Czech urology, 2017 (vol. 21), issue 1

Editorial

Richard Fiala

Ces Urol 2017, 21(1):11-12  

Retroperitoneoscopic kidney tumour resection - video

Milan Hora, Viktor Eret, Blanka Drápelová, Petr Stránský, Tomáš Pitra, Kristýna Procházková, Jiří Ferda, Ondřej Hes

Ces Urol 2017, 21(1):13-15  

Hora M, Eret V, Drápelová B, Stránský P, Pitra T, Procházková K, Ferda J, Hes O. Retroperitoneoscopic kidney tumour resection - video. Introduction: Minimally invasive laparoscopic resection (LR) of kidney tumours is already a routine part of the spectrum of surgical treatment of kidney tumours, and it is used in a variety of other methods (open resection > laparoscopic nephrectomy > open nephrectomy). At our clinic, we prefer the transperitoneal laparoscopic approach. In exceptional cases (mostly extensive past abdominal surgery in the abdominal cavity), it is necessary to choose a retroperitoneoscopic (R) approach. It should be noted that the...

Modifications of laparoscopic ureterocystoneostomy

Petr Macek, Michal Fanta, Michael Pešl, Michal Mára, Vojtěch Fiala, Květoslav Novák, Tomáš Hanuš

Ces Urol 2017, 21(1):16-19  

Macek P, Fanta M, Pešl M, Mára M, Fiala V, Novák K, Hanuš T. Modifications of laparoscopic ureterocystoneostomy. Introduction: Indications for ureteral reimplantation (ureterocystoneostomy = UCN) include ureteric strictures of various etiology (due to iatrogenic injuries, endometriosis, post radiotherapy etc.), fistulas from ureter into various organs or ureteral trauma. There are a number of modifications, which can be carried out via open or minimally invasive approach (laparoscopic or robot-assisted). Minimally invasive (MI) approach can achieve a good result with decreased perioperative morbidity in many cases. Aim: Presentation of modification...

Guidelines for Diagnosis and Treatment of Lower Urinary Tract Symptoms in Patients with Multiple Sclerosis in the Czech Republic- Interdisciplinary Expert Consensus Using DELPHI Methodology

Jan Krhut, Olga Zapletalová, Roman Zachoval, Eva Meluzínová, Libor Zámečník, Marta Vachová, Eva Houžvičková, Gabriel Varga

Ces Urol 2017, 21(1):20-28 | DOI: 10.48095/cccu2017009  

Aim: Lower urinary tract symptoms are prevalent in approximately 75% of patients suffering from multiple sclerosis (MS) and have significant impact on their quality of life. There is a lack of evidence in many aspects of diagnostics and treatment of lower urinary tract symptoms in MS patients. The aim of the study was to provide guidelines for urologic diagnostics and treatment based on expert opinion in clinical practice in the Czech Republic. Material and methods: The guidelines were created using the DELPHI methodology. Comprehensive literature search according to PRISMA statement was performed. Based on this search, the first version of the...

A comment on the article by Krhut et al. "Guidelines - past, present, and future"

Radim Líčeník

Ces Urol 2017, 21(1):29-31 | DOI: 10.48095/cccu2017014

The Role of Psychosomatics in Urology

Jiří Poněšický

Ces Urol 2017, 21(1):32-42 | DOI: 10.48095/cccu2017001  

Poněšický J. The Role of psychosomatics in urology. Psychosomatic medicine is an interdisciplinary medical field exploring the relationships among social, psychological, and behavioral factors on bodily processes and quality of life. The aim of this review was to provide an updated definition of psychosomatic medicine and psychosomatic approach, to outline its history, its boundaries with related disciplines, situation in the world and in our country and to illustrate its main contributions to urological practice.

Peyronie´s disease

Aleš Horák

Ces Urol 2017, 21(1):43-58 | DOI: 10.48095/cccu2017004  

Horák A. Peyronie´s disease Peyronie's disease (PD) is a chronic non-fatal disease characterized by the occurrence of penile fibrous plaques in the tunica albuginea (TA). Clinical symptoms are pain, palpable induration, or penile deformity of the penis. Sometimes it may be present with erectile dysfunction associated with patient's mental deterioration. The most commonly affected are males between 40-60 years of age. The causes of PD are not entirely clear, probably multifactorial. Therapy is problematic. Therapeutic options are conservative and surgical.

