Czech urology, 2001 (vol. 5), issue 5
Signifiance of nutritional support and metabolic care
J. Klečka, P. Těšínský
Ces Urol 2001, 5(5):5-8 | DOI: 10.48095/cccu2001035 
In a retrospective study the authors evaluate significance of nutritional support and metabolic care in patients after cystectomy. Complications associated with malnutrition were studied in a group of 29 consecutive patients from 1992 - 2000.14 pa-tients (48,3 %) were evaluated as malnourished. The results indicate a longer period of hospital stay in malnourished patients in comparison with patients in a normal state of nutrition. Furthermore, presence of early postoperative complications is higher in patients with malnutrition (78,5 %) in comparison with normal state of nutrition (40,0 %). Early mortality is higher in malnourished patients, the follow...
Toxic epidermal necrolysis in a patient treated with trimethoprim/sulfamethoxasol
M. Louda, P. Žák, J. Pacovský, M. Salavec, M. Loudová, R. Zachoval, S. Ságlová
Ces Urol 2001, 5(5):12-14 | DOI: 10.48095/cccu2001036
The authors present the case of 49 year old male treated for the urinal infection with trimethoprim/sulfamethoxasol. The serious toxoallergic reaction developed after 5 days of the treatment. The administration of trimethprim/sulfamethoxasol was stopped and the patient was placed in a room with reversal isolation. Repeated plasma-pheresis followed and complex auxiliary therapy was given. The dermal areas were temporarilly covered with the xenotransplants. The patient was discharged after 25 days.
Metanephric adenoma - a case report and the review of literature
M. Hora, O. Hes, Z. Ouda, M. Michal, L. Boudová, Z. Chudáček
Ces Urol 2001, 5(5):15-19 | DOI: 10.48095/cccu2001037
The metanephric adenoma (AAA) is a relatively rare tumour. It was and it still often is confused with particularly the papilar renal carcinoma and nephroblastoma. It afflicts patients of any age, even children, and more frequently female (2:1). About 100 cases have been published so far and in only one case the metastases to the regional lymph nodes are reported. In the other cases the AAA was benign. It is impossible to distinguish the AAA from other renal tumours preoperatively by imaging studies.Our evidence: isoechogenous, well demarcated expansion of the right kidney, 5cm in diameter, was found in the 43 old female. The finding of a homogenous...
An unusual cause of localisation of disseminated renal pelvis carcinoma into myocard
J. Klečka, M. Hora, J. Droppa, Š. Hadravská, P. Mukenšnábl
Ces Urol 2001, 5(5):20-22 | DOI: 10.48095/cccu2001038
In case report authors describe an unusual cause of localisation of disseminated renal pelvis carcinoma from transitional epithel into myocard. Urothelial carcinoma generalise mainly in regional lymph nodes, bones and lungs. Finding dissemination into myocard is very rare and we managed to find two notes only in this localisation.
Our first experience with profilometry of the upper part of urinary tract
O. Köhler, P. Drlík, M. Bartůněk, O. Bernard, J. Poduška, J. Kočárek
Ces Urol 2001, 5(5):23-27 | DOI: 10.48095/cccu2001039
18 profilometrie studies of the upper urinary tract in 13 patients (8 females, 5 males) were carried out during the period from June 1999 till May 2000. The average age of the group was 41.5 (between 20 to 63 years). 4 studies were carried out for the obstruction of the pyeloureteral passage, 2 for for suspected obstruction of the ureteropelvic junction prior to the percutaneous n ep hro lithotomy, 1 for constriction of the juxtavesical ureter and 1 in a female patient after the operation for the tumour of the ascending colon. The results of the profilometry were compared with the clinical findings , furosemide IVU, ascending ureteropyelography, renal...
Laparoscopic partial adrenalectomy for feochromocytoma
V. Študent, K. Belej, A. Vidlář, I. Hartmann, F. Zaťura
Ces Urol 2001, 5(5):28-33 | DOI: 10.48095/cccu2001040
The authors present their first experience of the laparoscopic operation of feochromocytoma - partial adrenalectomy.Feochromocytoma was confirmed by the endocrinological examination in a 35 year old female with fluctuating hypertension in her history. The CT scan imagined the tumour in the lower part of the left adrenal gland. We explored laparoscopically the area over the vena renalis sinistra, cut selectively v. suprarenalis sinistra, cut a. suprarenalis sinistra inferior and media, and finished the resection of the tumour of 3 cm size. No substantial fluctuation of the arterial blood pressure followed. There were no complications during the...
Rare anomaly of urogenital tract: Uterus bicornis and agenesis renis
M. Broďák, P. Morávek, J. Donát
Ces Urol 2001, 5(5):34-36 | DOI: 10.48095/cccu2001041
The authors present the case of a 46 years old female hospitalized in the Department of Urology of the University Hospital in Hradec Králové suspected to have the hydronephrosis of the dystopic left kidney, and the myomatous, anomalous uterus (uterus bicornis unicollis).The uterus was removed as well as the hollow "organ" supposed to be the non functional, hypoplastic, dystopic kidney. The histological finding was uterus bicornis and myofibrous tissue, covered with stratified, cylindrical epithelium. The discussion shows that the disease is not a rare combination of the agenesis of kidney and the uterus duplex. The patient who had a history of...
Closure of extensive urethrorectal fistula by combined approach through dorsal rectotomy and endoscopic resection of fistula canal
O. Köhler, P. Havlík, M. Hájek, P. Drlík
Ces Urol 2001, 5(5):37-39 | DOI: 10.48095/cccu2001042
Urethrorectal fistulae are rare but serious conditions. Acquired fistulae occur most frequently as a complication of the surgical treatment of the diseases of prostate and rectum, as a result of an injury or as a complication of the inflamatory diseases in this area. Their correction is always very difficult and demands a gradual process in several steps. Besides the established procedures new and successul trials to minimize the invasivity of treatment have appeared in the last several years. The closure of the extensive urethrorectal fistula after transurethral prostatectomy in our patient were complicated by extreme obesity and the hypotónia...