Czech urology, 2014 (vol. 18), issue 3

Současný stav a budoucnost financování urologické péče v České republice

Roman Zachoval

Ces Urol 2014, 18(3):187-189  

Varicocele

Zuzana Vaľová, Radim Kočvara, Tomáš Hanuš

Ces Urol 2014, 18(3):191-198 | DOI: 10.48095/cccu2014031  

Varicocele is rare in boys under 10 years of age, and becomes more frequent at the beginning of puberty. It is mostly asymptomatic and fertility problems arise in about 20% of adolescents. Venous reflux into the plexus pampiniformis is diagnosed using Doppler colour flow mapping in the supine and upright position. Clinical varicocele is palpable without the Valsalva maneuver (grade II) and is visible at a distance (grade III).The size of testis should be evaluated by palpation, orchidometry, but preferably by ultrasound. The surgical methods of choice are subinguinal or inguinal microsurgical (microscopic) repairs, or suprainguinal open or laparoscopic...

Penile tissue preserving methods in the treatment of lower T categories of penile cancer

Milan Hora, Ivan Trávníček, Kristýna Kalusová, Ondřej Hes, Karel Pizinger, Tomáš Fikrle, Jan Říčař, Dmitry Kazakov, Denisa Kacerovská, Michal Michal

Ces Urol 2014, 18(3):199-207 | DOI: 10.48095/cccu2014032  

Aim:Standard treatment of lower T categories of penile cancer usually includes partial amputation. However, in a significant number of cases, this approach could prove to be an overtreatment. Today, we have a possibility to use other less, radical methods, which proved to be sufficient. This article provides a review of these treatment alternatives.Overview:An ideal method to treat a localized lesion would be its excision. Unfortunately, in penile cancer, this option is only rarely acceptable. A flat lesion type of PeIN (penile intraepitelial neoplasia) or carcinoma in situ can be treated by local therapy (5-fluorouracil,...

Active surveillance in prostate cancer

Milan Král, Vladimír Študent ml., Michal Grepl, Aleš Vidlář, František Hruška, Vladimír Študent

Ces Urol 2014, 18(3):208-215 | DOI: 10.48095/cccu2014033  

Radical prostatectomy and radiotherapy are main therapeutic options for patients with localized prostate cancer. Both modalities are associated with significant risk of complications and socio-economic consequences. In low risk prostate cancer patients, active surveillance represents an alternative therapeutic approach. In well selected patients, active surveillance can delay active treatment. The aim of this review is to objectively present data on inclusion criteria and summarize results of comparative studies in active surveillance.

Age specific PSA and PSA velocity - comparison on the basis of prostate biopsies

Jiří Janů, Tomáš Lakomý, Jaroslav Tůma

Ces Urol 2014, 18(3):216-224 | DOI: 10.48095/cccu2014029  

Aim:To compare predictive value of age specific PSA (VSPSA) and PSA velocity (PSAV).Methods:Histology findings of benign prostatic hyper-plasia and prostate cancer were divided into groups according to number of biopsies performed. The data was evaluated separately for every order of biopsy in relation to age specific PSA and PSA velocity.1. Models of age specific PSA (ng/ml):MODEL A: 40-49 years: 2.5; 50-59 years:3.5; 60-69 years: 4.5; 70-79 years: 6.5MODEL B: 40-49 years: 2.5; 50-59 years: 3.5; 60+years: 4MODEL C: cut off value 3.5MODEL D: cut off value 2.52. PSA velocity (ng/ml/year): Using the method...

Comparrison of multiparametric magnetic resonance immaging of the prostate with 3 Tesla magnetic field, with transrectal ultrasound-guided prostate biopsy

Alžběta Šobrová, Viktor Eret, Olga Dolejšová, Jiří Ferda, Jan Kastner, Ondřej Hes, Kristýna Pivovarčíková, Milan Hora

Ces Urol 2014, 18(3):225-233 | DOI: 10.48095/cccu2014034  

Aim:Modern magnetic resonance immaging (MRI) with 3 Tesla (T) magnetic field opens new possibilities in the diagnostics of prostate cancer. The aim of this study is to compare the results of 3 T MRI of the prostate with the results of transrectal ultrasound (TRUS)-guided biopsy of the prostate and to determine the role of 3 T MRI in the diagnostics of prostate cancer.Material and methods:In the period from 4/2011 to 4/2013 (1st period) 354 men were evaluated using 3T MRI of the prostate. One hundered ninety two of them (54.2%) underwent MRI before TRUS biopsy of the prostate (pacients with a clinical suspicion of prostate...

Extracorporeal shock-wave litothripsy - 4 year experience with electromagnetic litotripter Urontech URO-EMX

Jakub Musil, Daniel Bulíř, Jan Jandejsek

Ces Urol 2014, 18(3):234-239 | DOI: 10.48095/cccu2014035  

Aim:One hundred seventy one patients were treated by extracorporal shock-wave lithotrypsy (ESWL) at the Department of Urology, Regional hospital Kolín, between years 2010 and 2013. The aims of this communication are to analyse the success and complication rates of the treatment using this method. In addition we compared efficiency of treatment in group of patiens with and without ureteral stent.Methods:Retrospective analysis of treatment outcomes in patiens, treated by ESWL in a period between 2010 and 2013.Results:The stone-free rate was achieved in 58.5% patiens. The ESWL without stent was...

Inflammatory pseudotumor of the urinary bladder presenting as a symptom of active vasculitis in a patient with granulomatosis with polyangiitis (Wegener's) - an unusual manifestation of ANCA-associated vasculitis

Jakub Řezáč, Zdenka Hrušková, Pavel Konopásek, Eva Honsová, Martin Mašek, Romana Ryšavá, Vladimír Tesař

Ces Urol 2014, 18(3):240-245 | DOI: 10.48095/cccu2014036  

Granulomatosis with polyangiitis (GPA) is the most common type of ANCA-associated vasculitides (AAV) occurring in the Czech Republic. AAV are (predominantly) small-vessel vasculitides that can afflict any organ in the human body. Urogenital involvement is relatively rare and can cause diagnostic challenge. This is a case report of a female patient with GPA presenting with urinary bladder pseudotumour. Urinary bladder carcinoma was initially suspected. Its differentiation from localized inflammatory process caused by active vasculitis was very important as the treatment of GPA includes potentially toxic cyclophosphamide. Establishment of the right diagnosis...

Ze zahraniční stáže

Ces Urol 2014, 18(3):246-249  

Mezioborová spolupráce urologů a neurologů při diagnostice a léčbě pacientů s roztroušenou sklerózou

Ces Urol 2014, 18(3):249-250  

První postgraduální workshop o urolitiáze

Ces Urol 2014, 18(3):250-252