I.Perinović, M. Bučić, A. Zekanović Odjel za urologiju, Opća bolnica Zadar Na Odjelu za urologiju OB Zadar, svakodnevno se izvode endoskopske operacije kamenaca mokraćovoda, mokraćnog mjehura i bubrega, tumora mokraćnog mjehura, hiperplazije prostate, te suženja mokraćne cijevi. Godišnje se u prosjeku obavi oko 300 endoskopskih operacija. Preoperativna priprema bolesnika počinje dolaskom u bolnicu , a
Read moreDarija Vidović, ms Klinika za urologiju KBC Zagreb SAŽETAK Laserska ureterotomia je endoskopsko liječenje strikture uretre pomoću lasera, predstavlja veliki izazov urološkoj praksi. Nekoliko autora je prikazalo obećavajuće rezultate liječenja ureterotomie pomoću lasera (Holmium laser). Cilj ovog rada je prikazati naša iskustva o ureterotomiama pomoću diodnog HPD lasera. Diodni laser ima prodor u tkivo između
Read moreT. Sović, D. Rako, B. Buj, N. Radović, G. Bedalov, I. Savić, D. Puškar, Z. Peršec Department of Urology, Clinical Hospital Dubrava Summary: The first ureteroscopy with lithotripsy was performed at our department 1997. We analysed all procedures during 5 years period /2007-2011/. We performed 156 procedures by using Wolf semirigid ureteroscope and Swiss lithoclast. The
Read moreAnastasios Kollias ¹Department of Urology and Pediatric Urology, Ammerland-klinik, Westerstede, Germany ²Department of Urology, Iatriko Medical Center, Athen, P. Faliro, Greece Introduction: The therapy of ureterolithiasis through ureterorenoscopy (URS) has gain a lot of space the last years; mostly for the adequate treatment of the distal ureteral stones. This retrospective study demonstrates the value of
Read moreMihály Zoltán Attila, Mănescu Mihai Răzvan, Călin Neiculescu, Mihály Orsolya, Victor Ona and Coman Ioan Urology Department, Clinical Municipal Hospital, Cluj-Napoca, Romania. Abstract PURPOSE: The development of semirigid ureteroscopes has permitted a safe and an easier access to calculi througout the urinary tract. The objective of the study was to investigate the safety and efficacy
Read moreStrčić N, Kukura G, Vitas L. Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska Uvod i cilj rada Brz razvitak endourologije, stalno usavršavanje endoskopa i pripadajućega pribora značajno su izmjenili načela dijagnostike i liječenja patoloških promjena u mokraćovodu i bubrežnoj nakapnici. Prva ureterorenoskopija (URS) na Klinici za urologiju Kliničkoga bolničkoga centra Rijeke učinjena je
Read moreAnđelo Mojsović, Daniel Reljic, Marin Paic and Marinko Bošnjak Department of Surgery and Urology, General Hospital of Sibenik, Croatia INTRODUCTION AND OBJECTIVES: The development of ureterorenoscopy tehniques, especialy lately with introduction of flexible ureterorenoscope have greatly diminished the need for open surgery in treatment of ureteral stones. Although ESWL is considered to be the first
Read moreKrzysztof Szkarłat, Piotr Jarecki Urological Department, Hospital Koscierzyna, Poland Bladder diverticulosis is most commonly caused by longstanding bladder outlet obstruction (BOO). Some of the diverticula’s are asymptomatic and do not required any treatment. When symptoms occurs, treatment of BOO and diverticulectomy have to improve function of lover urinary tract. The aim of the study is
Read moreMirjana Tikvić, ms Klinika za urologiju KBC Zagreb SAŽETAK TULIP je revolucionarna, minimalno invazivna metoda liječenja BPH kod koje se laserskom energijom uništava tj. vaporizira proširena prostata koja pritišće uretru. Lasersko zračenje je elektromagnetski val koji se širi brzinom svjetlosti u zrakopraznom prostoru (vakumu). Benigna hiperplazija prostate (BPH) označava stanje bujanja, povećanja žljezdanog tkiva prostate,
Read moreMihály Zoltán Attila, Mănescu Mihai Răzvan, Călin Neiculescu, Mihály Orsolya and Coman Ioan Urology Department, Clinical Municipal Hospital, Cluj-Napoca, Romania. Abstract PURPOSE: We evaluated the results of laser ablation of recurrent low stage non muscle invasive bladder tumors. MATERIALS AND METHODS: The study included 14 patients with a recurrent superficial papillary tumor within 12 month
