Urology for Practice, 2012, issue 5

Editorial

Reálné dopady stárnutí populace

MUDr. Antonín Malina, Ph.D., MBA

Urol. praxi, 2012; 13(5): 187

Review articles

Options of radiotherapy for prostate cancer

doc.MUDr.Renata Soumarová, Ph.D., MBA, MUDr.Hana Perková, MUDr.Tomáš Blažek, Mgr.Luboš Homola, Ing.Stanislav Machala, Ing.Halina Richterová

Urol. praxi, 2012; 13(5): 192-198

Radiotherapy has been among standard cancer treatments for several decades. The last two decades have seen a very rapid technological development that has changed our view on this modality and the current approach to prostate cancer treatment. Randomized studies have shown that higher doses of radiation improve the clinical outcome, but also increase healthy tissue toxicity. The introduction of conformal radiotherapy technique, intensity-modulated radiotherapy, proton therapy, stereotactic radiotherapy, and brachytherapy has allowed dose escalation with a simultaneous reduction in toxicity. However, there are still a number of uncertainties,...

Current options of surgical treatment for urinary incontinence in men following prostate surgery

doc.MUDr.Michael Urban, doc.MUDr.Jiří Heráček, Ph.D., MBA, MUDr.Tomáš Novotný

Urol. praxi, 2012; 13(5): 200-202

Urinary incontinence in men following prostate surgery is a very serious complication and a stressful component that affects a male’s physical integrity. It significantly decreases the quality of life, particularly in active men. Surgical treatment is the only possible option for moderate and severe incontinence.

Management of the urotelial carcinomas in the upper urinary tract

MUDr.Oto Kőhler, CSc., MUDr.Kamil Belej, Ph.D., FEBU

Urol. praxi, 2012; 13(5): 204-207

Urothelial carcinomas in the upper urinary tract (UUT-UCC) account 5–10 % of all UCCs. Development of new endoscopes, new diagnostic and therapeutic tools allowed us to offer more kidney sparing procedures to the pacients with localised UUT-UCC with low malignity potential. With respect to the fact, that more than 60 % of UUT-UCC are invasive carcinomas radical nephrouretrerectomy is still a gold standard.

Comprehensive candidiasis treatment

doc.MUDr.Růžena Pánková, CSc.

Urol. praxi, 2012; 13(5): 209-211

An infection caused by the Candida albicans yeast, occasionally by other species of the genus Candida, is referred to as candidiasis (syn. candidosis, moniliasis). It is a fungus that is an indispensable part of the human organism. In a healthy person, it is in balance and symbiosis with the other microorganisms in the oral and intestinal microflora. When an infection develops, both factors increasing the colonization rate of the mucosa with yeast and those increasing the host’s susceptibility to colonization of the skin and mucosa with yeast are involved. Superficial mucosal and skin infections are quantitatively clinically most significant,...

Systemic enzyme therapy in urological practice

MUDr.Karel Nouza, DrSc.

Urol. praxi, 2012; 13(5): 214-217

Systemic (oral – in English literature) enzyme therapy (SET or OET) is defined as therapeutic method using oral administration of combined enzyme mixtures in form of acidoresistant tablets. A part of enzymes administered by this way is absorbed in small intestine and have systemic effect. The medicinal drugs for SET were registered by SÚKL during ninetieths of past century. They found their firm position in therapeutic list of many medical branches despite of initial negative posture of a part of specialists. Within registered indications the medical drugs for SET have their application also in urology – they are used in the treatment...

Case report

Granulomatous prostatitis in a patient treated with intravesical administration

MUDr.Jan Fogl, MUDr.Vladimír Šámal, MUDr.Vít Paldus, MUDr.Jan Mečl

Urol. praxi, 2012; 13(5): 218-219

of BCG vaccine for superficial bladder cancer The authors present a case report of a patient with granulomatous prostatitis that was induced by a previous treatment with intravesical administration of BCG as part of comprehensive management for superficial bladder cancer. Granulomatous prostatitis is one of the possible, uncommon complications of BCG administration. Its manifestations include an elevated PSA level and a finding of nodules on digital rectal examination of the prostate, which may pose a differential diagnostic problem in distinguishing it from prostate cancer.

Plastic induration of the penis - oral treatment with tamoxifen

MUDr.Marek Tůma

Urol. praxi, 2012; 13(5): 220-221

Plastic induration of the penis (Peyronie’s disease) is a benign condition of the penis affecting men with an average age of 50 to 55 years. Treatment is mostly troublesome and requires a long-term and patient cooperation and trust between the patient and their physician. The paper presents a case of successful treatment with oral administration of tamoxifen.

For nurses

Trends in hand hygiene

MUDr.Jarmila Kohoutová

Urol. praxi, 2012; 13(5): 222-224

Hand hygiene is an essential and highly effective procedure in preventing the spread of infections in health care and most cost-effective measures in control of infections.