Czech urology, 1998 (vol. 2), issue 3

Úvodní slovo

Ces Urol 1998, 2(3):4  

O symptomatologii benigní hyperplazie prostaty

I. Kawaciuk

Ces Urol 1998, 2(3):5-8  

Rare priaaary tumors of the prostate

V. Nagy, L Sokol, J. Bodnár, M. Bača, L Valanský

Ces Urol 1998, 2(3):9-13  

The authors report 11 (3,47%) patients in the 8-to-79 age-bracket (average age 63,5) treated for an unusual or rare type of primary prostate tumor during the years 1987 - 1996. In 9 patients the rare carcinomas appeared in a mixed form with a regular adenocarcinoma of the prostate. There was a carcinoma arising from large (primary) prostate ducts diagnosed in 4 patients, urotelial carcinoma in 5 patients (1 of them in a pure form), a small-cell carcinoma in 1 patient and a pure rhabdomyosarcoma of the prostate in another 1 patient. 4 patients suffering an incidental adenocarcinoma coming out of the primary ducts have been surviving on hormonal therapy...

Evaluation of the influence of total prostate specific antigen, age and the prostate volume on the free/total prostate specific antigen ratio

M. Lukeš, M. Urban, R. Grill, R. Sabra

Ces Urol 1998, 2(3):14-17  

The free/total prostate specific antigen ratio (f/t PSA) is significantly lower in patients with carcinoma of the prostate cancer when compared to patients with benign hyperplasia of the prostate. Determination of this ratio increases the specificity of the prostate specific antigen for prostate cancer detection.In a group of 95 patients the authors evaluated the influence of the total prostate specific antigen (PSA) serum concentration, the volume of the prostate and the age of the patient, on the f/t PSA ratio. They demonstrated a statistically significant relation between the PSA levels and the f/t PSA ratio.

Prostate cancer: Screening or case finding?

M. Horňák

Ces Urol 1998, 2(3):18-22  

When the prostate cancer diagnosis is based on the symptom emergence, the disease has usually progressed locally or metastasized beyond the possibilities of curative therapy. An early diagnosis based on the screening of the higher male population age-groups represents one of the ways to better results. Before starting a screening process for any kind of a disease one has to meet the standards set by the World Health Organization. This report analyses the individual criteria of the prostate cancer screening program. Majority of the criteria required for the symptom-free population screening does apply for the prostate cancer. Nonetheless, the expert...

The kidney dystopia and skeletal scintiphotography

O. Kraft

Ces Urol 1998, 2(3):23-24  

Scintiphotography of the skeleton was performed on a 71-year old female patient. The scintiphotograph revealed a suspicious focal lesion in the area of the sacro-iliac articulation. Following this finding a static scintiphotography of the kidneys was performed disclosing a sacral kidney dystopia, causing the falsely positive fin-ding in the initial skeletal scan.

An evaluation of the results oftransreoal ultrasound-guided biopsy of the prostate

A. Čermák, D. Pacík

Ces Urol 1998, 2(3):25-29  

In the period from November 1995 to December 1997,216 prostate puncture biopsies were made at the Department of Urology of University Hospital in Brno.Transrectal biopsy under ultrasound control (TRUS) and examination in two planes were the methods used.Because DRE, PSA serum level and sonographic examination are not specific enough, a histologie examination is necessary for the confirmation of the diagnosis of prostate carcinoma.The indications for the biopsy to be made were: abnormal palpation findings, increased PSA level or a suspect sonographic finding. Sextant biopsies were made in the case of hypoechogenic lesions, or further...

The anatomical basis and the clinical interpretation of the orthotopic neovesica in a woman

L. Jarolím, M. Babjuk, M. Grim, O. Naňka, T. Hanuš, M. Janský, C. Povýšil

Ces Urol 1998, 2(3):30-34  

A surgical technique sparing the urethra for the following orthotopic replacement of the bladder was elaborated based on studies of the female urethra anatomy. A group of 32 patients with invasive carcinoma of the bladder underwent surgery during the 1993 - 1998 time period. Normal bladder control on a daily basis was experienced by 20 patients. Twelve patients suffer by urinary stress incontinence, while in six of these residual urine in the amount of 250 - 300 ml was determined after urination. 21 patients state one or two events of nocturia per night. The patients with residue perform an intermittent clean autocatheterization after spontaneous urination...

The monitoring of the PSA decrease following radical prostatectomy

L. Šafařík, L. Jarolím, J. Dvořáček

Ces Urol 1998, 2(3):35-38  

A prospective study monitoring the decrease of the PSA levels in relation to the volume of the prostate removed and to the duration of the surgical intervention. A correlation was found between a complication-free procedure and a quick PSA decrease down to zero levels. On the contrary a prolonged surgical procedure can be followed by a slow gradual decrease of the postoperative PSA levels. The prognostic value of this slow decrease will be explored during additional observations.

Předání Čestné medaile ČLS JEP Prof. MUDr. Eduardu Hradcovi, DrSc.

Ces Urol 1998, 2(3):41-46  

Cena ČUS

Ces Urol 1998, 2(3):47