Extracorporeal shock wave lithotripsy: initial experience with the Siemens electromagnetic lithotripter

Marek Broul, Jan Schraml, Miroslav Štrbavý, Petr Skála, Josef Liehne

Ces Urol 2017, 21(1):59-64 | DOI: 10.48095/cccu2017003  

Broul M, Schraml J, Štrbavý M, Skála P, Liehne J. Extracorporeal shock wave lithotripsy: initial experience with the Siemens electromagnetic lithotripter. Objective: On May 5, 2016, a new Siemens Modularis Variostar extracorporeal lithotripter was installed and activated at the Masaryk Hospital´s clinic of urology and robotic surgery. The device uses an electromagnetic generator to create shock waves. This thesis evaluates the efficiency of nephrolithiasis and proximal ureterolithiasis treatment facilitated by the use of such device. Aside from measuring the overall efficiency of the treatment, a comparative approach was applied in order to state the...

The use of SUBY G irriagion system in patients with neurogenic lower urinary tract dysfunction and longterm indwelling catheter

Alena Kyrianová, Vladimír Šámal, Jaroslav Šrám, Jan Mečl

Ces Urol 2017, 21(1):65-72 | DOI: 10.48095/cccu2017007  

Kyrianová A, Šámal V, Šrám J, Mečl J. The use of SUBY G irriagion system in patients with neurogenic lower urinary tract dysfunction and longterm indwelling catheter. Aim: Despite of advanced treatment of neurogenic lower urinary tract dysfunction there is a not inconsiderable group of patients reliant on long-term or permanent urinary diversion using indweling urinary catheter (IC). IC increase the risk of urinary tract infection and infections with urea-splitting strains can cause catheter encrustation and catheter blockage. Preventive measures include frequent changes of IC, treatment of urinary infections and acidification of urine. Methods: In...

Rare Cystadenocarcionoma of Prostate, Clinical Appearance, Diagnostic Procedures and Treatment

Jiří Špaček ml., Miroslav Podhola, Josef Košina, Lukáš Holub, Petr Hušek, Miloš Broďák

Ces Urol 2017, 21(1):73-79 | DOI: 10.48095/cccu2017010  

Špaček J, Podhola J, Košina J, Holub L, Hušek P, Broďák M. Rare cystadenocarcionoma of prostate, clinical appearance, diagnostic procedures and treatment. Rare cystadenocarcinoma of prostate; clinical appearance, diagnostic procedures and treatment. The authors present a case report of a very rare variant of prostate cancer - cystadenocarcinoma. The main symptoms were caused subvesical obstruction. The diagnosis was based on MRI and transrectal sonography. The patient underwent robot-assisted radical prostatectomy and definitive histology was confirmed on the excised specimen. Only 30 cases of this rare prostate cystadenocarcinoma have been described...

Spontaneous rupture of the urinary bladder:two cases from our department

Jiří Pírek, Vladimír Šámal, Jan Mečl

Ces Urol 2017, 21(1):80-84 | DOI: 10.48095/cccu2017011  

Pírek J, Šámal V, Mečl J. Spontaneous rupture of the urinary bladder: two cases from our department. Major statement: we present two rare cases of spontaneous bladder rupture treated in our departement focusing on diagnosing troubles and therapeutic procedures. Perforation of the urinary bladder is, in most cases, caused by blunt or penetrative trauma, occasionally by iatrogenic trauma. A spontaneous rupture of the urinary bladder is very rare. Due to the rare occurrence this possibility is often omitted in the differential diagnosis. In the literature, its relation with chronic alcohol abuse is quoted. Key to diagnosis are clinical investigations,...

Treatment of prostate cancer in the Czech Republic in 2016: outcomes of workshops on metastatic castration-resistant prostate cancer (mCRPC)

Michaela Matoušková, Marko Babjuk, Jan Krhut, Veronika Črepová

Ces Urol 2017, 21(1):85-95

Matoušková M, Babjuk M, Krhut J, Črepová V. Treatment of prostate cancer in the Czech Republic in 2016: outcomes of workshops on metastatic castration-resistant prostate cancer (mCRPC). During spring 2016, thirteen workshops on metastatic castration-resistant prostate cancer (mCRPC) were held in larger towns in the Czech Republic, attended by a large group of urologists and oncologists. All the workshops followed a similar scenario, with an initial communication about mCRPC and case report discussion along with seeking consensus in a group of urologists and oncologists divided into teams led by local specialists (a urologist and an oncologist), and...

The authors report on the 13^th Winter Urology Symposium in Spindleruv Mlyn

Jakub Řezáč, Tomáš Hradec, Libor Zámečník

Ces Urol 2017, 21(1):96-98

prof. MUDr. Milan Hora, Ph.D., MBA

Tomáš Ürge

Ces Urol 2017, 21(1):99-101