533
192198226014562115172
PŘEHLEDOVÝ852207016974156235334409485586692777867
ČLÁNEK1757207016989163260360438521
Ces8507936014570127174
Urol10497936014578115180208
2020;12827936014562121178237261
24(3):15697936014561118151209238260
191–20618557936014561114170225280339401
(TUEP),85089801312986158210266294311
enukleace1188898013157117176224250305355406459
prostaty167789801316195154196233285319373
holmiovým2076898013163123148239263323373428520
laserem262289801312778120176209263354
(HoLEP)850104801312998158209261316344
nebo12181048013158113174235
thuliovým1479104801313292151174198257307361452
laserem1957104801312272114168201255345
(ThuLEP)2328104801312784145204254306361388
nebo27411048013158113174235
fotoselektivní850119801312988123181223278303358406445469521582606
vaporizace14821198013152104166227261286332385436489
prostaty1999119801316195154196233285319372
(PVP).2398119801313187145203231248
Jiné2673119801314063123179
se2878119801314398
zase850134801314497139194
plně1069134801316086145200
neprosadily,12941348013159114176210268310363424448472522537
příkladem1856134801316194119169195246307362453
jsou2335134801312264124184
transuret‑2545134801313366118178220278312365400431
rální850149801313284109168192
mikrovlnná10661498013190114161196255305330390449500
termoterapie1592149801313385119211271305358392444505530584
(TUMT),2202149801312884156242294329347
transure‑2575149801313266118178219277311364401
trální850164801313468120144204228
jehlová1104164801313287147172232282334
ablace14651648013158120145196247300
(TUNA)1791164801313894166237302333
anebo21501648013158118173235297
prostatické24731648013169103162204241293327351402449503
stenty.850179801314178131191225279294
I10001948013123
přes1046194801315992143184
výborné12531948013149101162221254313367
operační16431948013157117172204254303361384
výsledky20501948013148101142165218279324376
výše24491948013149101142196
uvede‑26671948013158107160220273309
ných8502098013159107157216
desobstrukčních10912098013160115157218280322359393453500549609633683743
výkonů18592098013149103152211271330
při2214209801316195119
léčbě2359209801312277129190246
BHP26302098013155126182
zů‑28382098013143103138
stává850224801314076126174224
řada1099224801313080140190
mužů,13122248013188146190248267
kteří1605224801314381132164188
je1818224801312174
nemohou19152248013158111200259318376435
nebo23732248013157111171231
nechtějí26272248013157111161219252303326349
podstoupit.8502398013160120181222258315374434458493513
Mezi13872398013184138184208
nejčastější16192398013158112135184235276312364387427450
důvody20922398013159117167225287336
nemožnosti24522398013158112201261305364423464500524
provedení850254801316196156207262325381442466
operační13432548013170133190224277329390414
léčby1784254801313490142204254
patří20652548013172125160194219
polymorbidita23112548013172134160211305366401464489552576612665
pacienta,8502698013160111160183237295328379398
strach1274269801313874107158207265
z15652698013142
možných16302698013189148191251298346404
perioperačních20582698013160114147171229290345378428478536559608667
a27482698013149
po‑28202698013160120156
operačních8502848013157118173205256305363386434492
komplikací.13682848013143101190250274297343394443466486
I18792848013121
proto1923284801315992149183239
probíhá2185284801316093150211234295344
intenzivní2554284801312179111163221266290340399422
vývoj8502998013149103157215239
nových11132998013158118167221269328
minimálně14652998013189113172195284335358417471
invazivních1962299801312179128179225249300360383432491
operačních24772998013158120175208259309368391440499
technik,850314801313385135193251273319341
které1214314801314683134167219
by14553148013160107
nevyžadovaly15853148013158111161213260311371429478528551600
nutnost22073148013158115150208267307343
hospitali‑25723148013158117157217240274324348370404
zace,850329801314496146198216
anestezie,10903298013150109163205241293339363417435
v15493298013150
některých16223298013159113160198250283336385444
případech2090329801316093117178229290344395454
katetriza‑2570329801314496130182217250274319371406
ce8503448013148101
a9743448013150
současně1049344801313998157207258299357411
by14843448013160108
vedly16163448013149102164187236
ke1878344801314497
snížení2000344801313998121166218277301
nebo23243448013159113174234
eliminaci258234480131527699189212271321371394
nežádoucích8503598013159114161214275336396446470521581
účinků14573598013164114138198246306
standardní1789359801314783135195257308341401461485
operační23003598013164127183217269319379403
léčby2729359801312984136197247
BHP.8503748013155125181188
Mezi10623748013185139185210
tyto1298374801313184123181
metody15033748013189144178236297347
patří18743748013160112146179203
systém2103374801313989132168220310
AquaBeam®,24373748013164124182233289343393483525539
systém850389801314192135172225316
UroLift®,11953898013169102160212236267307354368
