[Pain therapy of urologic tumors -- prophylaxis and therapy of side effects].

Abstract:

:Pain is a cardinal symptom in 70 % of cancer patients. Even in developed countries, 30 to 80 % of these patients are inadequately treated. The main cause for this lack of care is not pain refractory to treatment but inadequate or incorrect use of analgesic drugs. A sufficient treatment of pain requires knowledge of the pathomechanism of pain and of the basics of pain management in cancer patients. The choice of analgesic drugs follows the WHO-recommended increase based on need. As long as possible, analgesic drugs should be given orally following a strict schedule and pre-emptively prior to renewed pain. The non-opioids are a heterogeneous group of drugs with different actions and side effects. Maximum doses exist for this group and weak opioids. A change to strong opioids is indicated when weak opioids fail to achieve sufficient pain control despite titration to the maximum dose. No upper limit exists for strong opioids and their use is limited by the side effects. The most frequent side effects are initial emesis and vomiting as well as long-lasting constipation. For this reason, most patients should be prescribed a temporary antiemetic and a laxative on a permanent basis.

journal_name

Aktuelle Urol

journal_title

Aktuelle Urologie

authors

Weckermann D,Harzmann R

doi

10.1055/s-2004-830208

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

239-44

issue

3

eissn

0001-7868

issn

1438-8820

journal_volume

36

pub_type

杂志文章
  • [Tuberculous orchiepididymitis and CNS complication].

    abstract:INTRODUCTION:Hydrocephalus as a complication of tuberculous orchiepididymitis is extremely rare. In this reported case, hydrocephalus was the consequence of a disseminated tuberculous process. CASE REPORT:A 28-year-old man was treated for a left-sided orchiepididymitis. He developed the signs of increased intracranial...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-2004-830255

    authors: Miletic B,Morovic M,Tomic Z,Ticac B

    更新日期:2006-01-01 00:00:00

  • [Significance and Value of PSMA Ligands in Prostate Cancer].

    abstract::In recent years, PSMA-targeting PET tracers such as 68Ga-PSMA-11 have shown promising results, thus contributing to a better management of prostate cancer patients. At the present time, 68Ga-PSMA-11 is most frequently used for diagnostic evaluation in the setting of biochemical recurrence of prostate cancer. In this c...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0043-100269

    authors: Gasch C,Körber S,Kremer C,Eiber M,Kratochwil C,Haberkorn U,Hohenfellner M,Hadaschik B,Giesel FL

    更新日期:2017-04-01 00:00:00

  • [Geriatric urology -- incontinence in the elderly].

    abstract::Urinary incontinence is a major problem in elderly patients. Severe underreporting of symptoms in combination with a reluctance of health professionals to ask about continence problems lead to a relevant illness burden. Individual psychological distress and reduction in self-perceived quality of life ending in social ...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2005-915613

    authors: Friedrich C,Pientka L,Pannek J

    更新日期:2005-11-01 00:00:00

  • [Primary Tumour Treatment in Patients with Metastatic Prostate Cancer].

    abstract::Prostate cancer (PCa) with distant metastasis at diagnosis (M1) is associated with an unfavourable prognosis. Therefore, according to current treatment guidelines, local treatment (radical prostatectomy or irradiation of the prostate gland) is not recommended in men with M1 disease. However, M1 patients inevitably dev...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0042-113547

    authors: Steuber T,Beyer B

    更新日期:2016-09-01 00:00:00

  • [Leiomyoma of the urethra - cause of an obstruction misdiagnosed as hereditary urethral stricture in a young man].

    abstract::Leiomyomas are benign neoplasms arising from smooth muscle cells. We describe the case of a 17-year-old boy admitted with progressive severe obstructive voiding symptoms. Retrograde urethrography showed a bulbous urethral stricture which was resected with primary urethral anastomosis. Histopathological examination con...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-2007-993038

    authors: Seseke S,Schweyer S,Reissig K,Seseke F

    更新日期:2008-03-01 00:00:00

  • [Ureteroarterial fistula - pathogenesis, diagnostics, and therapeutic outcome].

    abstract::Although ureteroarterial fistulas are rare, they result in a high mortality because of the massive urogenital haemorrhage. The diagnosis is often difficult even when invasive measures are applied. Including the ureteroarterial fistula in the diagnostic process in cases of macrohaematuria with a positive medical histor...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0034-1376953

    authors: Luther B,von Lilien-Waldau V,Mamopoulos A,Katoh M,Friedrich M,Weinknecht S,Lent V

