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2011 Vol. 64 No. 2

Review Paper2011-02-24
10.5173/ceju.2011.02.art1
Major and trace elements in lithogenesis
Marcin Słojewski
The process of crystallization in the urinary tract occurs when the equilibrium between promoting and inhibiting factors is broken. Many theories have been published to explain the mechanism of urinary stones formation. None of these theories has payed attention to trace elements. Their role in lithogenesis is still unclear and under debate. The finding of some studies may support the thesis that some major and trace elements may take part in the initiation of stone crystallization for instance as a nucleus or nidus for the formation of the stone, or simply contaminate the stone structure

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Review Paper2011-02-03
10.5173/ceju.2011.02.art2
Complications of cataract surgery in patients with BPH treated with alpha A-blockers
Slawomir Jan Teper, Dariusz Dobrowolski, Edward Wylegala
Prevalence of benign prostate hyperplasia (BPH) and cataract increases with age. Both diseases may develop concomittantly and may affect almost 50% of men in their elderly as comorbidities. Cataract is treated surgicaly and it has been reported that there may be an association between use of alpha-blockers for BPH, particularly alpha1A-adrenergic receptor selective drugs, and complications of cataract surgery known as Intraoperative Floppy Iris Syndrome (IFIS). IFIS itself is related to many other sight-threatening complications

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Review Paper2011-04-27
10.5173/ceju.2011.02.art3
What is the possible role of PSA doubling time (PSADT) and PSA velocity (PSAV) in the decision-making process to initiate salvage radiotherapy following radical prostatectomy in patients with prostate cancer?
Piotr Milecki, Andrzej Antczak, Piotr Martenka, Zbigniew Kwias
The dynamics of the rise of PSA levels may be an early endpoint parameter, preceding the diagnosis of distant metastasis or death due to prostate cancer based on a single PSA determination. In a group of patients after RP, PSADT might be an early endpoint, which could replace cause-specific survival rate as a late endpoint. PSADT allows to distinguish subgroups of patients at high risk of distant metastases and death, which in turn may lead to a change in the further treatment strategy. Therefore, patients with short PSA doubling time should become a subgroup, in which hormonal therapy should be considered

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Original Basic Research And Clinical Articles2011-04-11
10.5173/ceju.2011.02.art4
RADICAL AND SPARING SURGICAL TREATMENT OF PATIENTS WITH UPPER URINARY TRACT TRANSITIONAL CELL CARCINOMAS (UUT-TCC)-PRELIMINARY RESULTS
Zbigniew Jabłonowski, Robert Kędzierski, Marek Sosnowski
Tumors originating from transitional epithelium of the renal pelvis and ureter are infrequent. Their course is asymptomatic at early stages of the disease, and diagnosis and institution of appropriate treatment delayed.
AIM OF THE STUDY: To assess the results of treatment in patients with upper urinary tract transitional cell carcinomas (UUT-TCC).

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Original Basic Research And Clinical Articles2011-04-18
10.5173/ceju.2011.02.art5
Importance of prostate volume and urinary flow rate in prediction of bladder outlet obstruction in men with symptomatic benign prostatic hyperplasia
Darius Trumbeckas, Daimantas Milonas, Mindaugas Jievaltas, Aivaras Jonas Matjošaitis, Marius Kincius, Aivaras Grybas, Vytis Kopustinskas
To predict bladder outlet obstruction with parameters of non-invasive investigations for patients with symptomatic benign prostatic hyperplasia.

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Original Basic Research And Clinical Articles2011-04-11
10.5173/ceju.2011.02.art6
Our experience in the treatment of priapism. Dmytro Vorobets, Oleg Banyra, Alexander Stroy, Alexander Shulyak. Danylo Halytsky Lviv National Medical University. 2-nd Lviv municipal polyclinic.
Dmytro Vorobets, Oleg Banyra, Alexander Stroy, Alexander Shulyak
Priapism is a persistent erection without the sexual stimulation that cannot be relieved by orgasm. Its etiology includes the impaired mechanism of detumescence caused by the abundant release of neurotransmitters, venules obstruction, impairment of the intrinsic mechanism of detumescence or prolonged relaxation of the intracavernous smooth muscles. Treatment of priapism is conservative pharmacological or surgical. Efficient treatment options include the intracavernous vasoconstrictor injections or surgical shunting

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Original Basic Research And Clinical Articles2011-02-16
10.5173/ceju.2011.02.art7
Long-term results after endoscopic VUR-treatment using dextranomer / hyaluronic acid copolymer- 5-year experience in a single-center
Joerg Seibold, Maren Werther, Saladin H. Alloussi, Stefan Aufderklamm, Georgios Gakis, Tilman Todenhöfer, Arnulf Stenzl, Christian Schwentner
A number of bulking agents have been used for the endoscopic correction of vesicoureteral reflux in children. We present our long-term results of endoscopic use of dextranomer/hyaluronic acid copolymer (Deflux®) for VUR treatment in children.

