Czech urology, 2005 (vol. 9), issue 1
Continence in the patients with orthotopic diversion after the cystectomy
M Broďák, A. Hafuda, P. Moravek, P. Prošvíc, M. Louda
Ces Urol 2005, 9(1):4-8 | DOI: 10.48095/cccu2005001 
Objective: Aim of study is evaluation of continence in the patients with orthotopic diversion after the cystectomy. Materials and Methods: Authors assessed group of 57 patients, who were operated in Department of Urology in Hradec Králové in years 1995-2001. All patients underwent cystectomy for locally advanced bladder cancer with orthotropic pouch. In 55 patients there was created pouch VIP (Vesica lleale Padovana) and in 2 W-pouch. Patients were evaluated subjectively questioning on subjective appreciation of continence by interview and objectively per urodynamic study. Results: According to subjective appreciation...
Surgical treatment of male urinary incontinence - TBT (Tension bulbourethral tape) - long-term monitoring
M. Urban, M. Lukeš, J. Heráček, P. Palascak
Ces Urol 2005, 9(1):9-13 | DOI: 10.48095/cccu2005002
Introduction: Male urinary incontinence in the result of prostate operation presents a long-term socio-economic problem with the impact on male psyche and the quality of his life. Material and methods: In 32 patients with II and III degree stress incontinence (16 after trans-urethral prostatectomy, 11 after radical prostatectomy, 4 after transvesical prostatectomy, 1 after spinal injury) we made a bulbourethral sling operation by proleň tape. Special tape of proleň is transperineally placed under the bulbar urether by means of steel hooked needle. The needle entry is laterally from bulbar urether and m. bulbospongiosus, it passes...
The use of two-phase CT-angiography in the surgical treatment of renal tumours
M. Hora, J. Ferda, B. Kreuzberg, J. Klečka, O. Heš, Z Chudáček
Ces Urol 2005, 9(1):14-19 | DOI: 10.48095/cccu2005003
Objective: The aim of the work is to evaluate the first experience with the use of two -phase CT-angiography (CTA) of kidney at the surgical treatment of parenchymatic renal tumours. Material and methods: In 15 patients two-phase CTA kidney vessels was consequently indicated from October 2003 to July 2004, by means of computer tomography at Somaton Sensation 16 equipment, produced by Siemens. The findings at CTA were compared to the pre-operational finding (9x at laparoscopic nephrectomy, 3x at transperitoneal nephrectomy, 2x at translumbal tumour resection, 1x at retroperitoneoscopic nephrectomy). Results: In 4 patients...
Functional results of radical retropubic prostatectomies
L. Jarolím, I. Kawaciuk, P. Hanek, L. Hyršl, P. Dušek, J. Jerie, M. Schmidt, V. Kaliská, M. Fabišovský, M. Rejchrt
Ces Urol 2005, 9(1):20-25 | DOI: 10.48095/cccu2005004
Along with the oncological safety, the aim of radical prostatectomy is to preserve the continence and erectile function. The study evaluates the functional results of 100 consecutive radical prostatektomies underwent by the patients with clinically located prostate cancer during 15 months in the years 2001 - 2002. Postoperational continence was observed in three-months intervals and as significant there was evaluated the incontinence requiring the use of hygienic pads and the erectile function in relation to the ability of imission and coitus. Continence not requiring hygienic pads returned at 96 (96 %) of patients in 9 months. Four patients use 1...
Treatment of long and multiple ureteral strictures by their ileal substitution without an antireflux anastomosis
M. Urban, R. Zachoval, M. Záleský, P. Palascak
Ces Urol 2005, 9(1):26-30 | DOI: 10.48095/cccu2005005
The purpose of this work was to evaluate the treatment of long and multiple ureteral strictures by their ileal substitution without an antireflux anastomosis and to cast light on some controversies concerning this method. Twenty patients with average age 58 years (32 to 76 years) have undergone a partial or complete ureteral substitution by ileum with a simple anastomosis to the urinary bladder. The procedure was bilateral in six cases. In 18 cases the substitutions were primary treatment of the stricture. The follow-up period lasted from 10 to 78 (mean 41) months. In five patients the preoperative renal insufficiency improved after the surgery,...
