[The surgical procedure of mini-sling antiincontinence procedure AJUST, recommendations and ways of solution of possible special situations]. / Operacní postup mini-páskové antiinkontinentní operace AJUST, doporucení a zpusoby resení mozných nestandardních situací

The objective of our work was to present and summarize the course of a joint meeting of surgeons with experience with AJUST in SUI anti-incontinence treatment. We would like to discuss the operation procedure and its individual steps. Further aim was to determine the optimal operation procedure, step by step, avoiding possible complications in the course of the procedure; simplifying the technique and publishing the recommendations how to solve possible complications in the course of, or after, the operation procedure, was important outcome of the meeting.

[Registry of the urogynaecologic procedures involving implant in the Czech Republic during the year 2007]. / Registr urogynekologických výkonu s implantáty v Ceské republice za rok 2007.

OBJECTIVE: The aim of this paper is to report the outcomes of the registry of the urogynaecologic procedures involving implant in the Czech Republic during the year 2007. SUBJECT: Retrospective registry analysis. SETTING: Czech Urogynaecological Association, Prague. SUBJECT AND METHOD: We performed a retrospective analysis of all urogynaecologic procedures involving implant registered in the Czech Registry during the year 2007. CONCLUSION: We report the results of 2557 urogynaecologic procedures involving implant from the 33 referring centres from the Czech Republic. 2232 (87%) implants were intended to treat the stress urinary incontinence and 325 (13%) were used to treat the pelvic organ prolapse. Intraoperative complications were reported in 36 (1.41%) cases, early postoperative complications intervened in 117 cases (4.58%) and the late complications were found in 121 females (4.73%).

[Personal experience with colpoureteral suspension using the Burch method]. / Nase zkusenosti s kolpouretrosuspenzí sec. Burch.

The objective of the work was to evaluate one approach of evaluation of the effect achieved by the mentioned corrective operation, i.e. the subjective evaluation by the patients themselves. In order to ensure comparability of evaluation at different time intervals, the authors used a questionnaire with 13 questions focused on continence and changes of micturition as well as on sexual aspects and changes in the social sphere. Sixty-nine patients were at least one year after operation. Evaluation 6 weeks after operation was implemented in 105 patients. The subjective sensation of complete recovery and satisfaction with treatment in 93.33% after six weeks and 94.20% after one year with minimal complaints regarding micturition indicates that the operation sec. Burch is a very good corrective operation, resolving stress incontinence of urine in women.

[Involuntary urinary incontinence in association with pregnancy and childbirth]. / Mimovolní únik moci u zen v souvislosti s tehotenstvím a porodem.

The authors examined the incidence of stress incontinence of urine during pregnancy and the early post-partum period. Pregnancy is with increasing frequency mentioned in the literature as a key period for development of this disorder. A detailed questionnaire was completed by all patients who were delivered of babies at the obstetric clinic after January 1, 1987. From the total number escape of urine was reported by 23.5%, incl. 41.2% primiparae. Among primiparae who reported stress incontinence during pregnancy only 7.6% had similar problems before pregnancy. Authors abroad agree that stress incontinence persists in cca 10% women who had childbirth by the vaginal route and where this disorder was manifested in conjunction with pregnancy and childbirth. It is thus necessary to focus attention on prevention and early treatment of women at risk and affected women.