Liehr U B, Baumunk D, Blaschke S, Fischbach F, Friebe B, König F, Lemke A, Mittelstädt P, Pech M, Porsch M, Ricke J, Schindele D, Siedentopf S, Wendler J J, Schostak M
Klinik für Urologie und Kinderurologie, Universitätsklinikum Magdeburg A.ö.R., Leipziger Straße 44, 39120, Magdeburg, Deutschland.
Urologische Praxis, Backnang, Deutschland.
Radiologe. 2017 Aug;57(8):608-614. doi: 10.1007/s00117-017-0273-4.
A more than 100-year period, where the prostate was only seen and treated as a whole is coming to an end right now. Finally, high resolution imaging is providing deep insights and detailed information so that new therapeutic procedures can aim for the smallest targets within the gland. The long-standing wish of patients for individual noninvasive diagnostics and treatment of prostate diseases can now be fulfilled by providing new tailored concepts; however, in order to transfer the enormous amount of new information into the specific clinical patient situation, a closely knit interdisciplinary approach is required. In this setting, the traditional outpatient consultation service is overstretched in every aspect. It is now the time for new innovative constructs. The current one-sided service concept for urologists, radiologists and radiation therapists is therefore behind the times and the development of a "prostate management team" with equally cooperating partners from each specialty is the task for the future.
一个长达100多年的时期即将结束,在这个时期里,前列腺仅被作为一个整体看待和治疗。如今,高分辨率成像正在提供深入见解和详细信息,以便新的治疗程序能够针对腺体内最小的靶点。通过提供新的定制概念,患者长期以来对前列腺疾病进行个体化非侵入性诊断和治疗的愿望现在可以实现;然而,为了将大量的新信息转化为具体的临床患者情况,需要一种紧密结合的跨学科方法。在这种情况下,传统的门诊咨询服务在各个方面都不堪重负。现在是时候采用新的创新模式了。因此,目前泌尿外科医生、放射科医生和放射治疗师的片面服务理念已经过时,组建一个由各专业同等协作的伙伴组成的“前列腺管理团队”是未来的任务。