Aktuelle Urologie

Publisher: Georg Thieme Verlag

Journal description

Current impact factor: 0.16

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 0.162
2013 Impact Factor 0.28
2012 Impact Factor 0.474
2011 Impact Factor 0.267
2010 Impact Factor 0.303
2009 Impact Factor 0.206
2008 Impact Factor 0.168
2007 Impact Factor 0.23
2006 Impact Factor 0.4
2005 Impact Factor 0.32
2004 Impact Factor 0.119
2003 Impact Factor 0.073
2002 Impact Factor 0.09
2001 Impact Factor 0.177
2000 Impact Factor 0.181
1999 Impact Factor 0.24
1998 Impact Factor 0.189
1997 Impact Factor 0.168
1996 Impact Factor 0.194
1995 Impact Factor 0.166
1994 Impact Factor 0.154
1993 Impact Factor 0.2
1992 Impact Factor 0.189

Impact factor over time

Impact factor

Additional details

5-year impact 0.27
Cited half-life 6.00
Immediacy index 0.07
Eigenfactor 0.00
Article influence 0.05
ISSN 1438-8820
OCLC 231865149
Material type Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

Georg Thieme Verlag

  • Pre-print
    • Author cannot archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Author's post-print or Publisher's version/PDF on author's personal website immediately
    • Author's post-print in Institutional Repository and PubMed Central after 12 months embargo
    • Publisher's version/PDF can be used on author's personal website only
    • Publisher copyright and source must be acknowledged
    • Link to Publisher version (www.thieme-connect.com) must be included if article has been published online
    • Publisher last contacted on 31/03/2015
    • 'Georg Thieme Verlag' is an imprint of 'Thieme Publishing'
  • Classification
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Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Chronic pelvic pain has a negative impact on quality of life, resulting in a tremendous cost of illness. This condition has a multifactorial etiology and its treatment is often a frustrating experience for patients and therapists alike. Therefore, patients frequently initiate alternative medical treatment methods, which are explained below.
    Aktuelle Urologie 09/2015; 46(5):388-90. DOI:10.1055/s-0035-1559650
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    ABSTRACT: The female urethra is probably the most neglected organ in women. Female urethral stricture and primary bladder neck obstruction are rare clinical entities. Traditional and new surgical techniques have been described for the treatment of female urethral stricture. However, they are based on limited data. There is no consensus on best management. The techniques of urethroplasty all have a higher mean success rate (80-94%) than urethral dilatation (< 50%), albeit with shorter mean follow-up. Urethroplasty performed by experienced surgeons appears to be a feasible option in women who have failed urethral dilatation, although there is a lack of high-level evidence to recommend one technique over another.Primary bladder neck obstruction (PBNO) is a condition in which the bladder neck fails to open adequately during voiding. This leads to increased striated sphincter activity or obstruction of urinary flow without another anatomic cause being present, for example an obstruction caused by genitourinary prolapse in women. Watchful waiting, pharmacotherapy and surgical intervention are possible treatments.
    Aktuelle Urologie 09/2015; 46(5):382-7. DOI:10.1055/s-0035-1559624
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    ABSTRACT: The prevalence of kidney stones is increasing worldwide. Asymptomatic non-obstructing kidney stones are increasingly detected as an incidental finding on radiologic imaging, which has been performed more frequently over the last decades. Beside the current interventional treatment modalities such as extracorporeal shockwave lithotripsy (ESWL), ureterorenoscopy (URS) and percutaneous nephrolithotomy (PNL), active surveillance of asymptomatic kidney stones has been a focus of discussion lately, not only for attending physicians, but even more so for patients. The current German and European guidelines recommend active surveillance for patients with asymptomatic kidney stones if no interventional therapy is mandatory because of pain or medical factors. Herein we review the current literature on risks and benefits of active surveillance of asymptomatic non-obstructing kidney stones.
    Aktuelle Urologie 09/2015; 46(5):391-4. DOI:10.1055/s-0035-1559651
  • Aktuelle Urologie 09/2015; 46(5):410-5. DOI:10.1055/s-0035-1564153
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    ABSTRACT: Cryptorchidism is the most common disorder in paediatric surgery in the Western world and a major risk factor for subfertility and malignancy. In 2009, German national guidelines were changed to recommend that treatment for undescended testes should be completed by the age of 1 instead of 2. However, the share of boys undergoing orchidopexy for cryptorchidism within the first year of life has only marginally increased in response to the guideline of the Association of the Scientific Medical Societies in Germany (AWMF). The number of orchidopexies performed in children below the age of 1 is too low both in Germany as well as internationally. The majority of primary care physicians treating children do not seem to be aware of this discrepancy between guideline recommendations and average actual age at orchidopexy. Moreover, a considerable number of cryptorchidism cases seem to be due to secondary ascent of the testis - an underappreciated condition that usually occurs at school age. Consequently, the timing of orchidopexy in primary undescended testes must be optimised. Therefore, education of parents and primary care physicians regarding the necessity of early orchidopexy and frequent testicular examinations even beyond infancy is mandatory to improve the prognosis of cryptorchidism regarding subfertility and malignancy. Further studies are needed to clarify the reasons for the large number of late orchidopexies.