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Original Basic Research And Clinical Articles2011-02-16
10.5173/ceju.2011.02.art8
Schwann cells - a new hope in tissue engineered urinary bladder innervation. A method of cell isolation
Jan Adamowicz, Tomasz Drewa, Jakub Tworkiewicz, Tomasz Kloskowski, Maciej Nowacki, Marta Pokrywczyńska
There are not any effective method to induce the innervation of urinary bladder wall graft after augmentation. Neurons from urinary bladder wall and omentium can not elongate and branch in graft because of lack of neurotrophic factors. The best source of these neurotrophic factors are Schwann cells which can be transplanted into urinary bladder wall graft. To transplant Schwann cells the proper amount of cells is needed which can be only obtain during in vitro Schwann cell cultivation. We introduce the results of Schwann cell isolation and in vitro cultivation.

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Case Report2011-04-18
10.5173/ceju.2011.02.art9
Physical sign of coital rupture of superficial dorsal vein of penis.
Sani Aminu, Farooq Usman, Alexandrou Kyriacos
A 39 year old man presented with penile swelling, pain and haematoma associated with sexual intercourse. On exploration, he was found to have rupture of the superficial dorsal vein of penis which was ligated. He had an uneventful post operative recovery and has resumed normal sexual life. A physical sign of rectangular shaped suprapubic and distal penile haematoma with sparing of the proximal penile skin was observed. We believe the sign could aid clinical diagnosis of rupture of superficial dorsal vein of penis.

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Case Report2011-04-03
10.5173/ceju.2011.02.art10
An Unusual Foreign Body in Urethra: Nail Scissors
Namik Hatipoglu, Mehmet Yucel, Nebahat Hatipoglu, Serhat Yentur, Attila Semercioz
A 37-year-old male mentally retarded patient, who had complaints of difficulty in voiding, was examined and a foreign body was determined in the urethra. This foreign body was nail scissors and removed with open surgery. Self-inserted a nail scissors in the urethra by the patient is the first published report to our knowledge.

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Case Report2011-03-15
10.5173/ceju.2011.02.art11
Acute urinary retention in patient with extended cystitis glandularis: case report
Jerzy Michajłowski, Marcin Matuszewski, Jakub Kłącz, Artur Gibas, Wojciech Biernat, Kazimierz Krajka
Cystitis glandularis (CG) is defined as glandular metaplasia of bladder urothelium. In most cases the course of CG is asymptomatic. However, some patients complain of hematuria and lower urinary tract symptoms (LUTS) of varying degrees. We present a case of 5-year-old man with an extensive CG causing acute urinary retention. Although it was initially treated as an infection, prompt ultrasound and cystoscopy helped to establish the diagnosis. Transurethral resection of the cyst with biopsy of the bladder mucosa was then performed

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Case Report2010-12-16
10.5173/ceju.2011.02.art12
Seven-year survival and continuation of therapy in a patient suffering from carcinoma of prostate with metastases and pathological fractures of vertebrae
Slawomir Dutkiewicz, Renata Poniatowska
Prostate cancer (PCa) is a major health problem and one of the main causes of male cancer death [1]. In patients with PCa bone metastases (apply to 100% when PSA >100ng/ml.) cause pains and risk of pathological fractures [2]. We report a case of 70-year-old male with PCa and pathological fractures of vertebrae, in whom we observed a long term regression and up to 7-year-survival; he obtained constant continuation therapy. As far as we know, this is the first reported case in literature.

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Short Communications (Preliminary Results And Mini-Reviews)2011-02-16
10.5173/ceju.2011.02.art13
A technique for catheter placement after transurethral resection of the prostate complicated with undermining of the trigone of the bladder.
Wojciech Szewczyk, Andrzej Prajsner
Authors presented 17 patients where two techniques for catheterization of the bladder after transurethral resection of the prostate complicated with undermining of the trigonum of the bladder were applied. The first maneuver, used in twelve patients, was an insertion of a rigid stylet made from a 10F pneumatic probe used for percutaneous nephrolithotripsy, into the Foley catheter in order to insert the catheter into the bladder in cystoscope manner. In remaining 5 patients a second maneuvre was an insertion of a Dufour catheter over the guide wire left in bladder through the resectoscope sheath

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Dear Friends,

I would like to wish you all a very Merry Christmas and Happy New Year 2018! I hope that this holiday season will bring you time to relax and reflect upon the past year.

The medical profession brings many possibilites for new ventures and in a certain way predisposes us to this.

We as doctors have many important roles to fulfill, usually simultaneously, such as those of: therapists, operators, scientists, managers, lecturers, publishers, editors, authors, and association members. The number of our endeavours is undoubtedly larger and continues to impress me.

Please forgive me for a short personal digression. Once, I met the children of a prominent surgeon and scientist, who was committed to his patients and whose achievements I had read about in journals. I asked them what kind of a person he was on a daily basis and what did he pass on to them, the next generation? "Dad? He went to work early in the morning, came home late at night, and on Sundays he needed his rest. We barely knew him".

Therefore, I would like to wish you all of the best and that during this holiday season you are able to spend quality time with your families and those closest to you. In time, everything will pass; our successors and new methods and techniques will arrive. Grateful patients will soon forget, and only we will remain, in the memories of our loved ones.


Kindest regards,
Tomasz Drewa
Editor-in-Chief,
Central European Journal of Urology

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