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Kinderurologie – Antirefluxplastik nach Lich-Gregoir. Aktuelle Urol 2018; 49:358-367. [PMID: 30086594 DOI: 10.1055/s-0043-123261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Abstract
BACKGROUND Radiotherapy plays a substantial role in the treatment of malignancies. More than 2/3 of all oncologic patients undergo radiotherapy during their specific treatment. Besides manifold side effects of radiotherapy, radiogenic fistulas of the urogenital tract are a potential severe complication. These fistulas might affect the female genital tract and the urinary tract. THERAPY Potential manifold variety of radiogenic urogenital fistulas requires a specific therapy. Radiation tissue damage includes severely disturbed local blood supply. Consequently, in some cases extremely complex reconstructive techniques are necessary to restore the functionality of the urinary tract. CONCLUSION The treatment of radiogenic urogenital fistulas is challenging. A successful therapy can only be achieved by local improvement of the blood supply in the damaged area.
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[Management and prevention of complications in open urethral surgery. End-to-end anastomosis and buccal mucosa urethroplasty]. Urologe A 2014; 53:1006-10. [PMID: 24927779 DOI: 10.1007/s00120-014-3513-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Open operative procedures for urethral reconstruction (i.e. stricture resection with primary end-to-end anastomosis and buccal mucosa urethroplasty) are established and proven techniques with a low complication profile and high success rates. The aim of this operative technique is removal of the urethral obstruction to avoid far-reaching complications for the whole urinary tract. Despite excellent long-term results, complications are not completely avoidable in both techniques. A successful complication management requires the complete spectrum of reconstructive techniques in addition to appropriate operative expertise in order to be able to achieve the optimal result even in cases of complications. Simultaneously the recognition of potential risks contributes to a further reduction of early and delayed complications both in the approach to the operative intervention as well as intraoperatively.
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Oncological outcome of primary versus secondary muscle-invasive bladder cancer is comparable after radical cystectomy. Urol Int 2013; 91:97-102. [PMID: 23751372 DOI: 10.1159/000350232] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2012] [Accepted: 02/15/2013] [Indexed: 11/19/2022]
Abstract
BACKGROUND High-risk non-muscle-invasive bladder cancer (NMIBC) progressing to muscle-invasive bladder cancer (MIBC) is associated with adverse tumour biology. It is unclear, however, whether outcome of NMIBC progressing to MIBC is adverse compared to primary MIBC and whether NMIBC of higher risk of progression to MIBC is adverse compared to NMIBC of lower risk. OBJECTIVE Our objective was to assess cancer-specific survival (CSS) following radical cystectomy (RC) for primary MIBC and for NMIBC progressing to MIBC in dependence of EORTC risk score. MATERIALS AND METHODS Clinical and histopathological characteristics and CSS of 150 patients were assessed. Secondary MIBCs were stratified by EORTC risk score at the last transurethral resection of bladder tumour for NMIBC. RESULTS CSS did not differ significantly between primary and secondary MIBC (p = 0.521). Secondary MIBC with high EORTC score had significantly shorter CSS compared to secondary MIBC with intermediate EORTC score (p = 0.029). In multivariable analysis, pathological tumour stage (HR = 3.77; p = 0.020) and lymph node stage (HR = 2.34; p = 0.022) were significantly correlated with CSS. CONCLUSION While the outcome of secondary MIBC is not generally adverse compared to primary MIBC, the EORTC risk score not only reflects high risk of progression of NMIBC to MIBC, but also worse outcome following RC for secondary MIBC. Timely RC should thus be debated in high-risk NMIBC.
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Urinary incontinence due to the presence of necrotic adult Schistosoma haematobium parasite in the bladder following travel to Egypt. Travel Med Infect Dis 2012; 10:205-7. [PMID: 22658784 DOI: 10.1016/j.tmaid.2012.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2011] [Revised: 04/30/2012] [Accepted: 05/08/2012] [Indexed: 11/25/2022]
Abstract
A case of seronegative urinary Schistosomiasis is reported in a 68-year-old Caucasian male presenting with urgency of micturition and incontinence several months after bathing in a chlorinated pool of a first class hotel in Egypt. The symptoms were initiated by a necrotic adult Schistosoma haematobium parasite found in the urinary bladder following a cystoscopic examination. The purpose of this report is to describe this probable and uncommon source of Schistosomiasis, to demonstrate that Schistosoma parasites can also be found in the urinary bladder and to emphasize the importance of travel history.
