Czech urology, 2019 (vol. 23), issue 2

Editorial

Tomáš Hanuš

Ces Urol 2019, 23(2):93-94  

The robotic intracorporal Hautmann orthotopic neobladder

Jiří Kočárek, Eva Hoření, František Chmelík, Markéta Matějková, Milan Čermák, Jiří Heráček

Ces Urol 2019, 23(2):95-96  

Kočárek J, Hoření E, Chmelík F, Matějková M, Čermák M, Heráček J. The robotic intracorporal Hautmann orthotopic neobladder. Introduction: The daVinci robotic system with modern EndoWrist tools enables a miniinvasive approach to intracorporeal reconstruction of orthotopic neobladder after cystectomy. Description of the clinical case: We performed 42 robotic radical cystectomies since January 2010 to June 2018. We had used the robotic system daVinci standard until December 2013, then we used daVinci Si. During procedures patients were positioned in 30 degrees Trendelenburg position. After the ablation phase of cystectomy orthotopic neobladder was created...

Minimally invasive closure of a vesicovaginal fistula using robotic single‑site surgery

Jan Schraml, Martin Hlavička, Marek Broul, Filip Cihlář

Ces Urol 2019, 23(2):97-100  

Schraml J, Hlavička M, Broul M, Cihlář F. Minimally invasive closure of a vesicovaginal fistula using robotic single‑site surgery. We report our experience with the closure of a vesicovaginal fistula using a highly minimally invasive technique - using a single‑port approach with the da Vinci Xi robotic system: a video. Introduction: Vesicovaginal fistulas (VVPs) are among much‑feared gynaecological complications. A VVP in itself is not life‑threatening for the patient, but the resulting urinary incontinence significantly impairs her quality of life. The extent and nature of urine leakage depend on the size of the VVP. A VVP...

Surgical treatment of urinary incontinence in children

Josef Sedláček

Ces Urol 2019, 23(2):101-113 | DOI: 10.48095/cccu2019007  

Sedláček J. Surgical treatment of urinary incontinence in children. Major statement: Overview of contemporary options of surgical treatment of urinary incontinence in children and adolescents. Surgery for urinary incontinence are provided in children and adolescents with congenital and acquired disorders of lower urinary tract if pharmacological treatment and intermittent catheterization are ineffective. Furthermore, in children where only surgical treatment is possible. The aim of the treatment is a low pressure reservoir with good capacity and kidney protection. Methods respect the type of disorder, prospective development and risks. For bladder...

Current trends in penile urethral stricture reconstruction

Kateřina Šuldová

Ces Urol 2019, 23(2):114-123 | DOI: 10.48095/cccu2019014  

Penile urethral strictures are the most challenging for the reconstructive urologist. Penile urethral reconstruction of one centimeter is usually equally demanding as bulbar urethral reconstruction of four centimeters. The aim of this work is to analyze the studies over the last three years, concerning penile urethral stricture surgery, which are connected with instrumentation, infections of the lower urinary tract or traumatic injuries. Strictures of unknown etiology were also included. Comparison of urethroplasty success with fasciocutaneous flap or buccal mucosal graft is the most important part of this work.

Treatment of rectoanastomotic fistulae after laparoscopic radical prostatectomy

Květoslav Novák, Radim Kočvara, Tomáš Hanuš, Petr Macek, Oldřich Paul, David Michalský

Ces Urol 2019, 23(2):124-130 | DOI: 10.48095/cccu2019020  

Novák K, Kočvara R, Hanuš T, Macek P, Paul O, Michalský O. Treatment of rectoanastomotic fistulae after laparoscopic radical prostatectomy. Aim: Rectoanastomotic fistula after laparoscopic radical prostatectomy (LRP) is an infrequent but serious complication. A bowel diversion above the fistula (sigmoidostomy) is needed just like urinary diversion (permanent urethral catheter and epicystostomy 15CH). This is the only chance for spontaneous closure of the fistula but surgical occlusion is more frequent. Material a methods: From 2008 to 2018 we diagnosed rectoanastomotic fistula in 5 patients from 688 after LRP (0,72 %). Fistula appeared from the 6^th...

Cystic renal lesions: one centre study

Tomáš Pitra, Kristýna Pivovarčíková, Radek Tupý, Jiří Kolář, Ondřej Hes, Milan Hora

Ces Urol 2019, 23(2):131-139 | DOI: 10.48095/cccu2019029  

Aim: To find the frequency of occurrence of cystic tumours of the kidney, to compare the results of imaging studies with the final histology findings, to retrospectively evaluate possibilities of diagnostics and surgery. Material a methods: All patients who underwent surgery for the kidney tumour/cystic lesion of the kidney in the time period I/2009-XII/2017 were searched and reevaluated. The patients with cystic renal lesions were included in this study. These patients were reevaluated and classified according to Bosniak (primarily based on CT; ambiguous than an MRI was perfomed. The histological results surgicak options were compared. Results: In...

Miliary BCG-pneumonitis: a rare complication of intravesical BCG therapy

Barbora Nechanská, Jan Zaplatílek, Richard Pabišta, Olga Zadražilová

Ces Urol 2019, 23(2):140-148 | DOI: 10.48095/cccu2019017  

Nechanská B, Zaplatílek J, Pabišta R, Zadražilová O. Miliary BCG-pneumonitis: a rare complication of intravesical BCG therapy. Adjuvant intravesical immunotherapy with Bacillus Calmette-Guérin (BCG) vaccine is an effective treatment for patients with high risk non-muscle-invasive bladder carcinoma. The therapy is usually well tolerated and accompanied only by local or mild systemic symptoms (dysuria, mild increase of body temperature). Life-threatening systemic complications (nephritis, pneumonitis, BCG - sepsis) occur rarely. Their diagnostics can be challenging due to non-specific symptoms and frequent negative findings in the urine, sputum or blood...

Melanoma of the female urethra

Rodrigo Gouveia, David Cibula, Viktor Soukup, Tomáš Hanuš

Ces Urol 2019, 23(2):149-154 | DOI: 10.48095/cccu2019026  

Antegrade flexible ureterorenoscopy in stone treatment in patient with ureterosigmoideostomy after exstrophy-epispadias complex repair

Milan Král, Jan Vrána, David Hradil, Filip Čtvrtlík, Hynek Skoták, Vladimír Študent

Ces Urol 2019, 23(2):155-157 | DOI: 10.48095/cccu2019024  

Report from the Annual EAU Congress in Barcelona

Tomáš Hradec, Otakar Čapoun, Vojtěch Fiala, Vojtěch Novák, Jakub Řezáč

Ces Urol 2019, 23(2):158-161

Spring Educational Urology Symposium, 12-13 April 2019, Carlsbad

Peter Beniač

Ces Urol 2019, 23(2):162-167  

Comprehensive news in oncological urology 2019

Vojtěch Novák

Ces Urol 2019, 23(2):168-170