Co je to vlastně důstojnost?

prof. MUDr. Marta Munzarová, CSc.

Urolog. pro Praxi, 2011; 12(1): 3  

Combined treatment for lower urinary tract symptoms and benign prostatic hyperplasia

MUDr. Michaela Matoušková, doc. MUDr. Miroslav Hanuš, CSc.

Urolog. pro Praxi, 2011; 12(1): 7-11  

Pharmacotherapy for lower urinary tract symptoms (LUTS) has become the preferred therapeutic modality over the years. Monotherapy fails to have a sufficient effect on LUTS in a proportion of patients and, thus, to have an effect on their quality of life. In these patients, combined treatment can be the solution. Rational prescribing allows to individualize the pharmacological approach to the treatment for lower urinary tract symptoms.

Practical approach to a patient with bone metastases in urological malignacies

MUDr.Milan Král, Ph.D., MUDr.Martin Hrabec, MUDr.Michal Grepl, Ph.D., doc.MUDr.Vladimír Študent, Ph.D.

Urolog. pro Praxi, 2011; 12(1): 12-17  

Skeletal involvement is one of the most serious topics in diagnostics and therapy of metastatic urooncological malignancies. It is a complex process affecting normal osteogenesis which has as a consequence onset of skeletal pain, anemia due to involvement of red bone marrow by neoplastic cells and their factors. The main danger is instability of axial skeleton with increased risk of pathological fractures and related spinal cord compression. In this review we present current diagnostical and therapeutic options in patients with skeletal metastasis. Besides specific approaches in prevention and therapy of bone metastasis (analgotherapy, radiation...

OAB, léčba inkontinence.

MUDr.Jan Hiblbauer ml., MUDr.Jan Hiblbauer st.

Urolog. pro Praxi, 2011; 12(1): 18-28  

Female urinary incontinence – diagnostical and therapeutical principles and possibilities This article aims to describe and explain the physiology and the pathophysiology of continence. The article further describes the types of incontinence and offers a brief insight into the current diagnostic and therapeutic possibillities of the most common types of female incontinence. SUI, stress inkontinence, therapy of incontinence.

Incontinence and menopause

MUDr.Zuzana Trněná, MUDr.Lukáš Horčička

Urolog. pro Praxi, 2011; 12(1): 29-32  

The present review deals with urinary incontinence in climacteric women. Urinary incontinence, an involuntary/uncontrolled leakage of urine, affects up to fifty percent of women at some point in their lives. The groups with the highest risk are peri- and postmenopausal women. The gradual loss of ovarian function results in decreased oestrogen levels. Oestrogen deficiency causes the tissues of the uropoietic system to atrophy with all its implications, including the development or impairment of urinary incontinence. Oestrogen hormone replacement therapy has been shown to have a positive impact on increasing the quality of life of patients as...

Clinical significance of histological findings following radiation therapy for prostate cancer

MUDr.Jaroslav Plachý, MUDr.David Ondra, MUDr.Antonín Večeřa

Urolog. pro Praxi, 2011; 12(1): 33-37  

The effectiveness of radiation therapy can be evaluated by monitoring the PSA level. Another option given to us is an ultrasound guided prostate needle biopsy after radiotherapy with a time delay from radiotherapy. This work deals with an issue of clinical significance of these histological findings. Histological specimens after radiotherapy can be obtained by the systemic biopsy with time delay from radiotherapy, from the salvage prostatectomy specimen or transurethral prostatectomy. Evaluation of these findings is quite difficult. Irradiated tissue undergoes continuous morphological changes that are partially inconspicuous. The presence of...

Functional sexual disorders in women

MUDr.Ondřej Trojan

Urolog. pro Praxi, 2011; 12(1): 38-41  

Female sexual dysfunctions are frequently overlooked and often trivialized, yet they degrade the quality of life of the sufferers. However, women with these disorders commonly fail to find the courage to seek help. Low sexual desire and various painful symptoms during intercourse are the most common conditions encountered in the clinical practice. In addition to medical treatment, psychotherapeutic intervention is usually also required and, sometimes, psychotherapy is the only form of treatment. When hormonal imbalances are detected, it is advisable to stabilize sex hormone levels, a treatment primarily performed or at least supervised by a...

Nocturnal urinary incontinence in adults

MUDr.Eva Burešová, MUDr.Aleš Vidlář, doc.MUDr.Vladimír Študent, Ph.D.

Urolog. pro Praxi, 2011; 12(1): 42-43  

Unlike enuresis in children which is relatively common, nocturnal incontinence in adults is a symptom that occurs rarely. The article deals with nocturnal incontinence in adults, its diagnosis, risk factors, causative agents and treatment options.

Urological emergencies

MUDr.Ivan Trávníček, doc.MUDr.Milan Hora, Ph.D.

Urolog. pro Praxi, 2011; 12(1): 44-49  

Summary of the most frequent urological diseases requiring urgent treatment. The optimal diagnostic and therapeutic procedures are added. testicular torsion.

Extraperitoneal laparoscopic radical prostatectomy

MUDr.Miloš Broďák, Ph.D., MUDr.Josef Košina, MUDr.Jaroslav Všetička, Ph.D., MUDr.Lukáš Holub, MUDr.Petr Hušek, MUDr.Jaroslav Pacovský, Ph.D.

Urolog. pro Praxi, 2011; 12(1): 50-54  

Extraperitoneal laparoscopic radical prostatectomy is a miniinvasive method of radical prostatectomy. The authors present own experiences from the first 50 patients and the comparison from the first and the last 25 procedures. After learning curve of 25 surgeries is possible to short the duration of surgery, reduction of blood loss and drop the risk of complications. Four conversions to open procedures and one next-day re-operation were necessary during the period of the first 25 surgeries. The extraperitoneal laparoscopic radical prostatectomy is suitable miniinvasive method of surgical treatment of localized prostate cancer, according to...

Scrotal leiomyosarcoma

MUDr.Andrea Onderková, MUDr.Tomáš Kokoř, MUDr.Roman Staněk

Urolog. pro Praxi, 2011; 12(1): 57-58  

Scrotal leiomyosarcoma is extremly rare malignant tumor. Only several tens of cases were noted in world literature. Wide excision is the basic therapy of this type of tumor and follow up due to risk of loco regional metastasis is essential. We present case of 68 year old man with leiomyosarcoma of the right part of the scrotum without generalisation. Patient was admitted to our department with small risk exofytic tumor in the right penoscrotal junction. Tumor was treated by excision with 1 cm diameter around the tumor with positive margine. Therefore the right hemiscrotectomy and orchiectomy was performed. In the case of second excision the...

Pracovní konference SAU 3.- 4. 12. 2010 hotel International Brno

doc.MUDr.Miroslav Hanuš, CSc.

Urolog. pro Praxi, 2011; 12(1): 67-68  

Radiotherapy for prostate cancer - adverse drug effects

MUDr.Yvona Klementová

Urolog. pro Praxi, 2011; 12(1): 59-60  

The incidence of prostate cancer in recent years significantly increasing. In addition to radical prostatectomy, external beam radiotherapy is one of the possible methods of treatment of localized prostate cancer.

Autodidaktický test 1/2011

Urolog. pro Praxi, 2011; 12(1): 69-70