Czech urology, 2012 (vol. 16), issue 1

Editorial

Ces Urol 2012, 16(1):3  

Use of neuromodulation in the treatment of lower urinary tract dysfunction

Michal Rejchrt

Ces Urol 2012, 16(1):5-12 | DOI: 10.48095/cccu2012002  

Conservative treatment of lower urinary tract dysfunction includes behavioral modifications, pharmacotherapy and pelvic floor exercise. Pharmacotherapy is used most frequently, but it is not always effective and often associated-with adverse effects. If conservative treatment prooves unsucessfull, surgical methods including bladder augmentation and urinary diversions are used. Neuromodulation has the potential to fill the gap between pharmacological and surgical treatment. It has become widely accepted as an alternative method after the failure of first line conservative treatment. The objective of this article is to review all of the methods used...

How safe is active surveillance strategy of small renal masses?

Peter Weibl, Boris Kollárik

Ces Urol 2012, 16(1):13-19 | DOI: 10.48095/cccu2012003  

The changing aspect of the rising incidence of small renal masses (SRM) has led to the establishment of minimally invasive procedures with the intent to achieve equivalent or similar treatment results when compared to standard partial nephrectomy. Active surveillance (AS) in patients with SRM represents an alternative treatment option in high risk patients with short life expectancy or in those who refuse any kind of surgical intervention. The aim of this review is to present current knowledge and dilemmas on AS strategy.

The comparison of the results of miniinvasive treatment of stress urinary incontinence using Ajust™ and MiniArc™ system

Jan Krhut, Alois Martan, Marcel Gartner, Roman Zachoval, Kamil Švabík, Michal Halaška, Lukáš Horčička, Josef Tvrdík, Tomáš Hanuš

Ces Urol 2012, 16(1):20-28 | DOI: 10.48095/cccu2012004  

The aim of the study was to compare the effectiveness of two minimally invasive surgical techniques for stress urinary incontinence in female patients (Ajust™ and MiniArc™), using subjective assessment as well as evaluation of objective parameters.A total of sixty-six female patients with stress urinary incontinence were enrolled into the prospective, randomized, multicentre trial, mean age 57.8 years (range 42-88 years). Patients in Group A had undergone surgery using Ajust™ method; patients in Group B underwent surgery using the MiniArc™ method. The subjective satisfaction of the patients along with the outcome of the...

Complications associated with indwelling urethral catheter after major joint arthroplasty in men

Jana Hrubinová, Maroš Hrubina, Jaromír Pangrác

Ces Urol 2012, 16(1):29-36 | DOI: 10.48095/cccu2012005  

Aim:Urological complications associated with indwelling urethral catheter in men after total knee and hip arthroplasty. An analysis focused on the incidence and risk factors leading to these complications.Methods:In 2008 and 2009, 94 knee replacements were peformed in 93 men, aged on average 69.9 years, and 124 hip replacements in 124 men, aged on average 74.5. Following each surgery, the urinary catheter was placed. The follow- up period extended to the end of 2010 and analysis was based on the IPSS and the general patient satisfaction. The duration of the catheterization was also considered.Results:In the...

Mathematical modeling of penile deformation in Peyronie´s disease after shock wave therapy

Pavel Drlík, Jan Loško, Vladimír Křístek, Oto Köhler

Ces Urol 2012, 16(1):37-42 | DOI: 10.48095/cccu2012006  

Aim:Mathematical modeling of penile deformation in Peyronie´s disease after shock wave therapy.Methods:Initially, a model of the penis in flacid and in erect state was created. The Finite Element Method Analysis was used. Subsequently the same model was used to analyse the penis affected by a fibrous plaque. The rigid element had the following characteristics: it was not possible to stretch it on external impulse and its stiffness on the contrary restricted free expansion of surrounding elements and induced deformity of the object. Finally we analyzed the model for successful and unsuccessful treatment with shock waves, which...

Positron emission tomography and histology of residual postchemotherapy masses in patients with nonseminomatous germ cell tumours

Jana Grimová, Tomáš Büchler, Pavel Fencl, Kateřina Šimonová, Zuzana Donátová, Ludmila Boublíková, Martin Kupec, Jaroslav Jarabák, Roman Zachoval, Jitka Abrahámová

Ces Urol 2012, 16(1):43-49 | DOI: 10.48095/cccu2012007  

Aim:The value of using fluorodeoxyglucose positron emission tomography (FDG-PET) before residual mass resection was studied in patients with nonseminomatous germ cell tumours (NSGCTs) after orchiectomy and platinum-based chemotherapy.Methods:Thirty patients with NSGCTs who had been investigated with FDG-PET in the preoperative period were evaluated retrospectively. We have calculated specificity, sensitivity, positive predictive value (PPV) and negative predictive value (NPV) of FDG-PET to correctly predict the presence of viable carcinoma, mature teratoma, and necrotic/scar tissue in postchemotherapy residual masses.

Possibilities of interventional radiology for treatment of renal tumors

Petr Stránský, Zdeněk Chudáček, Václav Havel, Viktor Eret, Jiří Klečka, Tomáš Ürge, Milan Hora

Ces Urol 2012, 16(1):50-57 | DOI: 10.48095/cccu2012008  

Aim:This article presentats the potential uses of interventional radiology in the treatment of renal tumors. It provides a review of indications and the outcomes of specific interventions in a single department.Methods:From October 2008 to October 2011 7 patients with kidney cancer underwent renal artery embolization at the University Hospital Pilsen. The group included 1 man (14%) and 6 women (86%) at the average age of 52.6 ± 15.6 years (range 19-66).Results:In one case, the total embolization was performed in a patient with inoperable kidney tumor. In 4 cases embolization was used to treat complications...

Expression of SHB in prostate cancer tissue: its role in the diagnostics and prognostics

Marek Schmidt, Jaroslav Mareš, Ladislav Jarolím, Michal Černý, Štěpán Veselý, Marek Babjuk

Ces Urol 2012, 16(1):58-66 | DOI: 10.48095/cccu2012009  

Aim:Among urological malignancies prostate cancer most frequently leads to death. The etiology of this disease remains unknown. Many analyses identified genes associated with increased susceptibility to prostate cancer, where changes in gene expression were associated with prostate cancer. Adaptor protein SHB is involved in apoptosis, angiogenesis and cell cycle regulation systems. A correlation between the expression of SHB, and reduced proliferation of prostate cancer PC3 cells was detected. The aim of this work was to compare SHB expression in prostate cancer to that in benign prostate hyperplasia and to evaluate its diagnostic and prognostic...

Bilateral adrenalectomy - in patients with Cushing´s syndrome due to ectopic secretion of ACTH

Petr Hušek, Jaroslav Pacovský, Filip Gabalec, Josef Košina, Jan Čáp, Miloš Broďák

Ces Urol 2012, 16(1):67-72 | DOI: 10.48095/cccu2012010  

We present three patients, who underwent bilateral adrenalectomy for ACTH dependent Cushing's syndrome. Despite using all available examination methods, we failed to identify the source of ACTH overproduction prior to the time of intervention. Surgery was performed in our department of urology from 2009-2011 based on the indication of the endocrinologist. For patients undergoing bilateral adrenalectomies laparoscopic or robotic approaches have a clear benefit.

Vzpomínka na pana docenta MUDr. Jaroslava Nováka, CSc.

Tomáš Hanuš

Ces Urol 2012, 16(1):73-76