    更新日期:2014-05-01 00:00:00

  • Laparoscopic radical retropubic prostatectomy combined with approaches through a small open incision.

    abstract:PURPOSE:The laparoscopic technique is now applied to radical prostatectomy. However, even in laparoscopic prostatectomy, we need a small open wound to remove the prostate from the abdomen. We have developed a modified technique of extraperitoneal laparoscopic radical prostatectomy, exploiting this small open wound as a...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-2003-41602

    authors: Ishida H,Yoshida T,Okada K,Takimoto Y

    更新日期:2003-07-01 00:00:00

  • [GnRH antagonists--a new therapy option for advanced prostate cancer].

    abstract::At present medical castration employing luteinising hormone releasing hormone (LHRH) agonists is the standard of care for patients with advanced prostate cancer. LHRH agonists suppress the synthesis of testosterone to a castration level. In contrast to surgical castration, medical castration is reversible. However LHR...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0028-1098882

    authors: Wolff JM

    更新日期:2009-05-01 00:00:00

  • [Cancer control in focus insights and future perspectives for the focal treatment of prostate cancer].

    abstract::Faced with the dilemma of choosing between the extremes of standard whole gland therapy and active surveillance, those affected by prostate cancer have recently been on the lookout for less invasive alternatives. Particularly the question of whether it would be possible in low risk cancer to treat only the tumour itse...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1396803

    authors: Schostak M,Köllermann J,Hadaschik B,Blana A,Ganzer R,Henkel T,Köhrmann KU,Liehr UB,Machtens S,Roosen A,Salomon G,Sentker L,Witzsch U,Schlemmer HP,Baumunk D

    更新日期:2015-01-01 00:00:00

  • [The German HTA report: orchiectomy versus LH-RH analogues in the treatment of advanced prostate carcinoma: are there any consequences for the daily health service?].

    abstract:PURPOSE:This systematic review evaluates international data on the medical effectiveness of orchiectomy and medical therapy with LH-RH analogues in patients with advanced prostate cancer. These results are discussed in the context of primary, neoadjuvant, adjuvant and intermittent hormone deprivation. MATERIALS AND ME...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1038282

    authors: Rohde V,Grabein K,Weidner W,Wasem J,Hessel F

    更新日期:2008-11-01 00:00:00

  • [Osteosarcoma of the prostate after radiotherapy].

    abstract::Osteosarcoma of the prostate is a rare finding. These tumours usually occur years after radiotherapy for prostate cancer. We report the case of a 74-year-old man with prostate cancer who had been treated with radiotherapy and androgen deprivation therapy. The man presented with urinary retention and his prostate was t...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0032-1323744

    authors: Stangelberger A,Riedl CR,Susani M

    更新日期:2012-12-01 00:00:00

  • [Gap junctions in the human urinary bladder].

    abstract:PURPOSE:Gap junctions are intercellular contacts important for the synchronization of muscle cell activity through electrical coupling. Since the role of gap junctions for the function of smooth bladder muscle is still a matter of debate, we investigated the occurrence of gap junctions and the gap junctional protein co...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-2003-42001

    authors: John H,Wang X,Hauri D,Maake C

    更新日期:2003-09-01 00:00:00

  • [Abiraterone plus prednisone in patients with newly diagnosed high-risk metastatic hormone-sensitive prostate cancer (mHSPC)].

    abstract::The most exciting data presented at the 2017 ASCO Annual Meeting included the results of the LATITUDE and STAMPEDE trials, which evaluated abiraterone plus prednisone combined with androgen-deprivation therapy (ADT) as a first-line treatment in men with newly diagnosed high-risk metastatic hormone-sensitive prostate c...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/a-0852-3405

    authors: Miller K

    更新日期:2019-12-01 00:00:00

  • [Therapy for Angiokeratoma of Fordyce with the 940-nm Diode Laser].

    abstract::This article reports on the effective and quick treatment of angioceratoma scroti sive vulvae Fordyce using a 940-nm diode laser. Up to now the usage of this laser has not been described for this indication and we show that it provides a successful therapeutic alternative with few side effects. ...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0031-1283790

    authors: Meissner M,Kaufmann R

    更新日期:2012-03-01 00:00:00

  • [Pharmacological treatment of BPS].

