Czech urology, 2025 (vol. 29), issue 4

Editorial

Kristýna Pivovarčíková

Ces Urol 2025, 29(4):185  

Robot-assisted radical cystectomy with intracorporeal diversion – Bordeaux neobladder, technique and first results

Vladimír Študent jr., František Hruška, Igor Hartmann, Vladimír Študent

Ces Urol 2025, 29(4):189-191 | DOI: 10.48095/cccu2025022  

Introduction: Robotic-assisted radical cystectomy (RA-RACE) has emerged as a viable alternative to traditional open surgery. However, the complete intracorporeal creation of the neobladder presents significant technical challenges. This paper reports on a series of intracorporeal RA-RACE procedures utilizing the Bordeaux neobladder (modified Y reconstruction), which has recently gained popularity as an alternative to the classic Studer diversion (Wiklund, Karolinska neobladder). One of the key advantages of the Bordeaux neobladder is that it is technically more simple to perform, as it does not require ureteral transposition, making reimplantation...

Robot-assisted bladder diverticulectomy - video

Milan Hora, Adriana Bartoš Veselá, Ivan Trávníček, Petr Stránský jr., Dominika Šiková, Jitka Voráčková, Tomáš Ürge, Jiří Ferda, Jan Pernický, Marián Švajdler, Kristýna Pivovarčíková

Ces Urol 2025, 29(4):193-194 | DOI: 10.48095/cccu2025025  

Objective: To present the technique of robot-assisted diverticulectomy (RADE) in a video.File: Between 2011 and 2020, we performed 35 laparoscopic diverticulectomies, 15 of which were combined with photoselective vaporization of the prostate using a green laser (PVP). From 2021 to October 2025, we performed 16 RADE procedures. RADE technique: Supine position, lower limbs abducted. We begin with cystoscopy using a flexible (supine position) or rigid cystoscope - previously in the lithotomy position, in the last four cases already in the final position. The ureter on the side of the diverticulum is probed with a ureteral catheter. Capnoperitoneum is...

Reconstruction of ureteral stricture using buccal mucosal graft

Miloš Broďák, Jiří Špaček

Ces Urol 2025, 29(4):195-196 | DOI: 10.48095/cccu2025027  

Introduction: We present an innovative surgical procedure for the correction of ureteral stricture resulting from ureteroscopic laser lithotripsy of a stone. The risk factors are a bulky stone and high-energy laser use, both of which were present in our case. We present a case report of a successful robot-assisted surgery for a ureteral stricture, which was temporarily decompressed by nephrostomy. The use of a buccal graft has been successfully used in reconstructive surgeries and in urology since 1942, especially in urethroplasty. According to recent foreign presentations, the transferred buccal graft can also be used in upper urinary tract reconstructions.Case...

Gender reassignment in the Czech Republic – legislative framework and medical aspects

Adam Novák, Marcela Fontana, Lucia Strhárska, Ladislav Jarolím

Ces Urol 2025, 29(4):197-205 | DOI: 10.48095/cccu2025026  

Major statement: The article summarizes the medical, legal, and psychosocial aspects of gender conversion in the Czech Republic. It describes diagnostics, hormonal and surgical therapy, legislative changes effective from July 2025, and emphasizes the need for multidisciplinary, long-term, and respectful care. Summary: Gender dysphoria currently represents an important medical, legal, and social issue, closely linked to fundamental human rights and freedoms. In the Czech Republic, the process of gender transition is embedded in the legal system, with its conditions and procedures defined primarily by the Civil Code, the Act...

The relationship between nocturia and obstructive sleep apnoea as a cause of nocturnal polyuria

Radek Paus Sýkora, Tomáš Rychlý, Jan Krhut

Ces Urol 2025, 29(4):206-211 | DOI: 10.48095/cccu2025029  

Nocturia is defined by the International Continence Society as any nighttime urination that is both preceded and followed by sleep. It primarily affects older individuals, and its prevalence increases with age. The main causes of nocturia include global polyuria, nocturnal polyuria, and reduced bladder capacity, which may result from either storage or voiding dysfunction. Obstructive sleep apnoea syndrome is a condition in which repeated collapses of the upper airway during sleep lead to episodes of hypopnea or apnoea. As a consequence, pathophysiological changes occur that cause increased secretion of atrial natriuretic peptide from the atrial cardiomyocytes,...

Retrospective evaluation of vasectomy outcomes – effectiveness, complications, and adherence to post-vasectomy semen analysis in Czech urological practice

Marek Broul, Aneta Hujová

Ces Urol 2025, 29(4):212-216 | DOI: 10.48095/cccu2025023  

Introduction: Vasectomy is a highly reliable method of permanent male contraception with a very low risk of failure after confirmed sterility. In Czech clinical practice, sterility is traditionally defined by repeated complete azoospermia, whereas current AUA/EAU guidelines accept a single post-vasectomy semen analysis (PVSA) showing azoospermia or rare non-motile sperm (RNMS ≤ 100,000/mL). Patients and methods: We retrospectively evaluated men after vasectomy between January 2022 and May 2025 who were operated on at our centre or at least two other urological departments and subsequently referred to our clinic for PVSA and/or late follow-up....

Robot-assisted partial resection of multiple kidney tumors

Jana Kocháňová, Jiří Heráček, Miroslav Záleský

Ces Urol 2025, 29(4):217-222 | DOI: 10.48095/cccu2025028  

Major statement: The study evaluated robot-assisted partial nephrectomy in 18 patients with multiple ipsilateral renal tumors. The results showed that it is a safe procedure with a low rate of complications, positive margins, and recurrences, while effectively preserving renal function.Summary: Introduction: Robot-assisted partial nephrectomy represents the standard nephron-sparing procedure for localized renal tumors. Multiple ipsilateral renal tumors are rare, and their surgical management poses a challenge in terms of preserving renal function and ensuring oncological safety. The aim of this study was to evaluate the safety,...

Zpráva z Výroční konference ČUS 2025 v Hradci Králové

Miloš Broďák

Ces Urol 2025, 29(4):223-224  

Zpráva z kongresu AUA 2025 v Las Vegas, USA

Miloš Broďák, Michal Balík

Ces Urol 2025, 29(4):226-228