systém1589389801314395138174228319
Rezūm®,19343898013158113160220311353368
systém2328389801314395137174227318
TIND.2673389801315379150223240
KLÍČOVÁ8524184014770132164236320392464
SLOVA13434184014762123207279351
AquaBeam®,8504348013164122178227281334381470510521
benigní13914348013161114172193252309331
zvětšení1741434801314597148181222274332353
prostaty2114434801316092148188222271303354
(BHP),2492434801312579147201226242
mini‑27544348013189111168189222
málně8504498013190139161219272
invazivní1146449801313188136186230253302361383
operační15534498013166127181212262311369390
metody,19754498013190144177233293342355
Rezūm®,23544498013163116161219308348360
TIND,2738449801315983152223238
UroLift®.8504648013169100156205228256294338352
SUMMARY8524934014762143243345423493561
Fišer1000509801315172111164195
L,1218509801315069
Čermák13105098013163114146236284330
M,16635098013185105
Hyršl17915098013169117150191213
L,2027509801314969
Kočárek21195098013155112161210242293339
J.2482509801313754
Minimally25595098013186108166188276325347369417
invasive850524801312484133185227249301355
surgical12315248013151110142203226277328352
methods16175248013193149184244305368409
for2051524801313999132
the22095248013144104160
treatment2394524801314477131181215308364424458
of2877524801316999
benign8505398013161115174196255313
prostatic11885398013169101158198233283315338386
hyperplasia15995398013167113175229261322345394434456504
as2128539801315898
an22505398013158117
alternative2391539801315881114165197256305338360410462
to2877539801314399
classic850554801314971120159199221269
desobstructive11435548013160113153211271311346378436485521543592644
procedures.1811554801316193149199250310367398450490509
Since1000569801315173131181232
188512555698013153100155207
and14845698013150108169
1886,16755698013153101155210229
when19265698013179138192251
Belfield21995698013155110133160186240263323
and25445698013150109169
Dittel2735569801317195129166218241
performed8505848013162118151185244278371426489
the13655848013144104159
first155058480131366396139176
transvesical1751584801314478130190231284338380403454505529
prostatectomy23065848013171105164206242294328381433471529622670
(TVPE)850599801312985147203253283
described11565998013159113154204236260320375436
in1617599801312079
the1721599801313190144
literature,189059980131204377129161212245304336388406
and23185998013150109169
since2512599801313961119169220
1926,2755599801315399150202221
when8506148013179139193252
Maximilian11316148013185135184208298321344366416474
Stern1631614801315486138171230
performed18906148013161116148181240273364418479
the2395614801313796150
first257061480131305789131166
tran‑2762614801313770121180214
surethral850629801314199131184218277309360384
resection1259629801313789131185236273296355414
of1699629801316392
the1817629801313897152
prostate1998629801316194152193229279313365
(TURP),2388629801313489160216272299315
these2729629801313897152193247
techniques850644801313486136195253276336394448489
are1361644801315082135
considered15186448013149106166206228288342374427488
the2031644801313190144
“gold2200644801313086145169229
standard”2454644801313874124183243293325384418
in2897644801312078
surgical8506598013141100132192215265317340
treatment1216659801314376130179213304359419452
of1694659801316898
benign18176598013171127186209270330
prostatic21726598013171104162204240291325349398
enlarge‑25966598013163123146196229289344380
ment8506748013188141198229
(BPH).1103674801312579133199226241
Both13656748013154112144201
surgical1590674801313793124181203250299322
methods19326748013188141174231288348387
lead2343674801311971119177
to2544674801313085
a26506748013149
signif‑2723674801313758116173195223253
icant850689801312372123182215
improvement10906898013126116176209267316369459514573605
in1721689801312584
subjective,18306898013144101162186239290327350401454471
functional2327689801313191150200237260319378428452
and28046898013152111172
laboratory850704801312371131190222272304360392443
results,1318704801312880120176199232273292
namely16327048013158106195247270318
a19717048013150
reduction2045704801312980140197245282304361420
in2489704801311977
the2590704801313088141
Inter‑2755704801312078110160192221
national8507198013159109142165224284333357
Prostate1232719801315991148189225276309361
Symptom16187198013155101192253287344434
Score20787198013154104161194247
Questionnaire23547198013174133187228264287346406464514537569622
(IPSS),850734801313053109161212242259
an11357348013160120
increase1281734801313392143176230280322377
in1684734801313393
maximum18127348013191142192216308367459
urine22977348013168101126186241
flow2564734801313663123204
rate2794734801314294128182
(Qmax),8507498013129101193243292322339
a12147498013159
reduction1299749801314295156215265302326385445
in1769749801313291
post-micturition18867498013170130172208238329353402440499531555590613673732