    abstract::Pharmacological treatment of BPS is often considered the first therapeutic approach for patients who experience progression in lower urinary tract symptoms (LUTS).α1-adrenoceptor antagonists are often chosen as the first line pharmacological treatment, due to their rapid onset of action, as well as their significant i...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/a-0649-0702

    authors: Westhofen T,Magistro G,Stief C,Gratzke C

    更新日期:2018-08-01 00:00:00

  • [The assessment of pathological PSA values by the general practitioner--observation or intervention?].

    abstract:AIM:The aim of the present study was to evaluate the initiated consecutive diagnostic course after measurement of an elevated PSA value by the general practitioner. PATIENTS AND METHODS:406 patients who underwent ultrasound-guided transrectal biopsy of the prostate were assessed retrospectively. Using a standardised q...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098883

    authors: Braun KP,Brookman-Amissah S,May M,Grassmel Y,Hoschke B,Braun V

    更新日期:2009-05-01 00:00:00

  • Quantitative analysis of testicular interstitial fibrosis after vasectomy in humans.

    abstract:PURPOSE:Germ cell differentiation, DNA synthesis, and apoptosis can be evaluated quantitatively. On the other hand, an interstitial lesion is difficult to examine. We have focused on the quantitative analysis of testicular interstitial fibrosis after vasectomy. MATERIALS AND METHODS:Forty testicular biopsy specimens f...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-2003-41612

    authors: Shiraishi K,Takihara H,Naito K

    更新日期:2003-07-01 00:00:00

  • [Extended salvage pelvic and retroperitoneal lymph node dissection due to prostate cancer relapse].

    abstract::Treatment of a biochemical prostate cancer relapse represents a difficult clinical dilemma, which has remained without a definitive solution so far. Based on clinical studies, we combine radical prostatectomy with extended pelvic lymph node dissection in intermediate and high risk patients as a routine procedure at ou...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0032-1333239

    authors: Osmonov DK,Aksenov AV,Jünemann KP

    更新日期:2013-01-01 00:00:00

  • [Validation of a pelvic floor questionnaire with improvement and satisfaction scales to assess symptom severity, bothersomeness and quality of life before and after pelvic floor therapy].

    abstract:BACKGROUND:The aim of this study was to integrate and validate an additional post-treatment module including improvement and satisfaction scales to the validated German pelvic floor questionnaire. METHODS:The questionnaire contained the domains bladder, bowel prolapse, and sexual symptoms. It was completed by 55 patie...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0031-1271544

    authors: Baessler K,Junginger B

    更新日期:2011-09-01 00:00:00

  • Final report on low-dose estramustine phosphate (EMP) monotherapy and very low-dose EMP therapy combined with LH-RH agonist for previously untreated advanced prostate cancer.

    abstract:PURPOSE:In order to assess the efficacy and toxicity of oral estramustine phosphate (EMP) administration, low-dose EMP monotherapy (study 1) and very low-dose EMP therapy with luteinizing hormone-releasing hormone (LH-RH) agonist (study 2) were conducted in previously untreated prostate cancer and long-term outcomes we...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0029-1224657

    authors: Kitamura T,Suzuki M,Nishimatsu H,Kurosaki T,Enomoto Y,Fukuhara H,Kume H,Takeuchi T,Miao L,Jiangang H,Xiaoqiang L

    更新日期:2010-01-01 00:00:00

  • [Papillary cystadenoma: a rare differential diagnosis of a paratesticular tumour].

    abstract::Testicular and paratesticular cystadenomas arise from an oviduct-like structure, which, morphologically, is almost identical with the ovarian surface epithelium. These are very rare benign tumours of adults. They present as asymptomatic cystic lesions. Bilateral paratesticular cystadenomas are associated with the Von-...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0043-101214

    authors: Dräger DL,Zonnur S,Erbersdobler A,Protzel C,Hakenberg OW

    更新日期:2018-06-01 00:00:00

  • [Urinary tract infections].

    abstract::Urinary tract infections (UTI) are amongst the most frequent bacterial infections and therefore responsible for a great amount of antibiotic administration. UTI may present as benign, uncomplicated cystitis or severe, life-threatening urosepsis. Due to the heterogeneity of UTI the European Section of Infections in Uro...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1368176

    authors: Wagenlehner FM,Pilatz A,Naber K,Weidner W

    更新日期:2014-03-01 00:00:00

  • [Intravesical salpingiosis: case report and review of the literature].

