Czech urology - Latest articles

Retrocaval ureterFrom urology practice in pictures

Alexandra Kucserová, Hynek Skoták, Milan Král, Daniela Tomášková, Zbyněk Tüdös

Ces Urol 2026, 30(1):35-36 | DOI: 10.48095/cccu2026006  

Robot-assisted Anderson-Hynes pyeloplasty for ureteropelvic junction obstruction in childrenOriginal paper

Zuzana Študentová, Vladimír Študent jr., Jan Šarapatka, Oldřich Šmakal

Ces Urol 2026, 30(1):24-29 | DOI: 10.48095/cccu2026007  

Major statement: Robot-assisted pyeloplasty in children, except for very young children, where the use of robotics is limited by instrument size and anesthesia duration, is becoming the preferred surgical modality and the new standard of treatment for ureteropelvic junction obstruction.Summary: Objective: The aim of this study was to evaluate perioperative and functional outcomes of pediatric patients who underwent robot-assisted Anderson-Hynes pyeloplasty for ureteropelvic junction obstruction using a robotic surgical system. Patients and Methods: Pediatric patients aged ≤ 18 years who underwent...

Pokyny pro autoryInformation

redakce

Ces Urol 2026, 30(1):43-46  

Zpráva z uroonkologické sekce konference PragueONCO 2026Information

Martin Matějů, Stanislav Hloušek, Viktor Soukup

Ces Urol 2026, 30(1):39-41  

Zpráva z 2. vinohradského kazuistického dneInformation

Alexandra Gregušová

Ces Urol 2026, 30(1):37  

Když guidelines nestačíEditorial

Tomáš Büchler

Ces Urol 2026, 30(1):7-8  

30. ročník časopisuEditorial

Adéla Holčáková

Ces Urol 2026, 30(1):5  

Robot-assisted nephroureterectomy (RA-NUE) – videoVideo

Milan Hora, Tomáš Ürge, Adriena Bartoš Veselá, Petr Stránský jr., Dominika Šiková, Tomáš Pitra, Hana Sedláčková, Petr Stránský, Ivan Trávníček, Blanka Drápelová, Jitka Voráčková, Jiří Ferda, Jan Pernický, Kristýna Pivovarčíková, Ondřej Fiala

Ces Urol 2026, 30(1):16-18 | DOI: 10.48095/cccu2026005  

Introduction: The indications for nephroureterectomy (NUE) for upper tract urothelial carcinoma (UTUC) are relatively clear, but questions remain regarding the technique used to perform NUE and the indications for lymphadenectomy (LND – lymph node dissection) during NUE. There is a wide range of NUE techniques (open surgery, laparoscopy, endoscopy). Basically, there is a nephrectomy phase and an ureterectomy phase, and possibly also LND, with individual techniques being combined. Open NUE remains the dominant technique for advanced tumors, otherwise minimally invasive techniques are widely used. After many years of gradually performing three...

Robot-assisted transvesical prostatectomy – videoVideo

Martin Fila, Miroslav Záleský, Jiří Heráček

Ces Urol 2026, 30(1):14-15 | DOI: 10.48095/cccu2026003  

Introduction: Benign prostatic hyperplasia (BPH) is a common cause of lower urinary tract symptoms. When conservative treatment fails, surgical management is indicated. Robot-assisted transvesical prostatectomy represents a minimally invasive alternative to open surgery. At our department, patients with large adenomas (> 100 mL) are indicated for either HoLEP or robot-assisted transvesical prostatectomy. The procedure is performed using a multi-port system, although recent publications suggest that a single-port approach may represent a promising alternative. A potential advantage of this procedure compared to HoLEP is the avoidance of transurethral...

Combination of systemic and surgical treatment in a patient with primarily inoperable renal cell carcinoma in a horseshoe kidney: the importance of multidisciplinary collaboration – updated results of 3-year follow-upCase report

Jiří Herman, Vladimír Študent jr., Aleš Vidlář, Anežka Zemánková, Igor Hartmann

Ces Urol 2026, 30(1):30-34 | DOI: 10.48095/cccu2026004  

Primarily inoperable, locally advanced renal cell carcinoma represents a significant challenge in uro-oncology. Although systemic therapy is not a standard component of treatment in this setting, in carefully selected patients it may lead to disease regression and enable subsequent surgical resection. We present updated results of a 3-year follow-up of a patient with an initially inoperable finding in whom systemic therapy created the conditions for a subsequent successful surgical intervention.

