Abstract Background Counseling regarding a planned provision of medical aids is currently neither reimbursed nor regulated in Germany. It is offered by a range of providers with employees with varying levels of qualification and may be provided in a personal conversation, by phone, or remotely. In many cases, counseling is omitted entirely between the prescription and trial use or delivery of the product. The quality of medical aids counseling, which plays a key role in tempo

Abstract Patients with colour vision deficiency (CVD) may not see blood in urine or stool, often the first sign of bladder or colorectal cancer, respectively. Here we sought to identify whether patients with bladder or colorectal cancer and CVD have worse outcomes when compared to matched patients without CVD, using an electronic health records research network (TriNetX). A total of 135 patients with CVD and bladder cancer showed shorter overall survival ( χ 2  = 4.85, P  = 0

Abstract Urinary incontinence (UI) significantly impairs patients' normal social activities and physical exercise, posing a major public health and socioeconomic challenge. The association between the hemoglobin, albumin, lymphocyte, and platelet (HALP) score and UI has not been extensively investigated, with few studies examining potential gender differences in this relationship. This research aimed to evaluate gender-specific associations between the hemoglobin, albumin, ly

Abstract Objective: To compare and summarise the most up to date international guidelines and major recommendations for the management of small testicular masses (STMs). Methods: A systematic search was conducted in PubMed, EMBASE, Scopus, Google Scholar, and the Cochrane Library up to 1 November 2024. The latest editions of five international guidelines were included in the review: the European Association of Urology 2025; the National Comprehensive Cancer Network 2024; the

Abstract Background: Injuries to the penis resulting from self-inflicted strangulation with various objects are uncommon, yet these injuries are more frequently observed in young adults. Medical literature has identified items such as hair, thread, rubber bands, metallic rings, and vacuum erection devices as tools used for this purpose. These constrictive items impede venous return from the penis, potentially leading to severe complications such as ischemia or necrosis. This

Abstract Background: High sodium intake is associated with cardiovascular and kidney disease, as well as the development of lower urinary tract symptoms (LUTS). The amount of salt intake can influence the development of symptoms, but reduction may benefit patients by lowering the presentation of LUTS. However, there is a lack of systematization of evidence between salt intake and LUTS. Objectives: Determine the relationship between a high salt intake and LUTS, and the impact

Abstract Background: The presence of intracellular bacterial communities (IBCs) in the urothelium has been well documented in adults with chronic urinary tract infections (UTIs), but its long-term persistence going undetected in a severely symptomatic adolescent has not been reported. Case summary: We present the case of a 14-year-old girl suffering from debilitating chronic UTI symptoms and associated urinary incontinence for many years. Multiple antibiotic courses provided

ABSTRACT Urinary tract infections are among the most prevalent bacterial infections worldwide, typically diagnosed using clinical symptoms, dipstick tests, and laboratory methods requiring standardized bacterial suspensions for antibiotic susceptibility testing (AST). This study evaluated two rapid disk diffusion methods for urine samples that incorporate bacterial concentration into the analysis, eliminating the need for standardized suspensions. The threshold-adapted approa

Abstract PURPOSE: The purpose of this analysis was to compare urinary tract infection (UTI) rates, health-related quality of life (QoL) and intermittent catheter (IC) experience, and satisfaction among participants who used hydrophilic ICs with a ring cap, protective introducer tip, and sleeve (Group A) to those who used ICs without this combination of features (Group B). DESIGN: Analysis of data from a prospective, observational, longitudinal continence care registry. SUBJ

Abstract Introduction: To determine whether prolonged urinary catheterization due to vesicourethral anastomotic leakage (VAL) after robot-assisted radical prostatectomy (RARP) impacts urinary continence recovery and quality of life (QOL). Methods: We retrospectively analyzed 360 patients who underwent transperitoneal RARP at a single institution from January 2022 to December 2024. All patients underwent cystography on postoperative day 6 or 7. Those with VAL requiring extende

