Czech urology, 2006 (vol. 10), issue 3
Utilization of quantitative detection of complement factor H-related protein (BTA TRAK) in urine to monitor patients with Ta and T1 urothelial bladder carcinoma
M. Babjuk, V. Soukup, MUDr. Michael Pešl, M. Koštířová, L. Pecen, J. Dvořáček
Ces Urol 2006, 10(3):5-9 | DOI: 10.48095/cccu2006016 
Introduction: Our objective was to define the possible role and benefit of the BTA TRAK test in the surveillance of patients with Ta and T1 bladder tumours. Material and methods: Eighty-one patients with primary Ta and T1 urothelial cell carcinoma of the bladder treated by transurethral resection (TUR) were included in the study. The patients were followed routinely with cystoscopy at regular intervals. Urine samples for BTA TRAK testing were collected prior to initial transurethral resection and then prior to each check cystoscopy. The value of the BTA TRAK test was correlated to the result of the endoscopic investigation. Correlation...
Role of powerDoppler sonography with 3D reconstruction in preoperative diagnostics
M. Záleský, M. Urban, Z. Šmerhovský, R. Zachoval, M. Lukeš, J. Heráček
Ces Urol 2006, 10(3):10-17 | DOI: 10.48095/cccu2006017
Introduction: This study evaluates the results of preoperative Power Doppler sonography with 3D reconstruction and other diagnostic methods based on their comparison with postoperative assessment of tumor extension in a radical prostatectomy specimen.Patients and Methods: One hundred forty-six patients with clinically localized cancer diagnosed per rectum (DRE) and PSA level lower than 20 μg/ml were enrolled into the study and subjected to radical prostatectomy. Each patient underwent transrectal sonography (TRUS), Power Doppler sonography with 3D reconstruction (3D-PDS), and the risk of the occurrence of locally advanced tumor...
Multichannel urethral profilometry in diagnosing incontinence: a clinical study
F. Záťura, R. Vrtal
Ces Urol 2006, 10(3):18-23 | DOI: 10.48095/cccu2006018
Objective: To evaluate the effect of the position of the measuring catheter opening in the urethra during urethral pressure profilometry. Material and methods: Fifty-six patients with incontinence underwent four-channel urethral profilometry with a specially designed device. The parameters of maximum urethral closure pressure (MUCP) and functional urethral length (FUL) were evaluated statistically. In addition, a new parameter of ?maximum circumferential pressure? was proposed. Results: A statistical analysis in 38 and 35 patients with stress incontinence revealed that the distribution pattern of MUCP in individual...
Metrological properties of profilometry catheters in an experiment
F. Záťura
Ces Urol 2006, 10(3):24-29 | DOI: 10.48095/cccu2006019
Using an experimental phantom of the urethra made from the urethra of the bull, compression pressures acting from one side as well as circular pressure were simulated. Both the measurement with the perfusion method using catheters with one or more openings and the measurement with catheters with a measuring chamber have been shown to provide good reproducibility, however, the signal is strongly dependent on the position of the catheter in the urethra. The same applies to the catheter with an incorporated sensor (MikroTip). Overall information on the pressure from the whole circumference of the urethra was obtained only from an air-charged balloon catheter...
The effect of halotan inhalational anaesthesia on the course of dual-channel
O. Šmakal, doc. MUDr. František Záťura CSc., J. Vrána, I. Hartmann, J. Špaňhel, E. Berta
Ces Urol 2006, 10(3):30-32 | DOI: 10.48095/cccu2006020
Objective: The aim of this trial was to determine the effect of halotan anaesthesia (HIA) on the parameters of filling cystometry in children. Material and methods: Dual-channel filling cystometry was performed in a group of well cooperating children in standard conditions and subsequently using halotan standardized anaesthesia. Urodynamic (UD) parameters were compared. Twenty-one children (7 boys, 14 girls) aged 3?12 years (mean age: 7.8 years) were examined. The indications for urodynamic study were pathological findings in non-invasive urodynamic study or neurogenic and non-neurogenic micturition disorders. Results:...
Use of small intestinal submucosa (SIS) in the treatment of anterior urethral strictures
R. Fiala, A. Vidlář, R. Vrtal, M. Grepl, V. Študent
Ces Urol 2006, 10(3):33-38 | DOI: 10.48095/cccu2006021
In our work we evaluate our experience with porcine small intestinal submucosa (SIS) used in the treatment for strictures of the bulbar and penile urethra. From January to December 2003, 50 patients aged 45 - 73 years underwent urethroplasty using porcine SIS collagen based matrix for urethral reconstruction. A mean follow up period was 31.2 months (range 24 - 36 months). The clinical, radiological, and cosmetic findings were excellent in 40 (80 %) of the fifty patients treated. Restricture developed in 1/10 bulbar strictures, 5/31 bulbopenile strictures, and 4/9 penile strictures during 6 months postoperatively with no recurrence observed later on....
Enteroureteral fistula as a complication of Crohn´s disease
F. Kučera, J. Banovský, J. Vykoukal
Ces Urol 2006, 10(3):39-41 | DOI: 10.48095/cccu2006022
The case report presents a twenty-nine year old man diagnosed with a rare urological complication of Crohn´s disease. An enteroureteral fistula was found originating from the terminal ileum, crossing the retroperitoneum from the right to the left, and running into the lumen of the left ureter. This condition was clinically manifested by nephralgia on the left side and dysuric problems with leucocyturia. No signs of pneumaturia or faecaluria were present. Characteristic symptoms of Crohn´s disease such as diarrhoea, subfebrile states or abdominal pain were not present. The condition was successfully treated by surgery.
Artificially induced priapism
M. Romžová, I. Novák
Ces Urol 2006, 10(3):42-44 | DOI: 10.48095/cccu2006023
The authors report 2 cases of men with self-induced priapism brought on in an atempt to prolong erection. It was achieved by application of strangulation devices at the base of the penis. The urological team decided to perform a surgical correction. In the first case, the strangulation device was cut, in the second case, a distal shunt by Winter and blood evacuation from the penis had to be performed. Following that, the strangulation ring was removed.
Multiple congenital bladder diverticulum in a boy
J. Molčan, R. Kočvara, J. Dvořáček
Ces Urol 2006, 10(3):45-48 | DOI: 10.48095/cccu2006024
The authors report their experience with the diagnosis and management of rare multiple congenital bladder diverticulum in a child. A 10-year-old boy had a history of recurrent urinary tract infection (UTI). Diagnostic investigations revealed diverticula located on the posterior bladder wall. Anatomical and functional bladder outlet obstruction was excluded. Urodynamic study (preoperatively) showed increased bladder capacity, significant postvoid residuum, and sphincteric relaxation during voiding. Diverticulectomy was indicated. Diverticula were removed by partial resection of the posterior bladder wall. Ureteral reimplantation was not necessary. The...
High-flow priapism in children
R. Sobotka, R. Kočvara, J. H. Peregrin, J. Gut, J. Morávek
Ces Urol 2006, 10(3):49-53 | DOI: 10.48095/cccu2006025
Introduction: First described by Burt in 1960, high-flow priapism in childhood occurs rarely, with only 39 cases having been reported in the English-language literature so far. We present a group of three children with non-ischaemic high-flow priapism due to perineal trauma where each case was managed differently. Material and patients: Between 1994 and 2002, three boys presented with painless high-flow priapism which occurred within 24 hours following trauma and was managed using different treatment methods (conservative method, embolization, surgical treatment). Results: At follow-up of 10, 4, and 3 years, erectile function...