Czech urology, 2002 (vol. 6), issue 1
When it is necessary to perform adrenalectomy in radical nephrectomy and when it is not?
R. Fiala, L. Domes, K. Belej, F. Záťura
Ces Urol 2002, 6(1):4-7 | DOI: 10.48095/cccu2002001 
Adrenalectomy is indivisible part of radical nephrectomy since 1963. The question: Is it necessary to perforn adrenalectomy in radical neprectomy? is dicussed more intensively during past 10 years.Data of patients with renal adenocarcinoma treated in The Department of Urology, University Hospital Olomouc and Urological Ward, Hospital Kroměříž were evaluated retrospectively. Complete documentation was available in 348 patients. Radical nephrectomy with adrenalectomy was performed in 90 cases and in 2 58 cases was performed radical nephrectomy without adrenalectomy.Upper renal pole was affected in 134 patients (38,5 %), central part of kidney...
4 cases of automutilation of external genitals
Š. Kudláčková, R. Fiala
Ces Urol 2002, 6(1):8-11 | DOI: 10.48095/cccu2002002
4 cases of automutilation of external genitals are described in this case report. It is rare injury and more than one half cases are psychopathic patients. In 3 cases injury was performed in the period of psychical decompensation. Replantation was not performed in any case because amputated part was degradated during transport or was left on site. Patients do not regret their act even in the remission of their psychiatric disease. The fourth case is a mild mutilation where small spherical bodies were implanted subcutaneously to the penis and patient visited medical doctor because of pain later on.
First experience with TUNA method (transurethral needle ablation) in treatment of BPH
P. Kumstát, D. Pacík
Ces Urol 2002, 6(1):12-16 | DOI: 10.48095/cccu2002003
BPH occurs in more than 50% males in sixth decade and clinical symptoms are present in three qurters of 80 years old males. Urological specialist is more and more forced to treat men in great age very often affected by associated diseases which make the risk of classical methods of treatment, as TURP (transurethral resection of prostate) and open prostatectomy, higher.The authors evaluate thei first experience with low invasive method of treatment BPH - TUNA (transurethral needle ablation). In The Department of Urology, University Hospital Brno - Bohunice 10 operations were performed in patiens with associated diseases where TURP as standard treatment...
Pubovaginal sling - complication and their solution
K. Mainer, J. Krhut
Ces Urol 2002, 6(1):17-19 | DOI: 10.48095/cccu2002004
The authors report on complications associated with surgical correction of stress incontinence (SI) in women using the pubovaginal sling. During 40 months they used this method to operate 110 patients. They achieved improvement of SI symptoms in 108 patients (98%) and the satisfaction with the post-operation result in 98 patients (89%). As to non-serious complications, they reported urinary bladder perforation in four cases, urocystitis in eight cases, transient hyp e rco r re cti o n in 12 cases and tolerable urgencies in 36 cases, in this nine that occurred de novo. As to serious complications, they reported persisting stress incontinence in two...
Acute epidydimitis - uroinfection or STD?
M. Matoušková, M. Hanuš, I. Mášová
Ces Urol 2002, 6(1):20-22 | DOI: 10.48095/cccu2002005
Acute epidydimitis is one of the frequent diseases of lower urinary tract. Testalgia and unilateral painful scrotal oedema are common symptoms. Sometimes fever, micturition difficulties and urethral discharge are presented in the time of presentation. This disease occurs in males ranged from puberty to graet age.Group of 83 patiens examined in our urological centre in 2000 - 2001 is presented. We consider careful clinical, microbiological and ultrasound examination as essential not only for differential diagnosis but also for therapy.We have found two-peak median of incidence in patients with acute epidydimitis - 27 and 5G years of age.Survey...
State of art of diagnosis and treatment of BHP in Czech Republic (rewiew article)
P. Morávek
Ces Urol 2002, 6(1):23-25 | DOI: 10.48095/cccu2002006
The author has elaborated rewiew of state of art of diagnosis and treatment of BPH in Czech Republic on basis of information from 11 urological departments (University Depatments of Urology and regional Urological Departments). He has compered gained information with data of the west european countries (France, Germany, Italy, Great Britain) and U.S.A. He has found that diagnosis and treatment of BPH in Czech Republic is at least at the same level than in above mentionem countries. Use of mentioned diagnostic and therapeutic methods in on particular departments on basis of recommended techniques of The Czech Urological Society but depends on instrumental...
Papillary renal carcinoma
M. Hora, O. Hes, L. Boudová, Z. Chudáček, Z. Ouda, M. Michal, M. Roušarová
Ces Urol 2002, 6(1):26-31 | DOI: 10.48095/cccu2002007
Papillary renal carcinoma (PRC) is in comparison with conventional renal carcinoma (CRC) from many aspects different variety of renal carcinoma (RC). The aim of this paper is evaluation of own group of patients with PRC oriented to morphological differences from other types of RC in preoperative imaging examinations with special care of malignant potential of PRC.Material and methods: 489 renal tumours of 477 patients were examined from 1/1991 to 8/2001 in The Department of Urology, Univesity Hospital Pilsen. RC was found in 448 tumours, mainly CRC. PRC was diagnosed in 4.7% (21/448) of RC and it was second most common after the CRC. Trird most...
Appendix utilization in creation of continent mechanism of urine derivation
A. Rovný, F. Rovný, P. Řehořek, I. Šabacký, M. Drábek, P. Boris
Ces Urol 2002, 6(1):32-35 | DOI: 10.48095/cccu2002008
This presentation includes a short historical review of the use of the appendix in urologie surgery and describes in detail operative techniques used in the Department of Urology of St. Anna University Hospital, Brno. The authors present a group of 17 patients with heterotopic reservoir and continent appendicostomy.
Incidental prostate adenocarcinoma in patients after radical cystectomy for urothelial carcinoma
P. Prošvic, P. Morávek, E. Šimáková
Ces Urol 2002, 6(1):37-40 | DOI: 10.48095/cccu2002009
Prostate cancer was the second most commonly reported malignant tumour after the pulmonary tumours in 1997 in Czech Republic; incidence of prostate cancer was 52.9/100 000 males in 1997. Bladder carcinoma was the sixth most common reported malignant disease in males with incidence 27/100 000 males in 1997.164 cystoprostatectomies for diagnosis urinary bladder carcinoma were performed on the Department of Urology, University Hospital, hradec Králové in 1989 - 2000. Prostatic tissue was cut from the apex to the basis in transversal planes 5 mm each other. Adenocarcinoma was found in 23 (14.6%) cases of 157 evaluated samples. In any patient there...