{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T09:00:13Z","timestamp":1765357213735},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Die Holmium-Laser-Enukleation der Prostata(HoLEP)\n      wurde vor gut 20 Jahren als wirksame Alternative zur transurethralen Resektion der\n      Prostata(TURP) eingef\u00fchrt mit vorteilhafterem Nebenwirkungsprofil. Die HoLEP kann unabh\u00e4ngig\n      von der Prostatagr\u00f6\u00dfe angewendet werden und wird seitens urologischen Leitlinien f\u00fcr die\n      chirurgische Behandlung der benignen Prostata Hyperplasie (BPH) empfohlen. Dennoch \u00e4u\u00dfern\n      Patienten gegen\u00fcber transurethralen Desobstruktionen oft Misstrauen und \u00c4ngste in Bezug auf\n      Schmerzen und potentielle Komplikationen. Das Ziel dieser Arbeit war es, auf Basis von\n      \u201ePatient-reported Outcome Measures\u201c (PROMs) mittels Frageb\u00f6gen, die Zufriedenheit anhand der\n      Empfindungen der Patienten zu evaluieren. <\/jats:p><jats:p>\n          Material und Methoden In der Zeit von Juni bis\n      einschlie\u00dflich Dezember 2020 wurden 152 Patienten mittels HoLEP aufgrund einer subvesikalen\n      Obstruktion operiert und mittels Frageb\u00f6gen unmittelbar postoperativ und 3 Monate sp\u00e4ter\n      bez\u00fcglich Ihrer Behandlungs-Zufriedenheit und ihrer Miktionsfunktion und Kontinenz befragt. Es\n      wurden 112 Patienten in die Studie eingeschlossen. Das 3 Monats-Follow-up konnte f\u00fcr 88 dieser\n      Patienten in die retrospektive Analyse aufgenommen werden. <\/jats:p><jats:p>\n          Ergebnisse Es wurden\n      durchschnittlich 62,1 [g] Adenomgewebe enukleiert bei einem durchschnittlichen pr\u00e4operativ\n      transrekalem Ultraschall(TRUS)-Volumen von 83,1 [cm3]. In 45,4% der Patienten lag bereits\n      pr\u00e4operativ ein transurethraler Dauerkatheter ein. Es zeigte sich eine Gesamtzufriedenheit mit\n      der OP und dem Aufenthalt in der Klinik postoperativ bei 94,6% und nach drei Monaten bei\n      91,8%. Der Anteil der mit der Miktion zufriedenen Patienten betrug postoperativ 76,5% und\n      steigerte sich auf 80,4% nach 3 Monaten. Der Anteil der Patienten, die Kontinenzbeschwerden\n      angaben, lag initial bei 8,3% dann 3 Monate sp\u00e4ter bei 9,1%. Bei der Frage nach dem\n      Lebensqualit\u00e4tsindex [L] verbesserten sich die positiven Antworten von 62,1% postoperativ auf\n      85,7% nach 3 Monaten. Der Anteil der Patienten mit negativen Antworten reduzierte sich von\n      11,7% auf 3,4%. <\/jats:p><jats:p>\n          Diskussion Die HoLEP ist ein etabliertes und sicheres Verfahren zur\n      operativen Therapie der BPH. Um auf die bestehenden Vorbehalte bei Patienten eingehen zu\n      k\u00f6nnen, ist eine Befragung der subjektiven Zufriedenheit von operierten Patienten nach dem\n      Eingriff und im zeitlichen Verlauf wichtig. Die festgestellte hohe Patientenzufriedenheit\n      k\u00f6nnte sowohl betroffene Patienten als auch niedergelassene Kolleg*Innen motivieren, m\u00f6glichst\n      fr\u00fchzeitig eine operative Intervention zu erw\u00e4gen.<\/jats:p>","DOI":"10.1055\/a-1921-9485","type":"journal-article","created":{"date-parts":[[2022,9,12]],"date-time":"2022-09-12T22:43:35Z","timestamp":1663022615000},"page":"24-29","source":"Crossref","is-referenced-by-count":3,"title":["Lebensqualit\u00e4t und Outcome nach Holmiumlaserenukleation der Prostata (HoLEP)"],"prefix":"10.1055","volume":"54","author":[{"given":"Martin","family":"Kanne","sequence":"additional","affiliation":[{"name":"Department of Urology, Evangelisches Krankenhaus K\u00f6nigin Elisabeth Herzberge, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Beutel","sequence":"additional","affiliation":[{"name":"Department of Urology, Evangelisches Krankenhaus K\u00f6nigin Elisabeth Herzberge, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorien","family":"Krediet","sequence":"additional","affiliation":[{"name":"Department of Urology, Evangelisches Krankenhaus K\u00f6nigin Elisabeth Herzberge, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"K\u00f6ssler","sequence":"additional","affiliation":[{"name":"Department of Urology, Evangelisches Krankenhaus K\u00f6nigin Elisabeth Herzberge, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatrice","family":"Kittner","sequence":"additional","affiliation":[{"name":"Department of Urology, Evangelisches Krankenhaus K\u00f6nigin Elisabeth Herzberge, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nils","family":"Schmuck","sequence":"additional","affiliation":[{"name":"Department of Urology, Evangelisches Krankenhaus K\u00f6nigin Elisabeth Herzberge, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Spreu","sequence":"additional","affiliation":[{"name":"Department of Urology, Evangelisches Krankenhaus K\u00f6nigin Elisabeth Herzberge, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Friedersdorff","sequence":"additional","affiliation":[{"name":"Department of Urology, Evangelisches Krankenhaus K\u00f6nigin Elisabeth Herzberge, Berlin, Germany"},{"name":"Corporate Member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin and Berlin Institute of Health, Department of Urology, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Maxeiner","sequence":"additional","affiliation":[{"name":"Corporate Member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin and Berlin Institute of Health, Department of Urology, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,12]]},"reference":[{"key":"ref1","first-page":"129","article-title":"Epidemiology and natural course of benign prostatic hyperplasia","volume":"31","author":"JH Blom","year":"1992","journal-title":"Der Urologe Ausg A"},{"key":"ref2","first-page":"S3","article-title":"Benign prostatic hyperplasia: an overview","volume":"7","author":"CG Roehrborn","year":"2005","journal-title":"Reviews in urology"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1136","DOI":"10.1007\/s00120-014-3544-y","article-title":"The demographic development in Germany: challenge and chances for\n          urology","volume":"53","author":"AW Schneider","year":"2014","journal-title":"Der Urologe Ausg A"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1007\/s11934-019-0899-z","article-title":"BPH: Why Do 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