Boží mlýny

MUDr. Richard Krombholz

Urol. praxi, 2013; 14(5): 199  

Novel therapeutic options in prostate cancer before chemotherapy

MUDr.Otakar Čapoun, FEBU

Urol. praxi, 2013; 14(5): 204-211  

Prostate cancer in the stage of castration resistance became a serious medical and socio-economic problem of the new millennium. The prognosis of patients with this stage is very unfavorable, is associated with a number of painful complications and its treatment is burdened with numerous side effects. Effective hormone blockade in this stage showed persistence of partial sensitivity of tumor cells to the effect of testosterone. New hormonal agents (abiraterone, enzalutamide) has been approved for use in the second-line treatment after failure of docetaxel and further research is directed to the earlier stages of the disease. Inhibitors of angiogenesis...

Diagnosis and treatment of urinary tract infections in the elderly

MUDr.Miroslava Romžová

Urol. praxi, 2013; 14(5): 212-214  

Urinary tract infections (UTIs) are a common problem of elderly people. The scale disorders ranging from binding cystitis, to potentially life threatening pyelonephritis. Symptomatology in gerontological patients may be very different, so it needed a good differential diagnosis of the patient›s problem. In therapy is the several differences compared to the younger age group. It is suitable for the prevention of disease.

Flexible ureterorenoscopy and laser in treatment of pathology of upper urinary tract

MUDr.Jan Zaplatílek

Urol. praxi, 2013; 14(5): 215-217  

Flexible ureterorenoscopy (FURS) is an endoscopic method for complete visualization of upper urinary tract. Development of instruments, increased flexibility of endoscopes, use of access sheaths and nitinol baskets together with particulary laser technology have allowed therapeutic use FURS. Nowadays these minimally invasive procedures are used for treatment of kidney stones, tumors of upper urinary tract and ureteral stenosis, especially pyeloureteral junction, i.e. procedures generally grouped under the term “retrograde intrarenal surgery” (RIRS).

The important parasitical infections of the genitalis - scabies

MUDr.Jana Zímová, Mgr.et Bc.Pavlína Zímová

Urol. praxi, 2013; 14(5): 218-223  

Scabies is relatively frequent, easily transmitted, infectious and intensively itchy parasitic dermatosis. It belongs among sexually transmitted diseases. Its origin we can find in obligatory human parasite Sarcoptes scabiei, var. hominis. The reservoir of a contagion is the man. Scabies affects all races and individuals of all socioeconomics groups. The incubation period ranges from two to six weeks. The disease is characterised by an intensive night pruritus, mainly in warm and after staying in the bed. Diagnostics is based on carefully history taking, clinical picture and demonstration of the parasite in skin of ill person. The treatment...

Impact of diagnostic methods on clinical outcomes of unilateral adrenalectomy for primary hyperaldosteronism

MUDr.Igor Hartmann, MUDr.Michal Grepl, Ph.D., MUDr.Aleš Vidlář, Ph.D., MUDr.Oldřich Šmakal, Ph.D., MUDr.Filip Čtvrtlík, Ph.D., MUDr.Jan Václavík, Ph.D., doc.MUDr.Zdeněk Fryšák, CSc., doc.MUDr.Vladimír Študent, Ph.D.

Urol. praxi, 2013; 14(5): 224-228  

on Department of Urology University Hospital Olomouc Background: Primary hyperaldosteronism is a frequent cause of secondary hypertension. In case of unilateral overproduction of aldosterone by the adrenal gland, the condition may be successfully treated by surgery. Patients who had underwent adrenalectomy for hyperaldosteronism in the authors ’center were followed to assess the clinical effect of the treatment. Methods: All patients undergoing adrenalectomy for hyperaldosteronism in 2000–2011 on Department of Urology University Hospital Olomouc were identified. Demographic data, results of biochemical tests, radiological and...

Issue of urachus

MUDr.Zdeněk Peremský, MUDr.Maksym Falion, MUDr.Zbyněk Bican

Urol. praxi, 2013; 14(5): 229-231  

In the article authors submitted basic overview of the issues urachus, then they describe two case reports.

Heterotopic continent urinary diversion in patients with severe lower urinary tract dysfunction complicated

MUDr.Slavomír Vachata, MUDr.Jaroslav Pacovský, Ph.D., MUDr.Pavel Navrátil, CSc., MUDr.Jiří Špaček, doc.MUDr.Miloš Broďák, Ph.D.

Urol. praxi, 2013; 14(5): 232-235  

recurrent infections The objective of this p aper is to present two cases when the heterotopic urinary diversion was used. The first case describes the vesicoileostomy in patient with the neurogenic urinary bladder. The second case presents the apendicostomy in patient with the transplanted kidney and concomitant untreatable urethral stricture. The both patients experienced recurrent sever urinary infections.

The complex treatment of the metastatic clear-cell renal cancer in young female patient, case report.

MUDr.Jiří Špaček, MUDr.Pavel Navrátil, CSc., doc.MUDr.Miloš Broďák, Ph.D., MUDr.Adam Paulík

Urol. praxi, 2013; 14(5): 236-237  

The goal of the paper is to present a complicated, but successful treatment of patients with metastatic renal cell cancer. The patient underwent nephrectomy for locally advanced renal cell carcinoma. Biological treatment was given for subsequent lung metastases. This was complicated by severe adverse events. Their treatment required a long stay on the intensive care unit, dialysis and mechanical ventilation. Reversal in the treatment of inflammation changed solitary kidney was linked to surgical decapsulation of the solitary kidney.

Transurethral resection of the prostate in saline from the perspective of perioperative nurses

Mgr.Pavla Kordulová

Urol. praxi, 2013; 14(5): 241-242  

The text provides a brief overview of the operating method TURis (transurethral resection prostate in saline), which is suitable for the treatment of BHP-LUTS (benign prostatic hyperplasia – lower urinary tract symptoms).

Vzpomínka na MUDr. Jozefa Klama

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

Urol. praxi, 2013; 14(5): 240  

Nykturial women treated by desmopresin

MUDr.Miroslav Louda, Ph.D.

Urol. praxi, 2013; 14(5): 238  

In the following artical we present a clinical case of a patient with disturbing frequent nocturia (12x), and associated symptoms. The patient was urologicaly examinated. There was no structural defect or other serious pathology. The patient was set on treatment with Minirin Melt (desmopresin) which was, followed by rapid regression of symptoms.