﻿533
1115590226014562110158
ORIGINÁLNÍ3862207016996181224324367468561635735777
PRÁCE4677207016983165262348424
Ces37067936014570127174
Urol39057936014578115180208
2020;41387936014562121178237261
24(2):44257936014561118151210240262
105–11247127936014562117176237290338390
G817974013774
H3205974013774
Fig.624254201375888153183
2.836254201376193
A)985254801315988
910942548013156
weeks11762548013176122169215255
after1457254801315583119164195
the1673254801313894141
primary1840254801315688110197252284332
excision;2193254801315299144166202223279336353
B)2573254801315280
demarcation26792548013156103190245277321375406429484541
of3246254801315584
the3351254801313793140
glans3518254801315577133189226
area;3770254801315587132188206
C)4002254801315989
re-excision4112254801313782116165212257279315336392449
of4587254801315583
the4691254801313894141
glans;4858254801315678133190226244
D)624269801316996
coverage7412698013148101147193224277332379
with1144269801317698130186
the1351269801313491138
Veriset,1512269801315498129152188234266286
which18212698013176133155201257
was21022698013176130167
fixed229226980131265196142197
with2513269801317698130186
a27232698013155
few2799269801313076153
4.02975269801315171122
resorbable3118269801313479117172204259316371394441
sutures;3580269801314094126182213258297315
E)3918269801314878
3rd40392698013153409027040761851
postoperative41622698013158114151183236293340372424456478525570
day,47552698013156111156173
F)4951269801314878
750522698013151
days6242848013155111156194
after839284801315583119163195
the1055284801313188135
procedure;1210284801315587141188233288344376421440
G)1670284801316592
local1783284801312278125179201
wound20052848013176130187243299
care23242848013146100131176
with2521284801317698130186
vaseline27272848013147100137183206229285332
mixed30792848013188110155201257
with3356284801317698130186
baneocin35632848013155111168215270317340396
cream;3979284801314677122178265283
H)4282284801316794
final4397284801312550107162184
appearance46022848013155111167215270302354411457501
of624299801315583
the728299801313390137
glans887299801315577133189226
(week11342998013130103149196242
number13982998013156112199254302334
8).175429980131507894
Obr.6243142013779146188211
2.859314201376191
A)1005314801315987
Devět11133148013169116162206237
týdnů1370314801313481135190244
po16363148013155110
primární1768314801315586107193247278334355
excizi;2144314801314793136157199221237
B)2403314801315279
vymezení2503314801314794180226271315370391
oblasti29163148013155110132186222253274
glandu;3211314801315677131187241296312
C)3545314801315987
reexcize3652314801313377123169213234276320
glandu;3993314801315677131187241296312
D)4327314801316995
překrytí4443314801315686130174206253287308
náplastí47733148013156110165187241277308329
Veriset,624329801315496127148183228259278
která919329801314578122153204
byla1139329801315699120174
připevněna1330329801315586107161207253309355410464
několika18113298013156102146199221242286339
vstřebatelnými2167329801314683114143187242297327371393448490577598
stehy2781329801313970113169211
4/0;3009329801315185132151
E)3177329801314876
třetí3273329801312959103134155
pooperační34453298013156111166221268298349394448470
den;39313298013156101157173
F)4121329801314877
sedmdnů4215329801313882137223295351405
po46373298013155110
zákroku;4764329801314396140171224269323340
G)624344801316591
lokální735344801312377121174196252273
péče10273448013156102147191
o12383448013155
ránu1312344801313283139193
za1525344801314396
použití16413448013155111166208229259280
vazelíny1941344801314699142186207229284327
smíchané22883448013138122143188244298353399
s27073448013138
mastí27653448013187141177208229
baneocin;30143448013155110166212266312333389405
H)3439344801316693
konečný3552344801314598154200245300342
vzhled3914344801314690146167213267
glandu4201344801315677131187241296
(8.451734480131297798
týden).4635344801313279133179234259274
-related624374801313365117139187219270330
serious974374801314194125148205263302
adverse12963748013150109159210241282335
events16513748013153102154211243284
were19553748013180132163214
recorded2193374801312980129185217274327387
du‑26003748013160117150
ring624389801313255112170
the818389801313088140
309783898013153105
days11033898013160108154194
after1317389801314977114165196
surgery,1533389801314096127185237268319332
and18853898013150107166
no20713898013158116
reoperations2211389801312879138197251282331363385442500539
for624404801312986118