Read moreChristoph Lang, Schahnaz Alloussi Urological Department, Städtisches Klinikum Neunkirchen, Academic Teaching Hospital of University of Saarland Introduction: A part of stone disease management consists in surgical treatment options since 3000 years. A short overview about development of therapeutic invasiv and minimal invasiv tools over the years is given. Methods/ Results: Historic methods and modern accesses
Read morePeter Tenke Dept of Urology, Jahn-Ferenc Hospital, Koves u. 1, Budapest 1204, Hungary As part of the endourological development, a great variety of foreign bodies have been designed, and with the increasing number of biomaterial devices used in urology, biofilm formation is an issue of growing importance. Using a foreign body always increases the risk
Read moreTomislav Kulis, Nikola Knezevic, Marjan Maric, Dinko Hauptman, Iva Bacak Kocman, Zeljko Kastelan University Hospital Center Zagreb and University of Zagreb, School of Medicine, Department of Urology, Zagreb, Croatia The application of laser in treatment of urological patients is rapidly developing field. In some therapeutic areas lasers have already become part of standard treatment. Diode
Read moreVahudin Zugor, Apostolos P. Labanaris, Jorn H. Witt Department of Urology and Pediatric Urology – Prostate Center Northwest, St. Antonius Medical Center, Gronau, Germany Introduction & objectives: To demonstrate our experience with secondary partial rupture of the vesicourethral anastomosis (SPROVA) following robot-assisted laparoscopic radical prostatectomy (RALP) focusing on its diagnosis, therapy as well as functional
Read moreNado Vodopija, Sandi Poteko General hospital Celje, urological department, , Slovenia Robot assisted laparoscopic radical prostatectomy (RALP) is nowadays a routine operative method in treatment of localized prostate cancer in USA and Europe. Mainly because of the economic reasons only the first steps has been made in using this method in less developed and undeveloped
Read moreCalin Neiculescu, Nicolae Crisan, Zoltan Attila Mihaly, Victor Dan Ona, Carmen Lapusan and Ioan Coman Robotic Surgery Center, Clinical County Hospital, Cluj-Napoca, Romania Introduction& objectives: This study wants to evaluate the implementation of retroperitoneal robotical approach in a highly experienced center in laparoscopy and lomboscopic surgical approach. Matherial & method: Between November 2009 – September
Read moreSandi Poteko General hospital Celje, Urological Department, Slovenia Introduction Ureteropelvic junction obstruction (UPJO) has traditionally been treated by open pyeloplasty. Anderson-Hynes dismembered pyeloplasty has reported success rates in excess of 90% and other treatments must be compared with it. The endourological approaches, anterograde and retrograde, are less invasive but with lower success rates. Laparoscopic pyeloplasty
Read moreV.Ona, A.Boc, C.Manea, N.Crisan, F.Dobrota, D.Stanca,I.Coman, Robotic Surgical Center, Clinical Municipal Hospital, Cluj-Napoca,Romania Paper descripton: The video presents step-by-step two cases of vesicovaginal fistula cured in the Chiricuta technique (transvesical with omentum interposition) with the DaVinci Si HD Robot. Vesicovaginal fistula is one of the pathologies where robotic surgery makes the difference because of the
Read moreH.Logigan, V. Ona, F. Dobrota, Z. Mihaly, N. Crisan, I. Coman Robotic Surgery Centre – County Clinical Hospital Cluj – Napoca, Romania Introduction & Objectives: The screening for prostate cancer (PC) by PSA testing increased the diagnosed number of localized PCs. These localized forms qualify for minimal invasive methods such as Robot-Assisted Laparoscopic Radical Prostatectomy
Read moreAli Riza Kural Acibadem Maslak Hospital, Istanbul, Turkey While open radical prostatectomy has been considered to be the gold standard for surgical treatment of clinically localized prostate cancer, robot-assisted radical prostatectomy (RARP) has gained popularity in recent years and become standard of care treatment in many centers. Da Vinci robotic system provides 3D vision on
