Slovo úvodem

MUDr. Karel Grepl, Mgr. Eva Kultanová

Urolog. pro Praxi, 2008; 9(6): 275  

Traumatogenic sexual dysfunction at patients with transversal spinal lesion

MUDr. Taťána Šrámková CSc

Urolog. pro Praxi, 2008; 9(6): 282-286  

Sexual dysfunction is a frequent problem after spinal cord injury. Erectile dysfunction and anejaculation are a common consequence spinal cord injury. In the treatment of erectile dysfunction is the oral treatment of PDE-5 inhibitors or intracavernous injections of PGE1. The possibilities to obtain semen are electroejaculation or TESE (Testicular Sperm Extraction). By assisted reproductive technique by intracytoplasmic sperm injection we obtain biological paternity of paraplegic men. A sexologist-andrologist is a member of the therapeutic team of the Spinal Unit of the Traumatological Hospital Brno. In the first stage a sexologist informs the spinal...

Benefits and disavantages of testosterone supplementation

MUDr. Vladimír Kubíček CSc

Urolog. pro Praxi, 2008; 9(6): 287-290  

Testosterone supplementation is only indicated in men with well defined underlying testicular disease, pituitary or hypothalamic disease. The treshold for testosterone supplementation for different symptoms and complaints and/or tissue dysfunctions is still poorly defined. This treshold may show interindividual variation. Supraphysiological testosterone supplementation should be avoided, replacement should be physiological. Monitoring of prostatic disease and haematocrit during testosterone therapy is of utmost importance. New treatment modalities should avoid stimulating the prostate, but should maintain the benefits of androgen receptor stimulation...

Female stress urinary incontinence - part 1

MUDr. Ivan Kolombo FEBU, MUDr. Jitka Kolombová, MUDr. Jaroslav Porš, et al

Urolog. pro Praxi, 2008; 9(6): 292-300  

Female stress urinary incontinence is one of the most frequent problems in everyday urogynecological practice. The overview has 2 parts. The authors present some current facts about epidemiology, aetiology, pathophysiology and risk factors in part 1. In part 2. the authors present current trends in diagnosis, conservative and surgical treatment. Up to date medical options such as duloxetine, minimally invasive procedures (slings, TVT – Tension-free Vaginal Tape, TOT – Transobturator Tape, urethral bulking agents – injectables -bioimplants – teflon, collagen, silicone micro-implants, dextran copolymer etc. – Macroplastique®,...

Urgency and inkontinence of urine and possibilities of their farmacological treatment

MUDr. Martina Poršová, MUDr. Ivan Kolombo FEBU, MUDr. Jaroslav Porš, et al

Urolog. pro Praxi, 2008; 9(6): 302-306  

Lower urinary tract symptoms (LUTS) include voiding symptoms, storage and postvoiding symptoms. Seriousness of LUTS and their impact on the quality of life can be evaluated by using lots of different questionaires. Storage symptoms – urgency and urgent incontinence and frequent voiding have most serious influence on the quality of life. Anticholinergics effecting muscarinic receptors can be used to their farmacological treatment.

Sexual dysfunction and decreased fertility in men with epilepsy

MUDr. Petr Ševčík Ph.D, MUDr. Hana Vacovská, MUDr. Vladimír Rohan

Urolog. pro Praxi, 2008; 9(6): 323-325  

Sexual dysfunction and decreased fertility in men with epilepsy are frequent. They are caused by the epilepsy itself, by antiepileptic drugs and psychosocial factors. Previously, a lot of attention was paid to these disorders in women, in recent years, however, new knowledge in this area in men has been accumulated. The paper describes the effects of epilepsy on the hypothalamo-pituitary functional axis and on various reproductive hormones and the effect of antiepileptic drugs. Antiepileptic drugs act by induction or inhibition of liver enzymes and thereby the single plasma hormone levels are influenced.

PSA-velocita a její význam pro včasnou diagnostiku ca prostaty

MUDr. Martin Hrabec, doc. MUDr. Vladimír Študent Ph.D, MUDr. Michal Grepl, et al

Urolog. pro Praxi, 2008; 9(6): 309-312  

Úskalí diferenciální diagnostiky a léčby pokročilého maligního čI zánětlivého nádoru ledviny

MUDr. Zdeněk Mucha, MUDr. Pavel Rajmon, MUDr. Pavla Hluší

Urolog. pro Praxi, 2008; 9(6): 313-315  

Komplexní péče u dialyzovaného pacienta

Josefa Ďulíková

Urolog. pro Praxi, 2008; 9(6): 326-327  

Obsah, činnost a priority práce nového výboru České urologické společnosti

doc. MUDr. Miroslav Hanuš CSc

Urolog. pro Praxi, 2008; 9(6): 328  

Vzpomínka nedožitých 90. narozenin profesora MUDr. Jana Kučery, DrSc.

doc. MUDr. Jan Báňa CSc, doc. MUDr. Richard Reif CSc

Urolog. pro Praxi, 2008; 9(6): 329  

EUREP 2008

MUDr. Milan Král Ph.D

Urolog. pro Praxi, 2008; 9(6): 330  

Fesoterodin - nové anticholinergikum pro léčbu hyperaktivního močového měchýře

doc. MUDr. Roman Zachoval Ph.D

Urolog. pro Praxi, 2008; 9(6): 316-322