device-related7674048013160113161184232283318351402425473506557617
complications14084048013150106195255278299348397430452509568607
were20404048013180132163215
performed22794048013161115147179236268358411471
during6244198013160117148171228288
the936419801313492145
follow1105419801312986109131189267
up13964198013158118
period15384198013161115146169227287
after1849419801315078115166198
surgery.2071419801314197129187239271323336
Surgeon7744348013151108138196248307365
experience,11624348013161108168222252274326384432482498
careful16844348013156105136187214273294
patient20094348013161110142163215273304
selection,23364348013149101123176225260281339397414
patient6244498013160108138159209265295
preference936449801316090139166216245295351397446
and13994498013149105162
the1584449801312884135
type/size1741449801312978137189226260280321371
of2129449801315884
penile22314498013160112167187207258
lesion2511449801311869107127182239
will6244648013179101122142
affect789464801315684114165213248
the1060464801314197149
choice12324648013156112169191238288
of1549464801315886
graft1664464801316090139165202
to1889464801314095
be20134648013161114
used.2156464801315896148208225
The24044648013157116168
use2601464801315997149
of624479801315885
standardized727479801314175123179237285314371392434484543
STSG,12884798013151102151218236
vascularized1542479801314998136183239260307337359401451510
penile20704798013161113170190211262
skin2350479801314185107163
graft,2531479801316090139165201219
tunica624494801313491147168215264
vaginalis9114948013156105163184241288310330368
graft1309494801315990139165202
increases1565494801313086134164214261300352391
the1979494801314198150
complexity21524948013156111199258280332378400432482
of2657494801316593
the624509801313594148
procedure7965098013169101159209260322380411463
as1283509801315999
well14145098013181134156178
as1616509801315999
the17395098013142101155
time1918509801314264155209
and21515098013158117177
potential23525098013170130163214273305327376398
morbidity6245248013190147178237259317338370420
(2,1067524801313484101
3,1191524801315874
7).1288524801315886100
Therefore,14115248013156115167197247274330361412427
for1861524801313490121
smaller20055248013146133181202222274304
lesions2332524801312980119140196254292
so26475248013146103
called624539801314998119140191251
off-shelf898539801316593123155194250302324351
/ready1272539801314673124171229276
to1571539801314196
use16905398013166104156
graft1876539801316090139166202
material21085398013190138169219249271318339
seems24705398013148100153241280
to624554801313591
be7395548013170125
more8955548013192151183235
convenient11545548013158115174221274332354407466498
and16765548013158117177
attractive.1877554801315891127159210259295317367419436
The23375548013160121174
ideal2535554801313191145193215
graft624569801316090139166202
should847569801314197154211232290
not11585698013158116147
prolong1325569801316192147169226284342
operative16875698013159118171201250281302350401
time,2111569801313253140192208
be23395698013161114
readily2476569801313080127186206227274
available,624584801315096144164185232290311362378
resistant1043584801312878116136174207255311341
to1407584801312883
infection,1512584801311874100151199233254310367383
should1913584801314197153210230288
not22185848013159116147
contract,23825848013149103160190221269316351368
should624599801314197154211232290
induce937599801312985143199247297
haemostasis,12625998013159107158246304343376424463483521539
and18245998013155112170
be20225998013161114
cost-effective.21595998013154109148181209263291321372420455476524575591
However,6246148013169126203254301351382394
such1036614801314095143199
a12536148013150
graft1345614801315585133160196
has15596148013159106145
not17226148013158115146
yet1886614801314999131
been20356148013161113166222
developed.22756148013160111159209230287346399457475
In774629801312381
general,8836298013160113170224255305327344
major12556298013190139162219251
advantages15306298013154114163213271302352411464505
of2062629801315987
VerisetTMis217762980131561061371601992522852453630407630812558629801312766
its2648629801312760102
coating6246448013149105155187209267326
with9826448013180102135194
fibrin1200644801313461120152175232
glue,1456644801316890147200217
resulting1697644801314092132188211244266323383
in2104644801313188
no22166448013167126
need23666448013167120173234
for2624644801313794126
fixation.62465980131265399147179200257314333
For9766598013150106137
