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Reimbursement summary for angioplasty of arteries of lower extremities

This post presents an extract from our reimbursement analysis for angioplasty of arteries lower extremities using plain and drug-coated balloons (DCBs) for peripheral artery disease in England, France and Germany. Plain balloon angioplasty is reimbursement via DRG solely and DCBs are reimbursement via combination of DRG and add-on reimbursement.
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New guideline on neurogenic bladder disorders published in Germany

The German Society for Neurology (DGN) has published a new version of the S1 guideline "Diagnostics and therapy of neurogenic bladder disorders." It is valid until January 2025.

The authors recommend the following diagnostic cascade:

  • Anamnesis
  • Neurological and urological examination, if necessary, gynecological examination
  • Bladder diary for at least three full days
  • Urine sediment examination (medium jet or better catheter urine)
  • Residual urine measurement (sonographically or by single-use catheterization)
  • Urine flow measurement (Uroflow)
  • (Video) urodynamics (so-called bladder pressure measurement) with pelvic floor electromyography (EMG)
  • Urethrocystoscopy and urinary bladder cytology
  • Kidney sonography
  • Creatinine, urea, possibly 24-hour creatinine clearance
  • Lasix or stress isotope nephrogram.

If vesicorenal reflux has already occurred, it is advisable to use these procedures to document the initial findings. Based on these steps, a diagnosis can usually be made. Differential diagnosis should also distinguish psychiatric and psychosomatic diseases.

The guideline in German can be found here.

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