Efficacy, safety and treatment satisfaction with tadalafil (Cialis?) in Czech and Slovak men with erectile dysfunction
J. Breza, R. Skoumal, I. Kubiš, V. Študent, M. Hrivňák, L. Zámečník, H. Petto, V. Habětínek
Ces Urol 2005, 9(1):31-38 | DOI: 10.48095/cccu2005006
Objective: Cialis? (tadalafil) is an inhibitor of phosphodiesterase type 5 facilitating erection through relaxation of vascular smooth muscle in the corpus cavernosum. Subset analysis of a multicentre, randomized, double-blind, parallel group, placebo-controlled study was conducted for Czech and Slovak men with mild-to-severe erectile dysfunction (ED), to evaluate efficacy, safety and treatment satisfaction of on-demand Cialis. Methods: Following a 4-week treatment free run in period, patients stratified into three severity groups by the baseline International Index of Erectile Function (IIEF) Erectile Function (EF) domain score...
The changes in surgical treatment of renal tumours in urological clinic of faculty hospital in Plzeň during last 5 years
M. Hora, J. Klečka jr, O. Hes, T. Ürge
Ces Urol 2005, 9(1):39-41 | DOI: 10.48095/cccu2005007
Introduction: The changes in renal tumour diagnostics and treatment options, as well as the changes in the organization of urological care lead to the change of the number and the spectrum of surgical operations made for renal tumours. The authors in their article attempt to document these changes on the set of patients treated at one urological department. Set, methodology: There were chosen the sets of patients treated surgically for renal tumour (diagnoses D 30.0 a C 64) at the Urological department LF UK and FN Plzeň in the years 1999 a 2004 and these sets were compared. Results: There were treated 49 patients in...
Adenomatoid tumor of epididymis
M. Hajný, A. Čermák, D. Pacík, J. Feit
Ces Urol 2005, 9(1):42-43 | DOI: 10.48095/cccu2005008
Author of this text presents article, concerning problems of benign tumors of epididymis, in article is presented concrete case of patient with relatively rare paratesticular adenomatoid tumor of epididymis.
Stomach cancer metastasing to the capsules of testicle and epididymis
L. Palička, L. Domes
Ces Urol 2005, 9(1):44-49 | DOI: 10.48095/cccu2005009
Secondary tumours of scrotum organs are rare, almost unique findings. We present the casuistics of the patients examined for swelling of right scrotum. There was proved the stomach cancer metastasis to the capsules of testicle and epididymis, the primary tumour was inoperable and generalized in peritoneal cavity. According to literary data it is mostly the pulmonar, prostate and gastrointestinal tract cancers which metastasize to the scrotal organs. The patients with pulmonar, prostate or GIT cancer anamnesis are at increased risk of metastasis development in scrotum, therefore it is necessary to consider the possibility of this event and in case of...
Transabdominal ultrasonography in primary diagnosis of bladder carcinoma
K. Belej, M. Hrabec, F. Záťura, R. Fiala, Š. Kudláčková
Ces Urol 2005, 9(1):50-52 | DOI: 10.48095/cccu2005010
The role of transabdominal ultrasonography in primary diagnosis in patients with suspicion for the bladder carcinoma has been evaluated in the prospective study. One hundred and fifty five consecutive patients (mean age 63.4 years, age range 29-84 years) with negative upper urinary tract and kidney imaging (ultrasound and excretory urography) have been assessed by trans-abdominal B-mode (2.7-5 MHz) sonography before further evaluation. All patients underwent oupatient cystoscopy. All positive and suspicious findings have been assessed histologically Positive histpathology has been found in 105 (68.2 %) patients. Compared to standard method (cystoscopy),...