ABSTRACT
In this review article, the authors describe all relevant aspects of the new S2k guideline from the German Society of Urology (Deutschen Gesellschaft für Urologie, DGU) for the diagnosis and treatment of IC/PBS (interstitial cystitis/painful bladder syndrome). A list of necessary and optional examinations and the necessity of diagnosis of exclusion are summarized and evaluated. The treatment options listed (ranging from conservative, oral drug, and complementary medicine to interventional surgical procedures) also give the reader a good overview of the contents of the guideline and possible therapeutic approaches. Finally, the recommendations including consensus of the guideline group are also summarized in various information boxes.
Subject(s)
Cystitis, Interstitial/diagnosis , Cystitis, Interstitial/therapy , Practice Guidelines as Topic , Urology/standards , Germany , Humans , Pain , Physical Examination , Societies, MedicalABSTRACT
The urethral protractor is a new device that helps push the urethral stump upwards together with the urogenital diaphragma. It facilitates suturing the anastomosis in radical prostatectomy and the intestino-urethral anastomosis after cystectomy. With the help of the urethral protractor, the urethral stump can be directed into various positions in order to simplify the localization and control of bleeding close to the urethra. By tilting the urethral protractor to one side, damage to the neurovascular bundles can be avoided when suturing. The urethral protractor consists of a rigid, reusable, suture guide made of stainless steel and a special, disposable balloon catheter.