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[Comments on nephrectomy - laparoscopic versus robotic]. Urologe A 2012; 51:669-70. [PMID: 22526190 DOI: 10.1007/s00120-012-2891-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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MP-03.03 HMGA2 Upregulation Is Related To Tumor Progression and let-7 Downregulation in High Risk Prostate Carcinoma. Urology 2011. [DOI: 10.1016/j.urology.2011.07.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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9
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[Recto-vesico-cutaneous fistula following salvage cryotherapy of the prostate due to recurrent localized prostate cancer]. Urologe A 2011; 50:1428-30. [PMID: 21811839 DOI: 10.1007/s00120-011-2653-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
For patients with recurrent prostate cancer after initial external beam radiation salvage cryotherapy is considered as an alternative to salvage prostatectomy. We report a serious complication of salvage cryotherapy in a 72-year-old man suffering from a severe recto-vesico-cutaneous fistula 6 weeks after salvage cryotherapy. To manage this situation salvage cystoprostatectomy and continent urinary diversion with creation of an ileocaecal pouch with cutaneous stoma had to be performed.
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[18th Annual Congress of the Renal Transplantation Working Group of the German Society of Urology: Würzburg, 18-20 November 2010]. Urologe A 2011; 50:846-9. [PMID: 21678106 DOI: 10.1007/s00120-011-2600-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Nosocomial outbreak of VIM-2 metallo-β-lactamase-producing Pseudomonas aeruginosa associated with retrograde urography. Clin Microbiol Infect 2010. [DOI: 10.1111/j.1469-0691.2010.03146.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Urological complications of laparoscopic inguinal hernia repair: a case series. Hernia 2010; 15:583-6. [PMID: 20602131 DOI: 10.1007/s10029-010-0696-6] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2009] [Accepted: 06/15/2010] [Indexed: 02/03/2023]
Abstract
OBJECTIVES To illustrate urological complications of laparoscopic inguinal hernia repair and discuss their management. PATIENTS Between April 2002 and February 2004, four men (aged 38-63 years) were treated for serious complications 2 days to 11 years after unilateral (1 patient) or bilateral (3 patients) laparoscopic inguinal hernioplasty. RESULTS In all cases (extra and intraperitoneal bladder injury, purulent urocystitis due to mesh-erosion of the bladder, secondary retroperitoneal fibrosis) open revision with complete drainage of the urinary tract was chosen as an efficacious therapeutic strategy. CONCLUSIONS Awareness of rare complications of laparoscopic inguinal hernia repair may lead to early diagnosis and appropriate management.
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[Interventional and surgical treatment of urethral strictures. End-to-end anastomosis]. Urologe A 2010; 49:720, 722-6. [PMID: 20544334 DOI: 10.1007/s00120-010-2310-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Excision with primary anastomosis is an excellent reconstructive option for short bulbar and membranous urethral strictures. With adequate patient selection including history, physical examination, and radiographic staging success rates between 90 and 95% in appropriately selected patients can be achieved. Success with this reliable method is based on adequate excision of the complete urethral stricture and sufficient mobilization of the urethra with tension-free anastomosis. Complications affecting ejaculation or penile sensitivity are rare and might be avoided by appropriate surgical techniques. Resection of the stricture and urethral end-to-end anastomosis represents the "gold-standard" in the treatment of bulbar and membraneous strictures up to a length of 3 cm.
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Abstract
For patients with end-stage renal disease and dysfunctional or absent lower urinary tract, complex therapeutic strategies are necessary combining kidney transplantation and - if possible - continent urinary diversion. In this concept urinary diversion is the first step in a two-stage procedure followed by renal transplantation. Meticulous preoperative diagnostics, careful patient selection and life-long close surveillance are critical for the success of this concept. The published data concerning long-term graft and patient survival are promising.