Robot-assisted simple prostatectomy – an alternative to transvesical prostatectomy for significantly enlarged prostateVideo

Miloš Broďák, Petra Koňaříková, Václav Krejčí

Ces Urol 2026, 30(1):11-13 | DOI: 10.48095/cccu2026001  

Introduction: We present an innovative procedure for the surgical treatment of a significantly enlarged prostate causing urinary retention. The very good long-term results of transvesical prostatectomy led us to search for a less invasive surgical alternative. Robot- -assisted simple prostatectomy for benign prostatic hyperplasia is increasingly promoted in many countries with advanced healthcare systems. The clear surgical procedure and significantly shortened postoperative recovery led us to adopt this method. We present the performance of robotic enucleation on the da Vinci Xi - multiport device, which we adopted from abroad. Case report: A 61-year-old...

Retrospective single centre study of microwave ablation in the treatment of cT1 renal cell carcinomasOriginal paper

Jan Hnátek, Jakub Horňák, Martin Mašek, Jan Hrbáček

Ces Urol 2026, 30(1):19-23 | DOI: 10.48095/cccu2026002  

Major statement: Microwave ablation is a miniinvasive method of cT1 renal cell carcinomas treatment. The aim of the study is to present the oncological results and the occurrence of postoperative complications of this method at our institution. Summary: Aim: Microwave ablation is an alternative to partial nephrectomy in the treatment of cT1 renal carcinomas. This retrospective study aims to evaluate the oncological results and postoperative complications of this method. Patient population: The retrospective, single institution study included 63 patients who underwent a total of 78 microwave ablations at our institution,...

Verification of renal ischemia during selective clamping of the renal artery branch during robot assisted resection of a renal tumor using ICG and NIR imaging – videoVideo

Milan Hora, Adriana Bartoš Veselá, Ivan Trávníček, Petr Stránský jr., Dominika Šiková, Jitka Voráčková, Tomáš Ürge, Jiří Ferda, Jan Pernický, Marián Švajdler, Kristýna Pivovarčíková

Ces Urol 2026, 30(1):9-10 | DOI: 10.48095/cccu2025024  

Objective: Verification of renal ischemia during renal artery clamping in minimally invasive renal tumor resection is possible based on the appearance of the kidney, using Doppler ultrasonography and indocyanine green (ICG) administration with narrow light spectrum application (NIR (near infrared) imaging/fluorescence). In most cases, the first two methods are sufficient; we use ICG very sparingly, only when selecting clamping of multiple arteries or branches of the renal artery. The video shows the use of ICG in robotic resection (RR) of a kidney tumor with a duplex renal artery. Abstract: ICG with NIR imaging technology has been available since July...

71. výroční konference České urologické společnosti ČLS JEPAbstracts

Česká urologická společnost ČLS JEP

Ces Urol 2025, 29(Suppl. B)  

Cesta pacienta s renálním karcinomem k adjuvantní terapii - Sympozium společnosti MSD 17. října 2024

Ces Urol 2025, 29(Suppl A):1-5  

Retrospective evaluation of vasectomy outcomes – effectiveness, complications, and adherence to post-vasectomy semen analysis in Czech urological practiceOriginal paper

Marek Broul, Aneta Hujová

Ces Urol 2025, 29(4):212-216 | DOI: 10.48095/cccu2025023  

Introduction: Vasectomy is a highly reliable method of permanent male contraception with a very low risk of failure after confirmed sterility. In Czech clinical practice, sterility is traditionally defined by repeated complete azoospermia, whereas current AUA/EAU guidelines accept a single post-vasectomy semen analysis (PVSA) showing azoospermia or rare non-motile sperm (RNMS ≤ 100,000/mL). Patients and methods: We retrospectively evaluated men after vasectomy between January 2022 and May 2025 who were operated on at our centre or at least two other urological departments and subsequently referred to our clinic for PVSA and/or late follow-up....

Reconstruction of ureteral stricture using buccal mucosal graftVideo

Miloš Broďák, Jiří Špaček

Ces Urol 2025, 29(4):195-196 | DOI: 10.48095/cccu2025027  

Introduction: We present an innovative surgical procedure for the correction of ureteral stricture resulting from ureteroscopic laser lithotripsy of a stone. The risk factors are a bulky stone and high-energy laser use, both of which were present in our case. We present a case report of a successful robot-assisted surgery for a ureteral stricture, which was temporarily decompressed by nephrostomy. The use of a buccal graft has been successfully used in reconstructive surgeries and in urology since 1942, especially in urethroplasty. According to recent foreign presentations, the transferred buccal graft can also be used in upper urinary tract reconstructions.Case...