residue2644749801314295136159219278332
volume8507648013149105128184272325
(PMR),1199764801312579160214241257
a14777648013149
reduction1550764801312980139195244279301359416
in1990764801312077
prostate2087764801316092148187222271303353
volume24617648013149105128184272325
(PV)2810764801312579134166
and3203898013149107167
in339489801312078
some349689801313896185239
cases375689801314998138192232
to401389801313086
reduce412489801312981141198247298
the444689801313189142
value461089801314999121178231
of486389801315887
prostate497189801316093149189224274306358
specific32031048013142103159210234261288339
antigen35671048013160120154177239293353
(PSA).3946104801313995147211241257
Nevertheless,42391048013171126177230264302362418442497539580601
we48751048013180134
would50441048013181140200224285
find3203119801312754113174
here34031198013169124157210
several36391198013151105156210243294318
“defects3983119801314297152181235287325368
in4377119801313292
beauty”.44941198013171127177236271324360372
The48921198013161123178
main51051198013191141165224
disadvantages3203134801316083123174235285336395428479539593634
of3863134801316292
the3980134801313897152
above41571348013154115175224277
surgical44591348013146103136195217267318341
procedures4829134801316194152202254316374406459500
include3203149801312382131155213273327
the35551498013143102157
need37371498013168122177238
for4000149801313896129
hospitalization,41541498013168128169229253287338361384429481514537596655675
anesthesia48541498013159117172213249308362403426475
and32031648013150108168
bladder3393164801316084133193252306338
catheterization,3753164801314999131190243277329361384428479512535593652671
plus4446164801316084141181
high4649164801315881140198
periopera‑48691648013161115147170228289344376426460
tive3203179801313457108160
morbidity33931798013190150183244268328351386438
and38561798013155113174
possible40601798013160121162203225286310364
postoperative44531798013161121162198255317372404455488512562615
com‑50931798013154111202236
plications3203194801316287110161213247271332393434
such36631948013152111162222
as39111948013160102
bleeding,4039194801317297152208271295355417437
infections,4502194801313393123177229268292352413455475
urinary50031948013169103127187238272326
retention,3203209801313284117169227259281339398416
urinary3641209801315890113170219251303
incontinence,3969209801311977126182241273295353406464513564582
urethral4572209801315890142175233265315338
strictures4934209801313873105128177213271303354395
and32032248013151112175
sexual34052248013151108158219271296
dysfunction.37272248013171123166198260321373412436497559580
Therefore,43342248013162125181215270301361396450469
many48392248013193145206255
new51202248013171127209
surgical3203239801314199132191215264316339
techniques3568239801314396147206265288348407462503
have40972398013168119168221
been43432398013171126182241
developed46092398013170124175228252311373429491
over51252398013168118171204
the3203254801313493147
years33732548013148101150182224
to3622254801313289
minimize37332548013190113172195284307352404
these4162254801313291145186240
shortcomings.4427254801313997157190228275332422445504564604624
Some50742548013151110201255
of3203269801315988
them3316269801313291145235
have35742698013159108157210
entered38072698013153112145197229282343
the4175269801313291145
standard4345269801313974125184245294327386
algorithm4753269801315074134193226250284343433
for5211269801312785118
surgical3203284801314199131190213262313337
treatment3565284801314376128178211301356415448
of4038284801316797
BPH,41602848013165120188208
such43932848013150108157216
as4635284801315999
transurethral4760284801314376127185226284316369403462494545569
prostate3203299801316296155197234286320373
enucleation36022998013164125184235259314365399423483544
(TUEP),4172299801313997169221277305322
prostate45202998013172106165207244296330383
enuclea‑49292998013164125184235259314365400
tion3203314801313458117177
by34063148013170119
holmium35503148013169129153244267325416
laser3991314801313383125179212
(HoLEP)42293148013138108168218270325352
or46073148013168101
thulium47343148013143103162185208267357
laser5117314801313283124179211
(ThuLEP),3203329801312984144202250301355381397
or3622329801315891
photoselective37353298013160119177210267307361384437487524546596648
prostate4405329801316093150190225275308359
vaporization47863298013150100160219252275319370403426484543
(PVP).3203344801313087146205234251
Others34903448013176114176232266310
have38263448013170122173228
not40813448013170131167
been42743448013172129186248
fully45483448013140102126150202
established,47763448013165108145198261286310352413469533553
such3203359801314199148207
as3435359801315495
transurethral3555359801313770121180220278310363397456488540563
microwave41463598013191113163195253332383432485
thermotherapy4656359801313796151183274333367426480513564624673
