Slovo úvodem

Urol. praxi, 2012; 13(1): 3  

Treatment of refractory enuresis

MUDr.Oldřich Šmakal, CSc.

Urol. praxi, 2012; 13(1): 8-9  

The principal treatment of monosymptomatic nocturnal enuresis with desmopressin or enuretic alarm has a success rate of 60-80% in an unselected group of enuretic children. In patients not responding to first-line therapy, previous diagnostic and therapeutic management must be re-evaluated carefully. Possible constipation and upper airway obstruction need to be addressed. When further improvements in lifestyle measures and proper adherence to the principal treatment fail to solve the problem, second-line therapy is recommended. Combination therapy with desmopressin and anticholinergics is most commonly administered. If enuresis continues to...

Causes and risk factors for developing urolithiasis

MUDr.Roman Sobotka, prof.MUDr.Tomáš Hanuš, DrSc.

Urol. praxi, 2012; 13(1): 11-15  

Lithiasis is among diseases with a high recurrence rate, particularly in patients who have predisposing (genetic or acquired) factors and fail to adhere to preventive measures to reduce the recurrence rate. In addition to previously established ethnic and other locoregional aspects, the most important factors for developing lithiasis include the volume and specific gravity of urine dependent on regular and sufficient hydration of the individual, concentration of lithogenic factors and inhibitors of urinary crystallization and urine pH. The most important measures in preventing the development of lithiasis include sufficient fluid intake, reduced...

Robot assisted radical prostatectomy from the view of anesthesiologic and emergency care

MUDr.Václav Kokoška, MUDr.Jan Schraml, MUDr.Daniel Nalos, MUDr.David Bejšovec, MUDr.Věra Vondráková, MUDr.Miloš Bočan, MUDr.Marek Broul

Urol. praxi, 2012; 13(1): 17-21  

Robot-assisted radical prostatectomy (da Vinci prostatectomia dVP) is currently the most often performed robotic operation in Czech Republic. After uncomplicated surgery patients may benefit from all post-operative advantages of minimally invasive surgery. Relatively long operation takes place with capnoperitoneum and in a steep trendelenburg position. Subsequent pathophysiological changes may cause a risk for patients with associated diseases and significant restrictions of organ functions. However on the set of 500 dVP performed in the Masaryk Hospital in Ústí nad Labem (3) it is seen, that in respect of contraindications, by preoperative...

A case of a transsexual patient with dissocial personality disorder -

MUDr.David Jež, MUDr.Roman Staněk, MUDr.Tomáš Kokoř

Urol. praxi, 2012; 13(1): 27-28  

automutilation with the purpose of non professional gender conversion The article presents a case history of a transsexual with a low level of psychosocial functioning, who has been repeatedly treated at our ward for damaging external genitals after attempts on a non-professional gender conversion. Within the last two years, extractions of different objects were performed, which had been inserted into artificial urethrostomy when performing sexually-motivated activities.

Experience with combined intrecavernous therapy of erectile dysfunction - combination of three vasoactive drugs

PharmDr.Dalibor Černý, MUDr.Jiří Poněšický, FEBU, Mgr.Pavla Lerchová, Mgr.Hana Baštářová, MUDr.Ivan Kolombo, FEBU, PharmDr.Milada Halačová, Ph.D., MUDr.Michal Toběrný, MBA

Urol. praxi, 2012; 13(1): 30-32  

Treatment of erectile dysfunction (ED) in patients with impaired penile innervation, e.g. following radical prostatectomy, remains a pressing issue in a number of patients. Current treatment (first-line therapy) of erectile dysfunction is mostly based on the use of phosphodiesterase type 5 inhibitors (PDE5i), i.e. sildenafil, tadalafil, vardenafil, etc. Given its mechanism of action, this treatment, however, requires at least a partial preservation of penile innervation allowing for conduction of impulses to occur during sexual stimulation. The paper presents a case of a 48-year-old patient after radical prostatectomy for cancer in whom treatment...

Ionizing radiation and renal cell cancer

Mgr.Kateřina Azeem, doc.MUDr.Helena Kollárová, Ph.D., doc.MUDr.Richard Reif, CSc., Ing.Hana Tomášková, Ph.D., MUDr.Dagmar Horáková, Ph.D., prof.MUDr.Vladimír Janout, CSc.

Urol. praxi, 2012; 13(1): 34-38  

Backgrounds: Renal cell cancer is one of the 10 most common cancers in our country and abroad. The main risk factors for RCC include smoking, obesity, hypertension and family disposition. One other factor is exposure to ionizing radiation. Materials and methods: Study consisted of 635 persons, of which 300 cases and 335 controls. From both cases and controls was obtained level of exposure to ionizing radiation, focusing on the number of X-ray examinations in related to work classification, radiation for medical reasons and in women, whether and how often undergo they mammography. Results: When evaluating the number of X-ray examination related...

Care of complicated urostomies

Iva Pastrnková

Urol. praxi, 2012; 13(1): 39-40  

We present a case of an obese female patient with ureteroileostomy with subsequent urinary dermatitis complicating the use of ostomy appliances.

Výroční konference Sdruženích ambulantních urologů

doc. MUDr. Miroslav Hanuš, CSc.

Urol. praxi, 2012; 13(1): 41-42  

Zpráva ze sympozia 2nd Inovation in Urology Meeting, Milano

MUDr. Michaela Matoušková, doc. MUDr. Jozef Marenčák, PhD.

Urol. praxi, 2012; 13(1): 43-44  

Zdravotnické prostředky předepisované na poukaz

Urol. praxi, 2012; 13(1): 45-46  

Informace pro pacienty se zavedeným stentem v močovodu

Pavla Kordulová, MUDr. Lukáš Bittner

Urol. praxi, 2012; 13(1): 50