    Aktuelle Urologie 09/2015; 46(5):373-377. DOI:10.1055/s-0035-1555801
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    ABSTRACT: Objective: Detection of changes in cognition after transurethral resection (TURP) or 180-Watt green-light XPS laser treatment (GLL) of the prostate is required by the German "Krankenhausbedarfsplan" which demands an interdisciplinary dialogue including special aspects of the operating discipline. This has as yet not been investigated in Germany or in Europe. Methods: Assessments of the cognitive capacity were made by application of the "Mini Mental State Examination" and the "Uhrentest" preoperatively and on postoperative day 2 in addition to documentation of clinical parameters such as patient age, prostate size, duration of surgery, comorbidities, co-medication, changes in haemoglobin and sodium. Results: Patients treated with transurethral resection (n=88) or GLL (n=114) were comparable regarding age, prostate size and operative time. Baseline characteristics of the patients who would be treated with laser showed an increased potential for postoperative cognitive changes: they had an average of 3.8 comorbidities (TURP: 3.11, p=0.005) and were to a greater extent using multiple medications 6.79 (TURP: 5.24, p<0.001). However neither the MMSE nor Uhrentest demonstrated a decrease in the average postoperative score (difference post-preop. MMSE+0.6±1.6 for the GLL and+0.6±1.6 for TURP, p=0.944; difference post- and preoperative Uhrentest+0.43±1.44 for the GLL and 0.13±1.17 for the TURP, p=0.097). Neither the postoperative haemoglobin nor the postoperative sodium, as safety-relevant parameters, demonstrated clinically relevant changes. The differences between the surgical procedures were not statistically significant. 28.6% of the patients with a preoperatively impaired cognition measured by an MMSE-score of≤23.7 incurred a further decline of their cognitive capability in comparison with patients without preoperative cognitive impairment with a further decline in 19.2%. Conclusions: Neither the GLL nor transurethral prostate resection demonstrated changes in cognition by comparing the preoperative Mini Mental State Examination or the Uhrentest. In this study, the baseline characteristics of lasered patients showed a higher number of comorbidities and a higher use of medication, in particular, with anticholinergic potency. Patients with a preoperatively impaired cognition had an increased risk of further worsening of their cognitive capabilities and should be treated carefully. © Georg Thieme Verlag KG Stuttgart · New York.
    Aktuelle Urologie 08/2015; DOI:10.1055/s-0035-1550031
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    ABSTRACT: Background: Behavioral interventions are part of the standard therapy for the overactive bladder syndrome although its impact still is unclear. Methods: A systematic review according to the key words "overactive bladder" and "behavioral therapy" was undertaken. Original studies dealing with adults and with an English abstract were taken into consideration. Results: Due to these requirements, only 6 studies were found. They use behavioral interventions as single therapy or compare a behavioral intervention with a standard drug therapy. On the one hand this was a direct comparison to a therapy with antimuscarinics, on the other hand drug therapy was augmented by behavioral interventions if the primary therapy failed. Inclusion criteria, patient characteristics, methods of behavioral intervention, the kind of media used and the results were inconsistent. As a result behavioral interventions are considered to be effective in controlling symptoms of an overactive bladder; in some studies an additive effect to drug therapy is seen if behavioral interventions are performed as supplementary measure; other studies could not confirm such an effect. Conclusion: Although experimental studies about micturition control in the CNS make a positive effect of behavioral interventions in overactive bladder more than likely, the literature reports on this topic remain inhomogeneous. © Georg Thieme Verlag KG Stuttgart · New York.
    Aktuelle Urologie 08/2015; DOI:10.1055/s-0035-1550037
  • Aktuelle Urologie 08/2015; 46(4):312-21. DOI:10.1055/s-0035-1559637
  • Aktuelle Urologie 08/2015; 46(4):322-9. DOI:10.1055/s-0035-1559638
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    ABSTRACT: Sexual functional dysfunctions represent a multidimensional nosological entity. Apart from the directly measurable pathophysiological parameters, psychological and dynamic partnership aspects are almost always involved. These can exert a triggering and a potentiating influence. Similarly, sociocultural factors have to be taken into account. In men the problem most frequently has a physiological focus and the main symptom within the complex of sexual difficulties, especially for diabetic patients, is erectile dysfunction. Disorders of ejaculation and orgasm may also occur. Testosterone production in men may be impaired due to obesity-related dysfunctions of the hypothalamic-pituitary-gonadal axis and this can lead to a clinically significant androgen deficit and thus also to a decline of libido 1 2. © Georg Thieme Verlag KG Stuttgart · New York.