Read moreDean Markić, Maksim Valenčić, Anton Maričić, Romano Oguić, Stanislav Sotošek, Josip Španjol, Kristian Krpina, Nino Rubinić Department of Urology, University Hospital Rijeka, Rijeka, Croatia Ureteral stricture is not a common urologic condition. A variety of surgical techniques can be used as a treatment for patients with ureteral strictures. Balloon dilatation is one of the least
Read moreZoran Parancin, med.teh. Odjel kirurgije i urologije, Opća bolnica Šibenik, Hrvatska SAŽETAK: Stres inkontinencija najčešće se javlja kod pacijenata prilikom kašlja, kod kihanja, podizanja tereta ili izvođenja nekog pokreta, što to dovodi do podizanja pritiska unutar trbušne šupljine. U svijetu postoji veliki broj oboljelih, oko 200 milijuna, a od toga je 65 milijuna žena. Kroz
Read moreIvanka Gelo bacc.med.techn., Mirela Katanec bacc.med.techn. Klinika za urologiju KBC Zagreb SAŽETAK Bolest kamenaca mokraćnog sustava poznata je od najstarijih civilizacija. Urolitijaza predstavlja značajan javno-zdravstveni problem. Zbog porasta incidencije urolitijaze kod žena izjednačava se broj oboljenih muškaraca i žena. Učestalost je češća u razvijenim zemljama. Uzroci nastanka mogu biti: metabolički poremećaj, genetski, infekcije i anatomski
Read moreBolanča Marijana, vms Odjel kirurgije i urologije, Opća bolnica Šibenik, Hrvatska Cilj ovog predavanja je obnavljanje zbanja o oboljenjima prostate (hipertrofija prostate i karcinom prostate), te o sestrinskim dijagnozama i intervencijama vezanim uz preoperativnu pripremu i postoperativnu njegu operiranog pacijenta. Na početku predavanja je kratak osvrt o anatomiji i fiziologiji prostate (položaj, građa, funkcija) ,
Read moreNikola Knezevic, Tomislav Kulis, Maja Bernat, Ivan Krhen, Eleonora Goluza, Zeljko Kastelan University Hospital Center Zagreb and University of Zagreb, School of Medicine, Department of Urology, Zagreb, Croatia Introduction: Laparoscopic retroperitoneal lymph node dissection (LRPLND) has become accepted staging method for clinical stage I nonseminomatous germ cell tumor. Due to gained experience, it is applied
Read moreMarko Mađarac, mt, Vedran Major, mt Klinički bolnički centar Osijek, Klinika za urologiju Tumor mokraćnog mjehura jedan je najčešćih tumora urogenitalnog sustava. Obzirom na posljedice koje uzrokuje na urinarnom traktu i organizmu, jedan je od najtežih tumora uopće. Kod muškaraca starijih od 50 godina, po učestalosti, dolazi odmah poslije karcinoma prostate Osnovna metoda liječenja površinskog tumora
Read moreCh. Lang, Y. AlBulushi, Sch. Alloussi Department Of Urology, Staedtisches Klinikum Neunkirchen, Academic Teaching Hospital of Saarland University Introduction: White light Cystoscopy (WL) and TUR of superficial bladder tumours are the standard methods for the diagnosis and therapy of non muscle-invasive transitional cell carcinoma (TCC) of the bladder. Flat tumours and Carcinoma in situ (pTis)
Read moreVavic B, Jeremic A, Milosevic A. and Radulovic S. Clinical hospital “Zvezdara”, Department of Urology INTRODUCTION: since it’s invention, PCNL was performed in prone position. Appereance of anesthesiological problems and the need of performing ureterorenoscopic procedures in the same time necessitated the introduction of PCNL in supine position. PATIENTS AND METHOD: 27 Fr nephroscope was
Read moreIvica Ražnjević, Bacc. med. teh., Med sr. Ana Galešić, Med sr. Anita Ivanac Odjel za urologiju, Odsjeka za urološke operacije, Opća bolnica Zadar PCNL ( perkutana nefrolitotripsija) je minimalno invazivni kirurški zahvat ekstrakcije kamenaca iz bubrega ili iz proksimalnog uretera kroz minimalni otvor na koži koji vodi do bubrežne zdjelice (pijelona). Ovaj zahvat je indiciran kod situacija kada su kamenci u
Read moreM. Padovan, Z. Čustović, D. Šimunović Department of Urology, General Hospital Dubrovnik, Croatia Ureterocele, a rare condition, is a saccular dilatation of the terminal portion of the ureter. Uretrocele may be asymptomatic or presented with a wide range of clinical signs and symptoms. In this case report we present a case of a single orthotopic
Read moreŠkugor J, MD, radiologist, Zorić-Burić V, MD, radiologist, Paić M, MD, urologist, Reljić D, MD, urologist General Hospital Šibenik CT urography (CTU) is a single examination that allows evaluation of potential urinary tract calculi, renal parenhymal masses and both benign and malignant urothelial masses with the highest sensitivity and specificity for detection of pathology. Bowel
