16231164 DOI: 10.1007/s00120-005-0934-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- B Liedl
- Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, München.
| | | | | | | | | | | | | | | | | |
Collapse
|
6
|
Vahlensieck W, Gäck M, Gleissner J, Hoffmann W, Liedke S, Otto U, Sauerwein D, Schindler E, Schultheis H, Sommer F, Templin R, Zellner M. Struktur- und Prozessqualität der stationären urologischen Rehabilitation. Urologe A 2005; 44:51-6. [PMID: 15602650 DOI: 10.1007/s00120-004-0734-z] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Inpatient rehabilitation and "Anschlussheilbehandlung" (rehabilitation soon after operation or acute intervention) are effective and economic for long-term improvement of urologic patients. Only therapy guided by urologic specialists during rehabilitation and afterwards guarantees the possibility of excellent results. Especially QOL and functional deficits are improved markedly by urologic rehabilitation. Therefore, inpatient urologic rehabilitation should be initiated more often in the future.
Collapse
Affiliation(s)
- W Vahlensieck
- Urologische Abteilung, Rehabilitationsklinik Wildetal, Kliniken Hartenstein GmbH, Bad Wildungen.
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
7
|
Ubrig B, Waldner M, Gleissner J, Roth S. Retrovesical hematoma secondary to clean intermittent self-catheterization. J Urol 2001; 166:616. [PMID: 11458086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Affiliation(s)
- B Ubrig
- Departments of Urology and Pediatric Urology, University of Witten/Herdecke, Klinikum Wuppertal GmbH and Urological Outpatient Clinic Hofaue, Wuppertal, Germany
| | | | | | | |
Collapse
|
9
|
Gleissner J, Moncada J, Hubmann G. [Ureterocalicostomy--reserved for special cases]. Urologe A 1984; 23:223-5. [PMID: 6540919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
Abstract
Uretero calicostomy is a valuable technique in patients with uretero-pelvic obstruction, if a reconstruction to obtain anatomical drainage cannot be achieved. Ten cases of inferior and one of superior uretero-calicostomy, in a total of ten patients, are reported. The operation was performed eight times as a primary and three times as a secondary procedure. Good drainage of the kidney was achieved in eight of the 11 cases. The indication for ureterocalicostomy is discussed. It is rare especially in cases of malignancy.
Collapse
|
11
|
Weissbach L, Gleissner J, Gleissner O, Buszello H. [Incidence of varicocele. Results of serial studies on 3 groups of probands]. Dtsch Med Wochenschr 1983; 108:17-21. [PMID: 6848340 DOI: 10.1055/s-2008-1069493] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Varicoceles were encountered in 21.9% of 2752 men at draft and in 16% of 818 sanatorium patients. There was no decreasing incidence in the latter with increasing age. Fathers were encountered almost equally frequently among men with varicoceles as in men without varicoceles. Varicocelectomy seems to be indicated only when further children are wanted, when abnormalities of the spermiogram are present or testicular abnormalities can be detected on palpation. The validity of preventive removal of varicoceles in adults needs to be ascertained in a randomised and prospective study with concomitant registration of pregnancy rate and spermiograms.
Collapse
|