our11336598013158115145
first129865980131265283123157
three1478659801313087117168221
cases1718659801314997136189228
with19656598013179101134191
concomitatnt21756598013149104161209264352373406455486543574
circumcision624674801314971102149206295344365404426483542
we11966748013179131
placed1357674801316184133181232292
a16736748013156
few1753674801313587165
resorbable1942674801313990130189221281331391414466
sutures24336748013146103136194225277317
for624689801312986118
safety766689801314191119171204256
reasons.1046689801313284132171230288328347
It1417689801312356
seems1498689801314194147236276
that,1798689801313492141173192
the2014689801313492145
novel21836898013159117166218240
sealant2447689801314194142165213271303
material6247048013190139171222254276324347
acts10217048013153102138179
as1225704801315292
a13417048013153
scaffold1418704801314392142171200258281340
allowing178270480131527596154233255313372
glans2181704801316082130188227
epithe‑24337048013156115138171229282317
lium624719801312345102191
regeneration839719801313385145198256309340390422444502561
immediately14247198013123112201254315336385417468490538
after1987719801315078116167198
inducing2209719801312482141198247268326385
su‑2618719801314299132
fficient62473480131285684133154207265297
hemostasis.9437348013159112201259299334384423445484503
According15157348013163111157213245303325382442
to1981734801313288
our20927348013158116147
preliminary2262734801316193144167188277299356405436488
data6247498013160109141190
Veriset8427498013156105137159198252285
had11787498013163112171
shown13737498013145102161239298
satisfactory1695749801314495127149188217268317353409441493
haemostatic22157498013159108161250308348383432465487535
properties624764801316193149210264295332354407447
and10957648013152110169
potential12907648013161120152203261293315363386
to1700764801313692
restore1816764801313486126161217249300
normal21427648013159117149239288310
super‑24767648013144100160214245274
ficial2976374801312753102123172194
glans3193374801316082131189228
tissue344537480131345695134191244
anatomy.37123748013150108157189245334381394
The41303748013151111164
final4317374801312753111160182
cosmesis45223748013150105145234287327349388
was49333748013180129169
regarded2976389801313386147197229288343404
highly3405389801316891151210233282
satisfactory37123898013150101134157197227279329366423456509
from4246389801313771129220
the44913898013143102157
surgeon‘s46733898013150107139199253313373390429
point29764048013161120142200232
of3234404801315987
view3345404801315275128206
as3575404801315392
well36944048013179131154176
as3894404801315292
the4010404801313694147
patient’s41844048013161111143165217275307329366
perspective,45764048013161115147187247301350386408458509526
although2976419801315072105163222280339397
not33974198013159117149
measured35704198013191144192232288319371431
with40494198013180102136194
standard4267419801314175125183242291322380
tools.4671419801313490149172211230
The31264348013150107156
crucial3297434801314877131177195240259
factors3577434801312370115148200229267
for3865434801312276104
final3984434801312653107152171
cosmetic41704348013148101137222272301321365
successwere‑4550434801314194139182229266303396444473521552
postoperative29764498013161118156189243301353382430460480527577
local3575449801312985133181201
wound38044498013179135190246304
care41304498013155102132181
management43394498013190137193240297348435486542572
and49334498013156112169
patients’strict29764648013162112143164216273304345362399432463485532568
adherence35674648013157116174226257308365413464
to4054464801314196
follow4173464801313693115135193272
up,44744648013160119134
which46374648013182140160208266
\are4925464801314696126177
actually2976479801315096130186232252272318
required3316479801313079137192212241290348
for3686479801312782111
all381747980131507089
reconstructive3928479801313180127181237274307336392439473493540589
procedures.4537479801316191145192241299354383432470488
Topical31264948013153107170194245298322
cutaneous34744948013166126162214275331393454496
application39964948013166129192217241292344379403463525
of45474948013175106
vaseline/46794948013166119161217242265325381423
baneocin29765098013160109165217274323344400
cream3395509801314879129176263
was36975098013178126165
indicated3885509801311975133154201250281331389
for4298509801312480111
each4428509801315299147203
case.4650509801314997136188204
Every4873509801315197148178229
patient29765248013160110142164216274305