Read moreasist. Simon Hawlina, dr. med, FEBU, asist. Tomaž Smrkolj dr. med, FEBU, asist. Jure Bizjak, dr. med, FEBU, asist. Borut Gubina, dr. med, FEBU, asist. mag. Dominik Cotič, dr. med, prim. Dr. Boris Sedmak, dr. med Deapartment of Urology, University Clinical Center Ljubljana, Slovenia Objective: Management of staghorn calculi in horseshoe kidney is complex in majority
Read moreKrzysztof Szkarłat, Piotr Jareck Urological Department, Hospital Koscierzyna, Poland A 30 year old male presented with renal colic of the left side and microscopic haematuria. Abdominal ultrasound followed by intravenous pyelogram revealed hydronephrosis with the filling defect at the level of uretero-pelvic junction. Ureteroscopy with endoscopic biopsy was performed. Microscopic examination confirmed benign nature of
Read moreMarijan Šitum, Vlado Dadić, Marinko Bošnjak i Anđelo Mojsović Department of Urology, Clinical Centre Split, Croatia The treatment of lymphoproliferative diseases requires exstensive histological, immunohistochemical and cytogenetic diagnosis. When percutaneous techniques are not possible and peripheral lymph nodes are hystologic negative, surgical retroperitoneal diagnosis becomes necessary. Between 1.1.2006. and 1.1.2012., 6 patients (2 male and
Read moreT.Sorić, K.Grdović, T.Dominis Department of Urology, General Hospital Zadar, Croatia Abstract: A 40-year-old man was administered to our hospital with a complaint of left flank pain. Computed tomography revealed a homogenous solid mass, 6 x 5 x 6 cm in diameter , situated between left Th12-L1 intervertebral foramen and upper pole of the left kidney
Read moreTkalac M. , Mikičić M., Vitas L. Klinika za urologiju, Klinički bolnički centar Rijeka. Rijeka, Hrvatska Uvod i cilj rada Osnova liječenja karcinoma mokraćnoga mjehura je transuretralna resekcija tumora. U određenog broja bolesnika neophodno je liječenje nadopuniti s intravezikalnom instilacijom BCG-a. Djelotvornost BCG-a se temelji na izazivanju lokalizirane nespecifične imunološke reakcije, koja dovodi do destrukcije
Read moreVahudin Zugor, Sandor Poth, Andreas Eck, Jorn H. Witt, Apostolos P. Labanaris Department of Urology and Pediatric Urology – Prostate Center Northwest, St. Antonius Medical Center, Gronau, Germany Introduction & objectives: The objective of this study is to assess the intraoperative and postoperative complications encountered in patients undergoing robot-assisted laparoscopic radical prostatectomy (RALP) by analysing
Read moreMario Šunjara Urology Department of University Hospital Centre Zagreb, Croatia According to guidelines on urolithiasis approximately 90% of stones are candidates for ESWL and ESWL should be the first choice for most stones. However success rates of ESWL reported in literature are often unachievable in clinical practice. Availability of the machine and costs of a
Read moreJustinic D, Stimac G, Popovic A, Dimanovski J, Trnski D Dept. of Urology, University Hospital ‘Sestre Milosrdnice’ Zagreb, Croatia Optical urethrotomy was introduced by Sachse in 1973 and it has a registered long-term recurrence rate of 75-80%. This stimulated the search for new therapies with less recurrences. Several types of laser were tried: Nd:YAG, KTP,
Read moreMiroslav Tomić, Igor Tomašković, Boris Ružić, Borislav Spajić, Davor Trnski Department of Urology, University Hospital Center “Sestre milosrdnice”, Zagreb, Croatia Endoscopic management of the calculi in the urinary tract is one of the most important and every day used therapies in urology. Different kinds of lithotripters are used in urology that revolutionized the treatment of
Read moreMiroslav Tomić, Igor Tomašković, Šoip Šoipi, Boris Ružić, Jordan Dimanovski, Davor Trnski Department of urology, University Clinical Center “Sestre milosrdnice”, Zagreb, Croatia Foreign bodies in the urinary tract are most commonly found in the urinary bladder. Those foreign bodies may result from long forgotten iatrogenically left pieces of urinary stents, catheters or pieces of endoscopic
