Czech urology, 1999 (vol. 3), issue 1

Úvodní slovo

Ces Urol 1999, 3(1):3  

The myogenous failure of urinary bladder detrusor and urine incontinence

R. Fiala, F. Záťura, R. Reif, R. Vrtal

Ces Urol 1999, 3(1):7-10  

Authors mention a possible confusion of both illnesses, which have different aetiology and different treatment. Lazy bladder - myogenous bladder failure - is a disease with symptoms of urine escape, inflammations and very frequent micturition or contrary irregular and difficult micture. It can imitate the stress incontinence, urgent incontinence or idiopathic retention status.The findings in 35 patients sent for incontinence diagnosis were evaluated, where by further examinations the lazy bladder was finally diagnosed. 21 of them (60 %) have underwent an unsuccessful pharmacological treatment in duration from 4 to 24 months. After introduction...

Treatment of lower urinary tract dysfunction in children with spinal dysraphism

Z. Dítě, J. Dvořáček, R. Kočvara, T. Hanuš

Ces Urol 1999, 3(1):11-17  

The aim of this study was a retrospective analysis of treatment effectiveness of uro-logical complications in children with spinal dysraphism.In years 1982 - 1996 we performed urodynamic exams in 45 children with spinal disraphism. Until today 32 patients remained in our care (20 boys and 12 girls). Children were classified following the results of urodynamics in two groups: In first group were 28 incontinent children (88 %) with maximal intravesical pressure (P ves.max.) of 40 cm H2O and higher, 11 children (40 %) from this group had signs of moderate or severe hydronephrosis and 5 boys (18 %) had signs of renal insufficiency. The second group...

The use of bucal mucose in reconstruction of urethra

R. Kočvara, J. Dvořáček, J. Kříž

Ces Urol 1999, 3(1):18-21  

Free-graft surgery remains a significant option in urethral reconstruction. Recently, buccal mucosa proved to be the most favorable tissue for this purpose. In 1995-1998, this technique was employed in 10 patients with urethral stricture of different origin, which had been treated many times previously. Only the cheek buccal mucosa was used as an onlay graft, 30-80 mm long. The patch was mostly localised ventrally, in 2 patients dorsally. During medium 27 months of follow-up, 2 strictures appeared requesting a secondary procedure. One relative stricture requires an occasional dilatation. We recommend to use the buccal mucosa graft after repeated unsuccessful!...

Evaluation of serum and urine levels of tissue polypeptidic antigen (TPA) in diagnostics and follow-up of urological diseases

J. Krhut, V. Bartoš, K. Mainer, M. Závada

Ces Urol 1999, 3(1):22-26  

Authors investigated the serum and urine levels of tissue polypeptidic antigen (TPA-S, TPA-U) in 274 patients, divided into 5 groups: patients without apparent urotract pathology, patients with urinary tract infection, with urolithiasis, with renal parenchyma tumours and patients with tumours of urinary tract. The differences of TPA-S and TPA-U levels between groups were investigated, the correlation between TPA-S and TPA-U levels and dynamics of mentioned diseases in repeated controls was followed. Significantly higher levels of TPA-S were found in the group of patients with urinary tract tumours and significantly increased levels of TPA-U in all...

Submucous blood instillation - a method of vesicoureteral reflux treatment (preliminary results)

I. Novák

Ces Urol 1999, 3(1):27-30  

Our study evaluates our first results in endoscopic treatment of vesicoureteral reflux. We apply the patient's autologous blood under the mucous membrane according to the modified method of Matouschek instead of commonly used Teflon. The number of 54 patients (73 ureters) were examined in the period from January 1997 till January 1998. 52 patients were in the age group from 1 to 15 years, one was 40 years old male and one was 65 years old female. We have treated reflux grade I to IV The secondary reflux existed in 39 patients (72 %) - 53 ureters. All patients were undergoing longtime pharmacological treatment, but they suffered from repeated urinary...

Less invasive treatment of hemorrhage after percutaneous kidney surgeries

D. Pacík, A. Čermák, J. Boudný, K. Benda 1

Ces Urol 1999, 3(1):31-34  

In the period between 1992 and 1998, 644 cases of percutaneous nephrolithotomy were performed at the Department of Urology, Brno, University Hospital.We present our experience with treatment of hemorrhage after PCNL by percutaneous arterial embolisation.In the total of 644 patients monitored after PCNL, 5 cases (0.7%) of hemorrhagic complication occurred, which did not respond to conservative treatment. Because of significant hemorrhage after percutaneous tube removal, bleeding artery has been per-cutaneously embolised. In all cases, the situation was dealt with by superselective catheterization with subsequent embolisation.All cases have...

The erythropoetin use in radical prostatectomy

D. Pack, V. Vít, J. Doležel, B. Stíbor, I. Čundrle

Ces Urol 1999, 3(1):35-39  

The radical prostatectomy belongs to surgical therapy with potential blood loss. The tension towards the minimalisation of risk of alogenous blood application leads to expansion of standardised blood care methods, including preoperative autologous blood donorship (PAD) and acute isovolemic hemodilution (AHD), by the method of red cells production support using erythropoetin alpha. The aim of our study was to evaluate the changes in red blood cells count using the methods of blood treatment mentioned above and to assess the erythropoetin toleration and to reduce the disadvantages and potential risks of standard blood treatment methods.

Small cell carcinoma of urinary bladder

R. Zachoval, P. Palascak, M. Urban, A. Khamlu, A. Monnier, D. Debieuvre

Ces Urol 1999, 3(1):40-42  

Primary small cell carcinoma of the bladder is a rare condition with an incidence of 0,5-1 % and like small cell carcinoma of the lung is a highly malignant desease. All 133 cases reported to date were locally advanced at diagnosis and in 1/3 of cases represented a generalized disease. Regardless of intensive treatment, the majority of patients will die early after the diagnostic biopsy. Survival rate is about 7 months.Our presentation adds a new case report of a primary small cell bladder carcinoma with muscle invasion for which we indicated radical cystectomy. For serious internal diseases the proposed radical cystectomy was not recommended....

Mathematic simulation of illness prognosis in curable renal carcinoma

P. Zvára, I. Kawaciuk, L Hyršl

Ces Urol 1999, 3(1):43-47  

This study was conducted to develop a prognostic model for predicting 5-year crude survival for patients with renal cell carcinoma. The sample population was comprised of 121 patients treated with radical nephrectomy in Faculty hospital Prague - Motol between 1982 - 1993. Patients with inoperable tumour or distant metastases were excluded. The overall 5-year survival rate of the group was 68,6 % (83/121). The significance of age, sex, stage, grade and lymph node involvement as prognostic factors was evaluated. Data analysis and prognostic model construction were performed using logistic regression techniques. The statistical analysis was conducted...