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Internationale Studien, auch in Deutschland, zeigen jedoch einen R\u00fcckgang ihrer Anwendung. Gr\u00fcnde hierf\u00fcr k\u00f6nnten Leitlinienanpassungen und ver\u00e4nderte Indikationsstellungen sein.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Fragestellung<\/jats:title>\n            <jats:p>Ziel ist es, die Versorgungsrealit\u00e4t und Indikationsverteilung f\u00fcr UDS in urologischen Kliniken und Praxen in Deutschland zu untersuchen.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Material und Methoden<\/jats:title>\n            <jats:p>Zwischen 03\/2023 und 10\/2023 wurden landesweit 259 urologische Kliniken und stichprobenartig 280 niedergelassene Urologen zur UDS befragt. Daten zu angewandten Methoden, durchf\u00fchrendem Personal und Indikationsverteilung wurden erhoben.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Es nahmen 80\u202f% der Kliniken und 44\u202f% der Praxen teil. 58\u202f% der Kliniken f\u00fchren &lt;\u2009100\u00a0UDS pro Jahr durch. 15\u202f% der Praxen f\u00fchren selbstst\u00e4ndig UDS durch. Verfahren wie Uroflowmetrien (99\u202f%) und Zystomanometrien (98\u202f%) werden fl\u00e4chendeckend angewandt, w\u00e4hrend Videourodynamiken (53\u202f%) seltener zur Verf\u00fcgung stehen. H\u00e4ufigste Indikationen in Kliniken sind neurogene Blasenfunktionsst\u00f6rungen (24\u202f%), \u00fcberaktive Harnblasen (21\u202f%) und Belastungsinkontinenz bei Frauen (19\u202f%). Praxen zeigen \u00e4hnliche Schwerpunkte: neurogene Blasenfunktionsst\u00f6rungen (30\u202f%) und \u00fcberaktive Harnblasen (26\u202f%). Universit\u00e4tskliniken und spezialisierte Zentren f\u00fchren signifikant h\u00e4ufiger UDS bei komplexen Krankheiten durch, w\u00e4hrend die Versorgung der weiblichen Belastungsinkontinenz h\u00e4ufiger in nichtuniversit\u00e4ren Kliniken erfolgt.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Schlussfolgerung<\/jats:title>\n            <jats:p>Trotz sinkender Fallzahlen bleiben UDS zentral f\u00fcr die Diagnostik. Die Indikationsverteilung variiert je nach Kliniktyp. Diese Ergebnisse liefern Einblicke in die Praxisanwendung von UDS in Deutschland und unterstreichen ihre Rolle in der urologischen Diagnostik.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Graphic abstract<\/jats:title>\n          <\/jats:sec>","DOI":"10.1007\/s00120-025-02579-5","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T06:51:02Z","timestamp":1744613462000},"page":"793-802","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Urodynamik in Deutschland: Indikationen und Anwendung im urologischen Klinik- und Praxisalltag","Urodynamics in Germany: Indications and Application in Urological Hospital and Practice Settings"],"prefix":"10.1007","volume":"64","author":[{"given":"Viktoria","family":"Menzel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Livia","family":"Kontschak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Sondermann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Grabbert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelika","family":"Borkowetz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sherif","family":"Mehralivand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Eisenmenger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Huber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Schultz-Lampel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Baunacke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,14]]},"reference":[{"issue":"3","key":"2579_CR1","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1002\/nau.10066","volume":"21","author":"W Schafer","year":"2002","unstructured":"Schafer\u00a0W et\u00a0al (2002) Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. 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