Slovo úvodem

Urolog. pro Praxi, 2009; 10(6): 315  

Human papillomavirus in urology

MUDr. Ivan Kolombo FEBU, MUDr. Jaroslav Porš, MUDr. Martina Poršová, MUDr. Richard Pabišta, MUDr. Přemysl Grubský, MUDr. Jiří Poněšický, MUDr. Slavomír Blažej, MUDr. Jan Tobiáš, MUDr. Josef Kašík, MUDr. Robert Šverma, MUDr. Eva Jůzová, MUDr. Jan Hain, MUDr. Leoš Gronka, MUDr. Milan Bartůněk

Urolog. pro Praxi, 2009; 10(6): 320-327  

Human papillomavirus (HPV) is one of the most common cause of sexually transmitted diseases (STD). Genital warts (condylomata accuminata, venereal warts) are the most easily recognized sign of genital HPV infection. Many people, however, have a genital HPV infection without genital warts. Infection with certain types of HPV can cause the development of dysplastic epithelial leasions and urogenital malignities (cervical cancer, vulvar cancer, penile cancer, anal cancer). It is possible to diagnose genital warts just by seeing them. Subclinical leasions (invisible warts) can be identified by applying vinegar (acetic acid). The best diagnostic method...

Erectile dysfunction after pelvic floor operation. Current therapy - penile rehabilitation

MUDr. Martin Sutorý, CSc

Urolog. pro Praxi, 2009; 10(6): 328-331  

Because of the damage to the neurovascular pathways after pelvic floor operation, patients lose their natural nocturnal erections. This results in decrease in average pO2 tension of the penis tissue and in fast development of fibrosis, which is the cause of venous leak that fixates erectile dysfunction. Penile rehabilitation, for which there are no fixed rules yet, is designed to increase pO2 in the penis so that the penile tissue is maintained until spontaneous erection occurs. Chronic dosing of phosphodiesterase-5 inhibitors (iPDE5) is commonly used as the basis of therapy. Intracavernously applied prostaglandin E1 (PGE-1) is a possible alternative...

Diabetic patient at a urologist‘s office

MUDr. František Musil Ph.D

Urolog. pro Praxi, 2009; 10(6): 332-335  

Diabetes mellitus is a group of etiopathogenetically heterogeneous conditions with a common main feature of hyperglycemia. In type 1 diabetes, there is an absolute insulin deficiency caused by an autoimmune inflammation which affects pancreatic B-cells. The surveillance of type 1 diabetes patients involves mimicking the physiological insulin secretion pattern (basal–bolus) using an intensified insulin regimen or insulin pump. In addition to insulin resistance, type 2 diabetes also involves impaired insulin secretion with a relative insulin deficiency. The surveillance of type 2 diabetes patients requires repeated assessment of the mutual...

Hormonal therapy for prostate cancer

MUDer. Jan Jansa, prof. MUDr. Jiří Petera, Ph.D

Urolog. pro Praxi, 2009; 10(6): 336-338  

Hormonal manipulation in management of prostate cancer is nowadays considered the treatment of choice not only for advanced and metastatic disease, but there are many other settings in which hormonal therapy is used. However, it is necessary to understand context of multimodal treatment approach and it is essential to prefer such approach which is beneficial for prolongation of survival and preserve quality of life.

Urological infection I - general part

MUDr. Roman Staněk

Urolog. pro Praxi, 2009; 10(6): 344-346  

Gram negative endogenous microorganisms are the most often etiological agents of urological infections, risk factors are failure of immunity and failure of drainage of urological system. Infections incident in every age and gender groups in dependence on risk factors and risks behavior. The goal of diagnostic approachs is regular and efective therapy.

Basic features of acute renal failure

doc. MUDr. Miroslav Merta CSc

Urolog. pro Praxi, 2009; 10(6): 347-350  

Acute renal failure (or acute kidney injury as it is now referred to in the literature) is a clinical syndrome characterized by a sudden decline in renal function associated with retention of nitrogenous substances and other catabolites. It is a serious condition associated with significant morbidity/mortality. The prognosis of acute renal failure is closely dependent on the causative factor, the degree of renal damage at diagnosis, and the quality of treatment provided. An early diagnosis and prompt provision of appropriate care can favourably affect a large number of acute renal failure cases and reduce the risk of acute clinical complications...

One-day antibacterial prophylaxis for prostate biopsy

MUDr. Miloš Broďák Ph.D, MUDr. Jaroslav Pacovský, MUDr. Josef Košina, MUDr. Lukáš Holub, MUDr. Pavel Navrátil CSc, MUDr. Miroslava Romžová, MUDr. Miroslav Louda Ph.D

Urolog. pro Praxi, 2009; 10(6): 339-340  

Transrectal prostate biopsy is basic procedure in the suspicion on the prostate cancer. The aim of the antibacterial prophylaxis is minimized risk of infectious complications combined with this procedure. The authors present own experiences with oral quinolones given as prophylaxis. According to our results it is proven that one-day antibacterial prophylaxis is efficient and safe in prostate biopsy.

Flexible ureterorenoscopy in the treatment of kidney stones

MUDr. Peter Dančík, MUDr. Vladimír Košař, MUDr. Rostislav Kuldan

Urolog. pro Praxi, 2009; 10(6): 341-342  

Flexible ureterorenoscopy with the use of HoYAG laser and nitinol extract baskets has made it possible to treat stones in all parts of collecting system of the kidney. Purpose of this paper is to present efficacy and safety of flexible ureterorenoscopy in treating small and intermediate-size calculi in calices and pelvis. We present the results of 46 patients treated by this method at our department.

A case of a long-lasting priapism

MUDr. Radim Skalka

Urolog. pro Praxi, 2009; 10(6): 343  

The authors describe a case of prolonget priapism in 32-year old men, successfully conservatively treated.

Educating a stoma patient at discharge

Hana Mišurcová

Urolog. pro Praxi, 2009; 10(6): 351  

Bladder removal (radical cystectomy) is mostly performed in the case of a bladder tumour. The function of the bladder has to be substituted, most commonly with a segment of the small intestine. During the Bricker operation (ureteroileostomy), the ureters are connected to an excluded loop of the small intestine that is brought to the surface of the abdomen (ostomy) and a collection bag is attached to the surrounding skin.

55. výroční konference České urologické společnosti ČLS JEP

doc. MUDr. Miroslav Hanuš CSc

Urolog. pro Praxi, 2009; 10(6): 352  

Zpráva z průběhu Sympozia o hormonální léčbě karcinomu prostaty - Atény 2.- 4. 10. 2009

MUDr. Michaela Matoušková

Urolog. pro Praxi, 2009; 10(6): 353  

Autodidaktický test 6/09

Urolog. pro Praxi, 2009; 10(6): 354