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Individualisierte evidenzbasierte interventionelle Steintherapie

Ein Stein, viele Fragezeichen?

Individualized evidence-based interventional stone treatment

One stone, many question marks?

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Zusammenfassung

Die Therapie der Urolithiasis stellt immer noch eine der häufigsten Aufgaben der täglichen urologischen Praxis dar. Getrieben durch die technischen Entwicklungen, Patientenwunsch aber auch persönliche Erfahrungen des Urologen haben sich vielfältige interventionelle Behandlungsmöglichkeiten etabliert. Zur Auswahl des geeigneten Therapieverfahrens gilt es, neben Steingröße und -lokalisation, die individuelle Patientensituation und die bekannte Evidenz zu berücksichtigen, welche trotz aller Bemühungen oftmals der technischen und klinischen Realität hinterherhinkt.

Abstract

The treatment of urolithiasis is still one of the most frequent tasks in the daily urological practice. Driven by the technological developments, patient demands and also personal experiences of urologists, many interventional treatment options have been established. To identify the most suitable treatment option, it is of utmost importance to consider not only stone size and localization but also the individual situation of the patient and the published evidence, which despite all efforts often lags behind the technical and clinical reality.

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Author information

Correspondence to Prof. Dr. T. Bach.

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Interessenkonflikt

T. Bach und T. Knoll geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Bach, T., Knoll, T. Individualisierte evidenzbasierte interventionelle Steintherapie. Urologe 55, 1297–1301 (2016). https://doi.org/10.1007/s00120-016-0228-9

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Schlüsselwörter

  • Ureterorenoskopie
  • Stoßwellenlithotripsie, extrakorporale
  • Nephrolitholapaxie, perkutane
  • Leitlinien
  • Nephrolithiasis

Keywords

  • Ureterorenoscopy
  • Shockwave lithotripsy, extracorporeal
  • Percutaneous nephrolithotomy
  • Guidelines
  • Nephrolithiasis