Robot-assisted partial resection of multiple kidney tumorsOriginal paper

Jana Kocháňová, Jiří Heráček, Miroslav Záleský

Ces Urol 2025, 29(4):217-222 | DOI: 10.48095/cccu2025028  

Major statement: The study evaluated robot-assisted partial nephrectomy in 18 patients with multiple ipsilateral renal tumors. The results showed that it is a safe procedure with a low rate of complications, positive margins, and recurrences, while effectively preserving renal function.Summary: Introduction: Robot-assisted partial nephrectomy represents the standard nephron-sparing procedure for localized renal tumors. Multiple ipsilateral renal tumors are rare, and their surgical management poses a challenge in terms of preserving renal function and ensuring oncological safety. The aim of this study was to evaluate the safety,...

Robot-assisted radical cystectomy with intracorporeal diversion – Bordeaux neobladder, technique and first resultsVideo

Vladimír Študent jr., František Hruška, Igor Hartmann, Vladimír Študent

Ces Urol 2025, 29(4):189-191 | DOI: 10.48095/cccu2025022  

Introduction: Robotic-assisted radical cystectomy (RA-RACE) has emerged as a viable alternative to traditional open surgery. However, the complete intracorporeal creation of the neobladder presents significant technical challenges. This paper reports on a series of intracorporeal RA-RACE procedures utilizing the Bordeaux neobladder (modified Y reconstruction), which has recently gained popularity as an alternative to the classic Studer diversion (Wiklund, Karolinska neobladder). One of the key advantages of the Bordeaux neobladder is that it is technically more simple to perform, as it does not require ureteral transposition, making reimplantation...

Robot-assisted bladder diverticulectomy - videoVideo

Milan Hora, Adriana Bartoš Veselá, Ivan Trávníček, Petr Stránský jr., Dominika Šiková, Jitka Voráčková, Tomáš Ürge, Jiří Ferda, Jan Pernický, Marián Švajdler, Kristýna Pivovarčíková

Ces Urol 2025, 29(4):193-194 | DOI: 10.48095/cccu2025025  

Objective: To present the technique of robot-assisted diverticulectomy (RADE) in a video.File: Between 2011 and 2020, we performed 35 laparoscopic diverticulectomies, 15 of which were combined with photoselective vaporization of the prostate using a green laser (PVP). From 2021 to October 2025, we performed 16 RADE procedures. RADE technique: Supine position, lower limbs abducted. We begin with cystoscopy using a flexible (supine position) or rigid cystoscope - previously in the lithotomy position, in the last four cases already in the final position. The ureter on the side of the diverticulum is probed with a ureteral catheter. Capnoperitoneum is...

The relationship between nocturia and obstructive sleep apnoea as a cause of nocturnal polyuriaReview article

Radek Paus Sýkora, Tomáš Rychlý, Jan Krhut

Ces Urol 2025, 29(4):206-211 | DOI: 10.48095/cccu2025029  

Nocturia is defined by the International Continence Society as any nighttime urination that is both preceded and followed by sleep. It primarily affects older individuals, and its prevalence increases with age. The main causes of nocturia include global polyuria, nocturnal polyuria, and reduced bladder capacity, which may result from either storage or voiding dysfunction. Obstructive sleep apnoea syndrome is a condition in which repeated collapses of the upper airway during sleep lead to episodes of hypopnea or apnoea. As a consequence, pathophysiological changes occur that cause increased secretion of atrial natriuretic peptide from the atrial cardiomyocytes,...

Gender reassignment in the Czech Republic – legislative framework and medical aspectsReview article

Adam Novák, Marcela Fontana, Lucia Strhárska, Ladislav Jarolím

Ces Urol 2025, 29(4):197-205 | DOI: 10.48095/cccu2025026  

Major statement: The article summarizes the medical, legal, and psychosocial aspects of gender conversion in the Czech Republic. It describes diagnostics, hormonal and surgical therapy, legislative changes effective from July 2025, and emphasizes the need for multidisciplinary, long-term, and respectful care. Summary: Gender dysphoria currently represents an important medical, legal, and social issue, closely linked to fundamental human rights and freedoms. In the Czech Republic, the process of gender transition is embedded in the legal system, with its conditions and procedures defined primarily by the Civil Code, the Act...