was33015248013180129168
fully3493524801312584106127175
informed3692524801311976104160192282334394
and41075248013149107166
fully4297524801312583105127174
advised44915248013150109158181220272332
about48445248013149109167225258
postoperative29765398013160118157191246305358388437468490538589
wound35845398013178135191248306
care3910539801314897127178
management.41075398013189137193241299351439491547578597
The47235398013151109161
local4908539801311976124173194
application29765548013150108168190211259308339361418476
was34715548013179128167
performed36585548013160113144175232263352404464
at4142554801314981
least4246554801311971119158192
344575548013154
times4534554801313052139192231
per47855548013160113144
day49495548013159107153
in2976569801312379
order3074569801315889145197227
to3324569801313084
induce3431569801311975133189236286
a37365698013149
relatively3808569801312878100147178200248298320367
wet41945698013178129161
environment43745698013152109155177207262319406458515546
and49395698013149105163
thus2976584801313492148187
induce3187584801311976135192240291
continuous34985848013149105163194216273330388445484
healing40025848013159112160182203260319
and43415848013150107166
regeneration.4531584801312980140193250303334384415437495553571
Some31265998013151107195246
clinicians339159980131506989144164210229275331368
may37795998013190137181
argue,3980599801315079134189240255
because42555998013160112159207262299350
the4627599801313288138
process4785599801316191145192241279317
of2976614801315985
complete30846148013149103190247268319350398
epithelialization35056148013154111132163219269290309355375395436485515534590646
took4173614801313589146190
6–843866148013154109162
weeks,45716148013179129181224266282
while48766148013180136155175226
with29766298013179100131186
an3203629801314499
STSG33186298013151101150215
it3555629801311748
takes3619629801313482125174212
7–1038476298013154100144189
days.40526298013160106150189206
The42746298013151109159
STSG44496298013151101150215
technique4680629801313483130186241261317372423
has29766448013158104141
proven3133644801316089143188237292
oncological34406448013158114160213233288345365410457476
safety3932644801314088113162192241
over41886448013158104152181
time4384644801313454139189
and45896448013149104160
demon‑47656448013159109195250306337
strated2976659801314173103151181229287
superior32856598013145100157209238258314344
cosmetic36506598013153107145231282313333379
outcomes40556598013158114145189243331382420
(2,449665980131338398
3,4620659801315368
7).471465980131538093
To48296598013155104
our49596598013158114143
opinion,29766748013159117137192212267324339
the3337674801314096147
extended35066748013159104138187243300351409
recovery3937674801313887135188234284313363
is4322674801312865
relative,4409674801313887108154184204251301315
because47526748013161112160207262299350
our29766898013159117147
patients31516898013162111142162214271302342
did3522689801316181139
not36906898013160117149
suffer38616898013148104132162213243
from4127689801313567122212
any43616898013157114159
quality45496898013160117165185205237288
of4865689801316087
life497568980131305076128
reduction,2976704801313282140195241275295350407423
apart34187048013150108155184219
from3659704801312757112199
restriction3880704801313080118150180200246280300355412
of4311704801315985
sexual4440704801313990135191237257
activity.4717704801315096130150197218249298309
We31267198013191140
can32897198013156105162
assume3474719801315896135191279332
once38297198013166124171221
the4074719801314198150
healing42487198013166118165187207264323
process4601719801316192148196246286325
has49497198013166114153
been29767348013160111163218
completed,32117348013148101188245266316347395453469
it3702734801311849
seems3768734801314090142228265
fair405573480131237191120
to4197734801312882
state4295734801314173120150199
that4516734801312883130160
we46927348013179128
would48377348013178133188208265
not29767498013159116147
expect31487498013154100159212261296
any34677498013152108153
wound36457498013180136193249308
related3976749801313485106154185235294
complications.42937498013151106194253275295342391422443499557595613
Cer‑49317498013163113143171
tainly2976764801313483103160181228
the3227764801314198150
oncological34007648013165122170225247304363384431479501
safety3924764801314797123174206257
has42047648013165113152
to4379764801314196
stand4498764801314781129186244
the4765764801314198150
test4938764801314191130164