Active surveillance (AS) is a common approach for men with low-risk prostate cancer, allowing them to avoid or delay surgery or radiation. Because some lab and observational studies suggested that metformin (a widely used diabetes drug) might slow cancer growth, researchers tested whether it could help men on AS stay progression-free longer. The Metformin Active Surveillance Trial (MAST) was a large, well-designed study involving 408 men with low-risk, localized prostate canc

Abstract Purpose Active surveillance (AS) is a standard management strategy for low-risk prostate cancer (PCa), but a significant proportion of patients ultimately experience disease progression. Metformin, a commonly prescribed antidiabetic agent, has demonstrated antitumor activity in preclinical studies and observational data, prompting investigation into its potential to delay PCa progression. Patients and Methods The Metformin Active Surveillance Trial (MAST) was a multi

ABSTRACT Objective To assess the long-term outcomes and lived experiences of patients with genitourinary radiation injuries following prostate cancer radiation therapy. Materials and Methods This mixed-methods study included twenty patients recruited from a high-volume reconstructive urology practice from 2023 to 2025. Participants completed International Prostate Symptom Score (IPSS) and Patient-Reported Outcomes Measurement Information System Sexual Function and Satisfactio

Abstract Introduction: Overactive bladder (OAB) is defined as urinary urgency, usually accompanied by increased daytime frequency and/or nocturia, with urgency urinary incontinence (OAB-wet) or without (OAB-dry), in the absence of urinary tract infection or other detectable disease. The key symptom of OAB, urinary urgency, is defined as a complaint of sudden, compelling desire to pass urine which is difficult to defer. However, patients report a range of individual experience

Abstract Background: Falls among older adults remain a major global health concern, often leading to injury, disability, and loss of independence. Physical therapists are key stakeholders in fall prevention, yet their knowledge, attitudes, and practices remain underexplored in Saudi Arabia. Objectives: This study aimed to assess physical therapists' knowledge, attitudes, and confidence regarding fall prevention strategies for adults aged 65 and above and to identify factors i

The Importance of Diverse Clinical Trials This study examines how the underrepresentation of vulnerable patients in clinical trials may lead to underestimated risks of adverse drug effects, particularly regarding cancer medications. Using data from the Surveillance, Epidemiology, and End Results (SEER) Program linked to Medicare claims, researchers analyzed the relationship between trial participation and drug-induced serious adverse events (SAEs). Increased Hospitalization R

Abstract Purpose Active surveillance (AS) is a standard management strategy for low-risk prostate cancer (PCa), but a significant proportion of patients ultimately experience disease progression. Metformin, a commonly prescribed antidiabetic agent, has demonstrated antitumor activity in preclinical studies and observational data, prompting investigation into its potential to delay PCa progression. Patients and Methods The Metformin Active Surveillance Trial (MAST) was a multi

Abstract The diagnostic workflow for prostate cancer detection has evolved substantially with advances in imaging technologies and biopsy techniques. Currently, MRI is the standard modality for prostate imaging in cancer detection. However, the rising incidence of prostate cancer and the limited accessibility and high cost of MRI created a growing need for more cost- and time-effective alternative imaging modalities. Micro-ultrasound (microUS), which enables prostatic ductal

ABSTRACT Aims Recurrent urinary tract infections are a common medical problem and current guidelines recommend both antibiotic and non-antibiotic preventative treatments. However, for a significant proportion of patients with this condition these second-line treatments are not effective. As a result, there has been recent focus on more targeted treatment such as intravesical instillations and bladder fulguration procedures. We aim to report discussions regarding these targete

INTRODUCTION: Urinary incontinence in men after endoscopic enucleation of benign prostate hyperplasia (BPH) can reach 55% and significantly impairing the quality of life and social rehabilitation of patients. A large number of individual patient parameters and features of surgical treatment are considered as potential risk factors. At the same time, the influence of urodynamic factors, including the external urethral sphincter function at the preoperative stage, fades into t