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PP27 Expression of microRNA-221 is progressively reduced in aggressive prostate cancer and metastasis and predicts clinical recurrence. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)72211-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Lack of KRAS and BRAF mutation in renal cell carcinoma. Eur Urol 2009; 55:1490-1. [PMID: 19282104 DOI: 10.1016/j.eururo.2009.02.024] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2009] [Accepted: 02/19/2009] [Indexed: 11/16/2022]
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[Ureter triplex with non-functioning upper pole due to ectopic ureterocele and refluxive third ureter bud : case report and review of the literature]. Urologe A 2008; 47:1483-6. [PMID: 18516582 DOI: 10.1007/s00120-008-1696-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
We present the case of an 8-month-old boy with ureter triplication on the left side with non-functional upper pole due to ectopic ureterocele and a refluxive third ureter bud. We performed an upper pole heminephroureterectomy with resection of the ureterocele and of the refluxive third ureter bud and reimplantation of the lower pole ureter using the psoas hitch technique.
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Charakterisierung konservativ operierter Nierentumoren mit der automatisierten DNS-Bildzytometrie. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1060623] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Radikale Zystektomie beim älteren Patienten. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1061401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Infrarot-Saphir-Flächenkoagulation in der Nierenparenchymchirurgie. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1061655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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22
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Verwendung von Spalthauttransplantaten bei der Genitalrekonstruktion. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1061177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Äther-Zystitis als schwerwiegende Komplikation bei Entfernung von retinierten Blasenkathetern. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1061657] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Operative Korrektur der kongenitalen und erworbenen Penisdeviationen. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1058314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Zweite Generation der berührungslosen Nierensteinzertrümmerung - Klinische Ergebnisse der lokalen Stoßwellenlithotripsie. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1061361] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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29
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Differentialdiagnose “Tethered Cord Syndrom” bei Blasenentleerungsstörungen im Erwachsenenalter - ein Fallbericht. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1065277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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30
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Pyonephrose durch Ischiadikushernie. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1061225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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31
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32
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33
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34
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Sinnvolle Kolonvorbereitung in der Urologie. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1062887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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35
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Chylöser Aszites nach retroperitonealer Lymphadenektomie. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1062871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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36
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Die mikrochirurgische Versorgung einer traumatischen Penisamputation. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1062988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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37
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Iatrogen induzierte Metastasierungstendenz beim Prostatakarzinom? Analyse von 509 transrektalen Serienbiopsien. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1062869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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38
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39
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Embryonale Rhabdomyosarkome bei zwei Knaben mit familiärer Neurofibromatose von Recklinghausen. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1061685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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40
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Gefäß- und Steinlokalisation durch Ultraschall - das Ende von Ischämie und Kühlung in der Nierensteinchirurgie? Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1062909] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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41
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Universelle Ureterozystoneostomie nach der Psoas-Hitch-Technik Indikation - Operationstechnik. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1062779] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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42
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Intraoperative Gefäßlokalisation bei Eingriffen am Nierenparenchym mittels Dopplersonographie. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1062991] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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43
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Embryologie der Hypospadie - Formale und kausale Genese. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1062928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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44
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Die Problematik wiederholter rekonstruktiver Eingriffe an Nierenbecken und Harnleiterabgang. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1062664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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45
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Einfluß der deszendierenden radikalen Prostatektomie auf die Blasen- und Verschlußfunktion - eine urodynamische Untersuchung. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1054258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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46
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Isolierte Erhöhung des β-HCG im Serum als differentialdiagnostisches Problem. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1054278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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47
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Ipsilaterale Adrenalektomie beim Nierenzellkarzinom: Overtreatment oder notwendiger Standard? Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1054299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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48
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T1-Blasenkarzinom: Indikation zur transurethralen Elektroresektion oder zur primären radikalen Zystektomie? Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1054254] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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49
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Morphometrische Untersuchungen zur Vaskularisierung von Nierenzellkarzinomen. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1055615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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50
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Quality of Life Following Cystectomy and Urinary Diversion Results of a Retrospective Interdisciplinary Study. Aktuelle Urol 2008. [DOI: 10.1055/s-2008-1055661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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