(TUMT),3203374801312984153237287321337
transurethral3564374801313163113171210267298350383441473523546
needle41313748013158112165226248301
ablation44543748013149109132181213236294352
(TUNA)4831374801312680150219281310
and51623748013150107167
prostate3203389801316194151193228279312364
stents.3592389801314378130189222265286
Despite33534048013171127170231256291344
the37244048013142102157
excellent39074048013162111161214239262318378412
surgical43454048013149107141201225276328352
results4723404801314194137195220255299
of5048404801316797
the51724048013142102157
above-mentioned32034198013151114177229284322416473535570595656718775839
desobstructive40694198013172128172233297341379413475527567592645700
procedures47964198013173108168221275339400434490533
in3203434801312383
the33134348013145105161
treatment3501434801314478133183218311366427461
of39894348013169100
BPH,41164348013166123193214
there43564348013145105161195249
remain4632434801314397189241265325
a49844348013160
num‑50714348013170129221258
ber32034498013161117151
of3380449801316595
men35084498013190145205
who37464498013179140201
cannot39734498013155107167227287322
or4321449801316599
do44474498013166126
not45994498013165126160
want47924498013179131191225
to5044449801314098
un‑51684498013165125161
dergo32034648013160115148209269
them.3498464801313393148239260
The37834648013151113169
most39764648013190151193230
common42324648013148106198289349410
reasons4668464801313185135177237298340
for5034464801312787121
the5181464801313393148
impossibility32034798013123115177239281323347409434459482518572
of38024798013169100
performing39284798013172128162197256291384408468530
surgical44854798013151110144204229280332356
treatment4868479801314479133183218310366427461
include3203494801312383133157216278333
the3562494801313393148
patient’s37354948013160112147171225285319343382
polymorbidity,41424948013161122147197290350384447471532556592645660
fear4828494801312882132166
of5018494801315989
pos‑51324948013161122164197
sible3203509801314164125149204
perioperative34315098013160115148173232294349382433467491542595
and40505098013150109170
postoperative42445098013160120162198256317373406457491515566619
complica‑48875098013148106197258282306355407442
tions.3203524801313457116175216237
That34635248013151112161195
is3683524801312161
why37685248013178138185
there3978524801313291145178230
is4234524801312060
intensive4320524801312179112164223264286337390
development47335248013159113163216240299360450504563596
of3203539801315990
new33205398013169125206
minimally35635398013191115176200292343368392443
invasive4033539801313393143196238262314369
surgical44285398013152111145206230281334358
techniques4813539801314498150211271296357417473516
that3203554801313597150186
would34285548013182143206231295
not37515548013171134170
require39495548013144100165226252287342
hospitalization,43195548013172134178242268305359385410458513549574637700721
anes‑50685548013162124182226261
thesia3203569801313494149191214265
and34925698013150110171
catheterization3689569801314799133193248283336370394440493527551611671
and43855698013149109170
at4580569801315084
the4690569801313292147
same4863569801314092183238
time5127569801313256147202
would32035848013179139199223285
lead3514584801312277127189
to3729584801313291
a38445848013150
reduction3921584801313184147206257295319379440
or4386584801315892
elimination4503584801315478102193217276327362386446507
of5034584801315989
side5150584801313963124179
effects3203599801315485120175228267311
of35415998013170101
standard3669599801315289142202265317351412
surgical41085998013152111145206231282335359
treatment4494599801314580134185220313369430465
of49855998013170101
BPH.51135998013167124194216
These32036148013151112167209264
methods34916148013190145179239299361402
include3919614801312180131155213274329
the4274614801313292146
AquaBeam®44456148013164123182233289344394484526
system,4997614801313990132169221312332
the3203629801313493148
UroLift®33756298013169101159210234264303350
system,3751629801313990132168221311331
the4108629801313291146
Rezūm®42786298013156110156216306348
system4652629801313990132168221311
and49876298013150109170
the5183629801313292146
TIND3203644801315177148221
system.3450644801314395138174228319340
KEY32046734014770134206
WORDS343767340147105189260345408
AquaBeam®,32036898013166125184235291346395486528541
benign37696898013170126185208269328
prostate41226898013171104162204239290324376
hyperplasia45236898013169116179235267330354404445467517
(BPH),5065689801313894150219248264
minimally32037048013189110166187274321343364410
invasive3636704801311975121170208229277327
surgical3983704801314095125182203250298320
methods,43227048013189141173229286345383401
Rezūm®,47427048013155107150207294333344
TIND,5105704801315174141210224
UroLift®.32037198013169100156205228256294338352
………320374840147120240360