{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T14:06:52Z","timestamp":1774879612626,"version":"3.50.1"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Medizinische Fakult\u00e4t Mannheim der Universit\u00e4t Heidelberg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Urologie"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Einleitung<\/jats:title>\n                    <jats:p>Eine infekti\u00f6se bakterielle Symphysitis (IBS) ist ein schwerwiegendes Krankheitsbild der Symphyse und der parasymphys\u00e4ren Strukturen. Nach einem operativen Eingriff, einer Intervention am unteren Harntrakt oder einer Bestrahlung im kleinen Becken kann sich eine IBS entwickeln.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Studie<\/jats:title>\n                    <jats:p>Wir berichten \u00fcber eine der gr\u00f6\u00dften urologischen Kohorten mit posttherapeutischer IBS, mit dem Ziel, die Aufmerksamkeit f\u00fcr dieses schwere Krankheitsbild zu erh\u00f6hen und die Diagnostik und Therapie darzustellen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methode<\/jats:title>\n                    <jats:p>Wir f\u00fchrten eine deskriptive, retrospektive Datenauswertung an einer Universit\u00e4tsklinik \u00fcber die Jahre 2018\u20132022 durch. 25\u00a0Patienten wurden wegen urologischer Grunderkrankungen behandelt und sind Bestand dieser Analyse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Resultate<\/jats:title>\n                    <jats:p>Bei 25\u00a0Patienten mit einer IBS wurden als Grunderkrankung 24\u00a0Malignome nachgewiesen, 19\/24 (79\u202f%) Prostatakarzinome und 5\/24 (21\u202f%) Urothelkarzinome. Zwei Patienten wurden wegen nicht malignomassoziierten urologischen Erkrankungen behandelt. Das durchschnittliche Intervall bis zur Diagnose einer IBS betrug 73,9 (SD\u202f\u00b1\u200955,7) Monate. In 14\/25 (56\u202f%) F\u00e4llen wurden Fistelformationen nachgewiesen, am h\u00e4ufigsten (8\/14; 57\u202f%) zwischen Blase und Symphyse. 11\/25 (44\u202f%) der Patienten konnten konservativ therapiert werden, 14\/25 (56\u202f%) mussten teilweise komplexen, interdisziplin\u00e4ren, rekonstruktiven und v.\u202fa. multiplen operativen Ma\u00dfnahmen zugef\u00fcgt werden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Eine IBS ist ein schweres Krankheitsbild, das im Rahmen und auch noch Jahre nach urologischen und uroonkologischen Behandlungen auftreten kann. Eine interdisziplin\u00e4re Therapie mit der Orthop\u00e4die\/Unfallchirurgie sollte ebenso wie eine Versorgung in einem Zentrum mit entsprechender Erfahrung, Fallzahl und Infrastruktur stets angestrebt werden. Da die Diagnose und Therapie anspruchsvoll sind, pr\u00e4sentieren wir einen Algorithmus, der die Diagnostik beschreibt und anhand dessen die Therapie abgeleitet werden kann.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphic abstract<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1007\/s00120-025-02715-1","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T13:31:53Z","timestamp":1761831113000},"page":"398-410","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Die infekti\u00f6se bakterielle Symphysitis (IBS; Symphysitis pubis purulenta) im urologischen Setting\u00a0\u2013 eine deskriptive Studie und Einf\u00fchrung eines Therapiealgorithmus","Infectious bacterial symphysitis (purulent infection of the pubic symphysis) in a\u00a0urological setting\u2014a\u00a0descriptive study and treatment algorithm"],"prefix":"10.1007","volume":"65","author":[{"given":"F.-J.","family":"Dally","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. 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D.\u00a0Buergy gibt folgende f\u00fcr diese Publikation nicht relevante Interessenkonflikte an: PharmaMar (Speaker), AstraZeneca (Speaker), NB Capital ApS (Consultation, Berater).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}