Read moreMarija Malek, bacc. m.s. Klinika za urologiju, Klinička bolnica “Sestre Milosrdnice”, Zagreb, Hrvatska Urolitijaza je pojam koji označava pojavu kamenca u nekom dijelu urinarnog trakta. Najčešći oblik urolitijaze je nefrolitijaza. Najčešći simptom urolotijaze je bol različitog inteziteta i karaktera ovisno o lokalizaciji kamena. U izboru liječenja pristupa se konzervativnim (lijekovi), invazivnim (operativnim) i neinvazivnim (ESWL) metodama. ESWL
Read moreDimitar Mladenov Clinic of Urology, Medical University, Sofia, Bulgaria The application of contemporary minimally invasive methods for treatment of urolithiasis in Bulgaria started on 20-th March 1985, when the first percutaneous nephrolithotomy was performed. On 3-rd April 1986 was fulfilled the first ESWL for kidney stone with Dornier HM3 in the Clinic of Urology, Medical University,
Read moreCh. Lang, R. Eichel, R. Gib, Y. Al Bulushi, Sch. Alloussi Urological Department, Städtisches Klinikum Neunkirchen, Germany Objective Potent men with desire for preserved ejaculation are frightened about surgical therapy in case of bladder outlet obstruction. Up to know in case of transurethral resection they have to take in mind the lost of ejaculation, depending
Read moreSavic S., Vukotic V., Lazic M., Savic N. Klinika za Urologiju, Clinical Hospital “Dr. Dragisa Misovic”, Belgrade, Serbia Objective: to determine the efficacy, safety and outcome of emergency ureteroscopy (URS) for ureteral calculi that was associated with acute renal failure (ARF). Patients and Methods: 59 patients /86 ureteral units (UU)/ who underwent URS for ARF:
Read moreGrubišić I, Tomašković I, Katušić J, Reljić A, Trnski D. Clinical hospital centre „ Sestre milosrdnice“, Clinical department of Urology Abstract The succes and advances in endourology have lead to a change in the management of primary UPJ obstruction over the past 20 years. The advantages of endourologic approaches include a significantly reduced hospital stay
Read moreMilan Hora¹, Viktor Eret¹, Tomáš Ürge¹, Jiří Klečka¹, Ivan Tránvíček¹, Ondřej Hes², Fredrik Petersson ²,³, Petr Stránský¹ Charles University Hospital, Pilsen, Czech Republic, Department of ¹Urology and ²Pathology ³Department of Pathology, National University Health System, Singapore Introduction: We present a cohort of patients with low-stage pelviureteric neoplastic disease who underwent complete laparoscopic nephroureterectomy (CLNUE)
Read moreMarija Malek, bacc. m.s. Klinika za urologiju, Klinička bolnica “Sestre Milosrdnice”, Zagreb, Hrvatska Cistoskopija je metoda vizualne analize unutrašnjosti mokračnog mjehura. Sama riječ je kovanica grčkog podrijetla, a sastavljena je od riječi “mjehur” i “gledati”. Iako je još početkom XIX stoljeća bilježen prvi pokušaj endoskopske eksploracije mjehura revolucionarno mjesto pripalo je Nitzeu kao utemeljitelju medicinske endoskopije uopće. Prvi
Read moreDavor Librenjak Department of Urology, Clinical Hospital Split, Croatia In February 2010. a 63 years old male was brought to emergecy room at Clinical Hospital Split in hemorrhagic shock. He fell down from heigt of 10 metres and susteined multiple and life threatening injuries: contusion of rigt lung with hemato and pneumothorax , serial fracture
Read moreIoan Coman*, Nicolae Crișan*, Ottavio de Cobelli**, Deliu Victor Matei** * SCM Cluj-Napoca, **IEO Milano Introduction: Robotic surgery can be considered a standard for some urological surgeries. The main objective of this paper is to evaluate the efficiency and specifics of implementing robotic surgery in a center with expertise in standard laparoscopy. Material and method: Implementing
Read moreSchahnaz Alloussi¹, Christoph Lang¹, Robert Eichel¹, Saladin Helmut Alloussi² ¹Urological Department, Städtisches Klinikum Neunkirchen, Academic Teaching Hospital of University of Saarland ²Urological Department, University Hospital Tübingen, Germany Introduction: The treatment of drug refractory Overactive Bladder is a challenge. With Botulinum toxin there is now a mainly accepted weapon in the hand of urologist. To document
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