EditorialEditorial

Kristýna Pivovarčíková

Ces Urol 2025, 29(4):185  

Zpráva z Výroční konference ČUS 2025 v Hradci KrálovéInformation

Miloš Broďák

Ces Urol 2025, 29(4):223-224  

Zpráva z kongresu AUA 2025 v Las Vegas, USAInformation

Miloš Broďák, Michal Balík

Ces Urol 2025, 29(4):226-228  

Incidental finding of prostate cancer during surgery for benign prostatic hyperplasia – how to proceed?Review article

Peter Polaček, Otakar Čapoun, Martin Malý, Filip Vlček, Alžběta Kantorová, Viktor Soukup

Ces Urol 2025, 29(3):146-151 | DOI: 10.48095/cccu2025021  

The so-called incidental prostate cancer, identified during surgical treatment for benign prostatic hyperplasia, particularly transurethral resection of the prostate, represents a specific clinical scenario with no clearly defined standard of care. This review summarizes current data on the incidence, predictive factors, and options for further diagnosis and treatment of incidental prostate cancer. Special attention is given to the role of postoperative prostate specific antigen levels, multiparametric magnetic resonance imaging, the value of subsequent biopsy, and the prediction of residual cancer presence or absence. The roles of radical prostatectomy...

Modeling human kidney in vitro – the potential of renal organoids and tubuloids for urologyReview article

Viktória Filipková, Tomáš Pelikán, Roman Zachoval, Petr Heneberg

Ces Urol 2025, 29(3):131-140 | DOI: 10.48095/cccu2025019  

Major statement: This review presents a comprehensive survey of renal organoids, encompassing their characterization, potential applications, limitations, and prospects, with particular emphasis on their relevance to the field of urology.Summary: Renal organoids are advanced tissue cultures that resemble key structural, functional, and developmental aspects of native kidney tissue in vitro. Organoids enable a person- alized approach to disease diagnosis and treatment, with their relevance in urology continuously increasing. Organoids derived from induced pluripotent stem cells allow modeling of embryonic nephron development,...

Histological findings in a completely duplicated kidney and ureter after heminephrectomyOriginal paper

Martina Košudová, Minh Nguyet Tranová, Pavel Navrátil, Miroslav Podhola, Ivo Novák

Ces Urol 2025, 29(3):164-169 | DOI: 10.48095/cccu2025018  

Introduction: Complete duplication of the kidney and ureter is a common congenital anomaly of the urinary tract, often associated with ectopic ureter, ureterocele, or vesicoureteral reflux. In cases of severe hypofunction of the upper moiety, heminephrectomy is indicated. Objective: The aim of this study was to analyze the histopathological findings in resected upper segments of completely duplicated kidneys in pediatric patients undergoing heminephrectomy. Methods: A retrospective analysis was conducted on 26 children operated on between 2000 and 2024 for complete duplication of the upper urinary tract at the University...

Evaluation of oncological outcomes using prognostic models in patients operated on for renal cancer Ş experience from a single centerOriginal paper

Marek Kašík, Michal Fedorko

Ces Urol 2025, 29(3):158-163 | DOI: 10.48095/cccu2025017  

Major statement: This paper aims to evaluate the outcomes of patients who underwent surgical treatment of renal cell carcinoma at the Department of Urology of the University Hospital Brno between 2014 and 2022 using the prognostic models.Summary: Objectives of the study: The aim of this study was to evaluate the cohort of patients with surgical treatment of renal cell carcinoma at our institution with regard to prognostic factors using the Leibovich and GRANT prognostic models.Patients and methods: A retrospective evaluation was performed of baseline data of patients who underwent radical or partial nephrectomy...

Positive surgical margins in renal malignancies after nephron-sparing surgery – results of a single-centre retrospective analysisOriginal paper

Rostyslav Luzan, Petr Klézl, Jindřích Šonský, Jakub Hanych, Robert Grill

Ces Urol 2025, 29(3):152-157 | DOI: 10.48095/cccu2025016  

Objective: The aim of this study was to compare the incidence of positive surgical margins (PSM) in nephron-sparing surgeries on the kidneys, postoperative follow-up, and complications in patients at our institution with global trends. Material and methods: The analysis was conducted on a set of procedures performed at the Urology clinic of University Hospital Královské Vinohrady from 2011 to 2021. Results: During the analyzed period, a total of 611 nephron-sparing surgeries were performed at our clinic. Of these, 117 patients underwent laparoscopic partial nephrectomy (LPN) and 494 patients underwent open partial nephrectomy...