    Aktuelle Urologie 07/2015; 46(4):303-308. DOI:10.1055/s-0035-1555797
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    ABSTRACT: A scrotal mass as initial manifestation of necrotising pancreatitis is very rare. In addition, the diagnosis is very difficult because diseases that occur more frequently produce similar symptoms. Therefore, it is very important to think about rare entities in the differential diagnosis for testicular pain. © Georg Thieme Verlag KG Stuttgart · New York.
    Aktuelle Urologie 07/2015; 46(4):309-310. DOI:10.1055/s-0035-1548877
  • Aktuelle Urologie 06/2015; 46(3):187-90. DOI:10.1055/s-0035-1555687
  • Aktuelle Urologie 06/2015; 46(3):194-5. DOI:10.1055/s-0035-1555691
  • Aktuelle Urologie 06/2015; 46(3):204. DOI:10.1055/s-0035-1555699
  • Aktuelle Urologie 06/2015; 46(3):200-1. DOI:10.1055/s-0035-1555696
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    ABSTRACT: Marketing in economic systems means to create a brand in a competitive surrounding to serve customers as a target. Thereby, elements of marketing are product policy and pricing as well as distribution. Due to the fact that not only products and services are almost not modifiable at all and that price variation is impossible due to the DRG system but also common distribution channels, such as retail or wholesale, are prohibited, the fist mentioned marketing elements are of special importance. Primary customers are the referring physicians who are well served by medical education or presentations, which belong to the common facilities of a hospital department. Nowadays one can observe an increasing mobility of patients and an increasing willingness to inform themselves about medical topics and the service provider behind them. In conclusion, the maintenance of patients is a growing field for the economic success of a hospital or a hospital department. The marketing elements are ruled by the "Heilmittelwerbegesetz" and must fulfill the standards which are defined by this statute. Patient´s journals, a guided tour around the procedure rooms with technical equipment, an after-sales postcard and the participation in events not only with medical contents, such as fairs, can help to steadily establish an image, for example, as an ambitious and caring service provider. Georg Thieme Verlag KG Stuttgart · New York.
    Aktuelle Urologie 05/2015; 46(3):206-10. DOI:10.1055/s-0035-1555705
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    ABSTRACT: Urothelial bladder cancer is characterised by high recurrence and progression rates despite multimodal treatment. Only slight improvements have been achieved during the last decades. The current histopathological classification and clinical risk stratification tools are inaccurate. Hence, a better understanding of the tumour biology is essential for the improvement of patient care. The molecular characterisation of bladder cancer may be translated into useful diagnostic and predictive biomarkers. Many potential therapeutic targets have been identified such as FGFR3 (Fibroblast growth factor receptor 3), HER2 (human epidermal growth factor receptor 2) and PD1/PDL1 (programmed cell death-1). They need validation in clinical trials. We now review the molecular biology of urothelial bladder carcinoma and discuss clinical applications of biomarkers and targeted therapies. © Georg Thieme Verlag KG Stuttgart · New York.
    Aktuelle Urologie 05/2015; 46(3):227-35. DOI:10.1055/s-0035-1549992
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    ABSTRACT: Urothelial carcinoma of the bladder (UBC) at stage pT1 is a heterogenous disease. Established criteria for prognosis prediction are not suitable for every patient. Choosing the right therapeutic strategy for the individual patient thus remains a challenge. The aim of the present study was to identify clinical parameters regarding cancer-specific survival (CSS) in patients with pT1 UBC. A retrospective analysis of clinical parameters of all patients with a pT1 UBC between 1989 and 2012 from a single centre was performed. Treatment consisted of transurethral resection, second resection followed by initially bladder sparing treatment. Anamnestic data, histopathological reports and clinical course were assessed with CSS being defined as primary endpoint. Kaplan-Meier analysis, uni- and multivariate analysis were performed using SPSS (Version 22, IBM). 378 patients (78% male, median age 72 years) were included, median follow-up was 35 months. Pathological stage pT1G3 (66 vs. 91%, p<0.001), lack of instillation therapy (66 vs. 83%, p<0.001), presence of a second malignoma (41 vs. 77%, p=0,004), diagnosis after 2000 (75 vs. 76%, p=0,018) and tumour progress (42 vs. 85%, p<0.001) were associated with a worse CSS in univariate and Kaplan-Meier analysis. Multivariate analysis revealed the presence of a second malignoma (HR 2.267; CI 95% 1.143-4.497, p=0.019), pathological stage pT1G3 at initial diagnosis (HR 4.567; CI 95% 2.040-10.22, p<0.001) and tumour progress (HR 3.742; CI 95% 1.544-9.069, p=0.003) as independent negative predictors of CSS. Instillation therapy was a prognostic factor for improved CSS (HR 0.368; CI 95% 0.212-0.638, p<0.001). The present study identified the presence of a second malignoma, pathological stage pT1G3 and tumour progress as negative predictive factors for CSS. Maintenance instillation therapy after reresection was associated with an improved CSS. Georg Thieme Verlag KG Stuttgart · New York.
    Aktuelle Urologie 05/2015; 46(3):221-6. DOI:10.1055/s-0035-1549905
  • Aktuelle Urologie 05/2015; 46(3):177-8. DOI:10.1055/s-0035-1555703