Urology for Practice, 2005, issue 2

Review articles

MICROVARIOCOCELECTOMY - MODERN THERAPY OF VARIOCELE

MUDr. Jiří Kočárek, MUDr. Oto Köhler CSc, MUDr. Petr Režnar, MUDr. Zdeněk Otava, MUDr. Pavel Drlík, MUDr. Jan Pokorný, MUDr. Ondřej Kaplan

Urolog. pro Praxi, 2005; 2: 47-49

Dilatation of the venous plexus of testicular vein affects about 15 % of men after puberty. It can be found on the left side in almost 90 % of cases. It´s caused by the venostasis in the testicle draining part of the venous system. In most cases the exact cause of varicocele is unknown (the idiopathic varicocele). Varicocele caused by the compression of draining vessels is called the secondary varicocele. Varicose changes are usually unilateral and painless. Often the varicocele isn´t diagnosed untill an examination because of the infertility takes place. The incidence of varicocele in patiens treated for infertility runs up to 39 %. Despite...

NTERSTITIAL HDR BRACHYTHERAPY OF PROSTATE CARCINOMA

MUDr. Renata Soumarová Ph.D, Mgr. Luboš Homola, doc. MUDr. František Záťura CSc, MUDr. Kamil Belej, MUDr. Miroslav Štursa

Urolog. pro Praxi, 2005; 2: 50-54

Tumours of prostate affect an increasing number of men and thus form serious problem for the whole society. Early detection by means of an investigation of prostate specific antigen (PSA) level and subsequently appropriately performed prostate biopsy enable to detect this disease in a curable localised stage. Therapeutic method of choice in majority of these patients is a radical prostatectomy or a radical irradiation of prostate. Prostate carcinoma belongs among dose dependent tumours, so the higher dose we deliver, the higher is the probability of disease local control. The application of tumoricid dose requires very good technical equipment –...

BASICS OF ULTRASOUND DIAGNOSIS OF KIDNEYS AND LOWER URINARY TRACT - GREY-SCALE IMAGING (B-MODE)

MUDr. Karel Belej FEBU

Urolog. pro Praxi, 2005; 2: 55-57

Ultrasonography (US) is basic evaluation for imaging of anatomic structures and urinary tract morphology. US has many advantages because it is painless, noninvasive, easy available and without ionizing radiation. US provides accurate anatomic information obtained without the intravenous application of contrast agents. Development in gray-scale ultrasound technology has recently enabled the anatomy of all urological organs to be demonstrated with great detail. The image quality has greatly improved with advances of transducers and ultrasound beamformer, and sophisticated image processing in faster machines. This has resulted in an improvement of organ...

A CONTROL OF MALE SEXUALITY ON CENTRAL LEVEL

MUDr. Michal Pohanka Ph.D, prof. MUDr. Petr Kaňovský CSc

Urolog. pro Praxi, 2005; 2: 58-61

All sexual functions are controlled by central nervous system. The control is facilitated by a number of neurotransmitters in the region of telencephalon, brain stem and spinal cord. A good quality of sexual act in a male subject requires a central integration of tactile, olfactory, auditory and mental stimuli, and adequate response to these stimuli. All above mentioned sensory functions and their central integration are mediated by neurotransmitters. Dopaminergic and cholinergic transmission play a dominant role in central control of male sexual functions. Their disturbance in neurologic disorders results also in a sexual dysfunction.

TRENDS IN MEDICAL TREATMENT OF PROSTATE CANCER

doc. MUDr. Ladislav Jarolím CSc

Urolog. pro Praxi, 2005; 2: 62-66

Current trends in medical treatment of prostate canter are focused on neoadjuvant and adjuvant androgen deprivation in clinical localized androgen dependent prostate cancer minimizing side-effects, use of taxanes in the treatment of hormone-refractory disease and on adjuvant prevention of bone metastases using bisphosphonates. Early androgen blocade using monotherapy, intermittent androgen suppression leading to side effect reductions and parenteral bisphosphonates are preferred.

SURGICAL THERAPY OF URINARY STRESS INCONTINENCE

MUDr. Ladislav Krofta CSc

Urolog. pro Praxi, 2005; 2: 67-73

Several interesting publications explaining particular anatomical components responsible for physiology of pelvic bottom appeared at the end of eighties and in the course of nineties of the last century. This was an important step in explanation of etiopathogenesis of genital descensus and urinary stress incontinence. Pelvic bottom ceased to be an area evaluated separately by a gynecologist, an urologist and a proctologist. It is a functional complex requiring a multidisciplinary approach. With a development of new surgical techniques going in hand with use of new synthetic materials, the pelvic surgery is not a domain of classical surgical approach...

At a glance

Nádory prostaty

MUDr. Jiří Klečka

Urolog. pro Praxi, 2005; 2: 74-77

Case report

Hypertenze jako rizikový faktor u karcinomu ledviny

Ing. Gabriela Janoutová, MUDr. Jiřina Koutná, MUDr. František Beška CSc, Ing. Luděk Čížek, Ing. Jiří Lorenc, prof. MUDr. Vladimír Janout CSc

Urolog. pro Praxi, 2005; 2: 78-79

Naše zkušenosti s laserovou intrakorporální litotrypsí ureterolitiázy

MUDr. Roman Staněk, MUDr. Pavel Vágner

Urolog. pro Praxi, 2005; 2: 80-81