Czech urology - Video - Latest articles
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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 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...
Minimally invasive ureterolysis in retroperitoneal fibrosis (Ormond´s disease) – videoVideo
Milan Hora, Olga Dolejšová, Petr Stránský Jr., Dominika Šiková, David Suchý, Jiří Ferda
Ces Urol 2025, 29(2):67-68 | DOI: 10.48095/cccu2025009
Introduction: In idiopathic retroperitoneal fibrosis, ureteral involvement of the retroperitoneal fibrotic mass (especially in the middle part of the ureters) dominates, leading to the development of (dolicho-) megaureters with subsequent progressive renal insufficiency. The left side tends to be affected earlier. The solution is to influence the etiopathogenesis of the disease (especially corticoid treatment) and diversion of the upper urinary tract. Either permanent stenting of both ureters with all its disadvantages or ureterolysis. Historically open via midline laparotomy, more recently minimally invasive. In this paper we evaluate the results...
Robot-assisted resection of renal tumour – our current most common technique – videoVideo
Milan Hora, Ivan Trávníček, Petr Stránský, Adriena Bartoš Veselá, Tomáš Pitra, Hana Sedláčková, Petr Stránský Jr, Dominika Šiková, Kseniia Khomenko, Blanka Drápelová, Jitka Voráčková, Jiří Ferda, Kristýna Pivovarčíková
Ces Urol 2025, 29(1):9-11 | DOI: 10.48095/cccu2025004
Aim: To present on video our current most used technique of robot-assisted resection of renal tumour (RR). Material: We performed 274 RRs between June 2020 and November 2024. Our technique is based on a modification of conventional laparoscopic renal resection, of which we performed 599 between August 2004 and May 2020. RRs currently account for over one third of the surgical procedures for kidney cancer at our institution. Laparoscopic (rarely robotic assisted) nephrectomy is almost as frequent. Open resection accounts for about 17% and open nephrectomy for slightly less. Open resections are mainly indicated for more complex tumours,...
Minimally invasive robot assisted nephropexyVideo
Milan Hora, Tomáš Ürge, Olga Dolejšová, Petr Stránský, Adriena Bartoš Veselá, Tomáš Pitra, Hana Sedláčková, Petr Stránský jr., Dominika Šiková
Ces Urol 2024, 28(2):66-68
Hora M, Ürge T, Dolejšová O, Stránský P, Bartoš Veselá A, Pitra T, Sedláčková H, Stránský P jr, Šiková D. Minimally invasive robot assisted nephropexy. Objective: To present our contemporary technique of minimally invasive nephropexy. We follow data based on clinical studies of lower quality recommending the laparoscopic technique of suturing of a renal capsule at the convexity of kidney. Material, methods: Indications for surgery are symptomatic patients with proven nephroptosis on radiological examinations (mainly IVU). From 12/2004 until 4/2024, nephropexy was performed on 37 women. In 34 on the right side, two times on both sides and once on the...
Variant of urethrovesical anastomosis during robot assisted radical prostatectomy - videoVideo
Jan Schraml, Martin Hlavička, Milan Hora
Ces Urol 2024, 28(1):10-12
Schraml J, Hlavička M, Hora M. Variant of urethrovesical anastomosis during robot assisted radical prostatectomy - video. Introduction: There are many methods of performing a urethrovesical anastomosis during robot assisted radical prostatectomy, while there are no data from prospective randomized studies to prefer one specific technique. The aim of this video is to present the technique used at the workplace of the main author of this work. Methodology description: A trans- or extraperitoneal antegrade radical prostatectomy is performed in the Trendelenburg position with the DaVinci Xi robotic system - the prostate is separated from the bladder neck...
Robotic laparoscopic pyeloplastyVideo
Ágnes Juhász, Lukáš Fišer, Milan Čermák, Luboš Hyršl, Jiří Kočárek
Ces Urol 2023, 27(2):67-69
Juhász A, Fišer L, Čermák M, Hyršl L, Kočátek J. Robotic laparoscopic pyeloplasty. Introduction: Laparoscopic pyeloplasty is one of the most demanding laparoscopic surgical procedure. The reason is the necessity of precise tissue preparation, spatulation of the ureter, resection of the pelvis and suturing of the anastomosis of the pelvis and ureter with rigid laparoscopic instruments. Robotic systems provide us with significant help, their disadvantage is however, that they are not available at all workplaces. New to the market are robotic laparoscopic instruments that are more affordable, combining advantages of conventional laparoscopy and robotics....
Roborically assisted retroperitoneoscopic renal tumor resection - case reportVideo
Václav Krejčí, Kamil Belej, František Chmelík, Jiří Heráček, Miroslav Záleský
Ces Urol 2022, 26(3):162-164
Krejčí V, Belej K, Chmelík F, Heráček J, Záleský M. Robotically assisted retroperitoneoscopic renal tumor resection - case report. Introduction: The retroperitoneoscopic approach is advantageous from the point of view of its minimal invasiveness, on the other hand, its disadvantage is the limited space, which can make the actual surgical preparation and treatment of the resection area technically more difficult. Material and methods: In the video presentation, we show the case of a 57-year-old man with abdominal obesity (120 kg, BMI 40), who was diagnosed with a 6 cm tumor on the dorsal side of the convexity of the upper pole of the right kidney based...