    abstract::Endosalpingiosis of the urinary bladder is a rare benign condition characterised by the presence of ectopic endosalpingeal tissue in the bladder. If histology shows two or more Müllerian-derived components, this condition is referred to as Müllerianosis.To our knowledge less than 20 cases of Müllerianosis and 5 cases ...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0043-110039

    authors: Gilbert N,Guo X,Bauer J,Hennig M,Kümpers C,Merseburger AS

    更新日期:2018-06-01 00:00:00

  • [Active surveillance for screen-detected prostate cancer - a strategy for the future?].

    abstract::For good reasons, newly detected prostate cancer must not necessarily be treated with curative -intent: Prostate-specific antigen screening leads to overdiagnosis in 54 %. Current international guidelines on the treatment of prostate cancer take this development into account by recommending "active surveillance" (AS) ...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1247461

    authors: Weissbach L,Schaefer C

    更新日期:2010-07-01 00:00:00

  • [Urolithiasis in the Long-Term GnRH Agonist Treatment of Patients with Paraphilia: 3 Case Studies].

    abstract::The outpatient forensic aftercare department of the Charité Berlin treated 32 paraphilic sex offenders with GnRH analogues within the past 5 years. Out of those patients, three men suffered from urolithiasis and were in need of treatment. All 3 patients had previously developed osteopenia/osteoporosis while on antiand...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0042-112999

    authors: Mayrhofer G,Wegner D,Voß T

    更新日期:2016-12-01 00:00:00

  • [Urogynaecology for urologists].

    abstract::The field of urogynaecology represents an interdisciplinary subspecialty which is dedicated to qualified diagnostics and effective treatment of functional, static, endocrine and urological pelvic floor disorders. Core areas of the surgical uro-gynaecology are pelvic floor reconstruction for the treatment of urinary an...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0031-1271571

    authors: Neymeyer J,Miller K

    更新日期:2011-07-01 00:00:00

  • [Bladder hernia: report of a case series and review of the literature].

    abstract::Inguinal bladder hernia accounts for only 1 - 4 % of all inguinal hernias. It may be difficult to diagnose due to the atypical symptoms. In most cases, the diagnosis is only made intraoperatively. However, a preoperative diagnosis is important to avoid possible iatrogenic complications. We report a case series of five...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/a-1190-3186

    authors: Trenti E,Palermo S,Huqi D,Ladurner C,Krause P,Pycha A,Comploj E

    更新日期:2020-06-18 00:00:00

  • [Prevention of Catheter-Associated Urinary Tract Infections].

    abstract::With a share of 22.4%, nosocomial urinary tract infections (nUTIs) are among the most frequent infections acquired in hospitals, along with surgical site infections (24.7%), pneumonia (21.5%), clostridium difficile infections (6.6%) and primary sepsis (6%) 1. 80% of all nUTIs are associated with indwelling urinary cat...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0042-101845

    authors: Piechota H

    更新日期:2016-05-01 00:00:00

  • [The impact of ALA (5-aminolevulinic acid)-fluorescence detection on the prognosis of superficial bladder cancer].

    abstract:PURPOSE:Throughout the past years, several studies have shown that fluorescence cystoscopy with ALA (5-aminolevulinic acid) improves the detection rate of superficial bladder tumors by approximately 20 % compared to standard white light cystoscopy. These results suggest a reduced rate of residual/recurrent tumors with ...

    journal_title:Aktuelle Urologie

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1055/s-2004-818544

    authors: Daniltchenko D,Riedl C,Koenig F,Daha LK,Sachs M,Schnorr D

    更新日期:2004-11-01 00:00:00

  • [Current Aspects of Epididymo-Orchitis].

    abstract:BACKGROUND:Acute epididymitis is an inflammation of the epididymis. It mostly occurs unilaterally and may spread to the testis ('epididymo-orchitis') if untreated. Increasing technological advances allow for an even more detailed examination of concurrent symptoms such as ejaculate changes and the whole spectrum of pat...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0042-104803

    authors: Pilatz A,Boecker M,Schuppe HC,Wagenlehner F

    更新日期:2016-05-01 00:00:00