title: Urological procedures in Central Europe and the current reality based on the national registries of Czech Republic, Hungary, and Poland (2012 status).
abstract: BACKGROUND
  In recent years, the laparoscopic approach in oncologic urology seems more attractable to the surgeons. It is considered to have the same oncologic quality as open surgery, but is less invasive in patients. It is used widely in all of Europe, but with various frequency. The aim of the study was to present a various amount of oncourological procedures from three neighbouring countries - Poland, Czech Republic and Hungary. Prostatectomy, cystectomy, nephrectomy and tumorectomy (Nephron Sparing Procedures - NSS) were presented as a list of procedures prepared from the national registry.
  
  
  METHODS
  The total amount of procedures was presented, as well as the LO (Lap to Open procedures) index, P/P (procedures/population) index, ratio of cystectomy/population, and cystectomy/TURBT.
  
  
  RESULTS
  In the Czech Republic, the most complex procedures are performed (laparoscopic/robotic prostatectomy, NSS LAP, LAP nephrectomy) in the majority when analysing the country's population. In Hungary and Czech Republic, there are more laparoscopic/robotic radical prostatectomies performed, than open ones. In Poland the largest number of cystectomies is performed when analysing the country's population, but it is difficult to explain the much higher ratio of 6.57 TUR/one cystectomy. In the Czech Republic this procedure is performed in almost one quarter of the patients (23.36%). Interestingly, in Hungary the cystectomy with pouch creation is performed in about 67.65% cases. The highest reimbursement for surgical procedure is present in the Czech Republic with approximately 20-40% more than when compared to Poland or Hungary.
  
  
  CONCLUSIONS
  The definitive leader in Central Europe (based on the national registry) is the Czech Republic, where the most complex procedures are performed (laparoscopic/robotic prostatectomy, NSS LAP, LAP nephrectomy) in biggest amounts when analysing the country's population. Explanation of such circumstances, can be the higher reimbursement rate for surgical procedure in this country.
authors.affiliation: Nicolaus Copernicus Hospital in Toruń, Department of General and Oncologic Urology, Toruń, Poland.
authors.forename: Przemysław
authors.initials: P
authors.lastname: Adamczyk
authors.affiliation: Department of Urology, Memorial Rydygier Hospital, Cracow, Poland.
authors.forename: Kajetan
authors.initials: K
authors.lastname: Juszczak
authors.affiliation: Nicolaus Copernicus Hospital in Toruń, Department of General and Oncologic Urology, Toruń, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Drewa
authors.affiliation: Department of Urology, Faculty Hospital in Pilsen and Faculty of Medicine in Pilsen, Charles University in Prague, Czech Republic.
authors.forename: Milan
authors.initials: M
authors.lastname: Hora
authors.affiliation: Department of Urology, Semmelweis University, Budapest, Hungary.
authors.forename: Peter
authors.initials: P
authors.lastname: Nyirády
authors.affiliation: Department of Urology, Medical University, Łódź, Poland.
authors.forename: Marek
authors.initials: M
authors.lastname: Sosnowski
keywords: nephron sparing surgery; radical cystectomy and urinary diversion; radical nephrectomy; radical prostatectomy; upper tract tumors