Vzdělávání lékařů - včera - dnes - zítra?

prof. MUDr. Václav Zamrazil, DrSc.

Urol. praxi, 2014; 15(1): 3  

The monosymptomatic nocturnal enuresis

MUDr.Ivo Novák, Ph.D.

Urol. praxi, 2014; 15(1): 7-10  

The monosymptomatic nocturnal enuresis (MNE) is the most frequent disorder after alergies in childhood. It is a very causal disorder. The main etiology is the combination of variation of vasopressin levels by day and night, bladder volume reduction, increase in detrusor reflexivity, malfunction of wake up and genetical preconditions. The disorder does not threaten the health of handicapped people but makes worsening in their life quality. Mental alteration would be rather secondary. Elementary treatment options are: the alarms, the medical drugs or alternative treatment. Combination for example of the alarms and the medical drugs has superior...

Metaphylaxis of urolithiasis in 2013

MUDr.Pavel Rajmon, MUDr.Zdeněk Mucha, MUDr.Jan Vrána, MUDr.Milan Král, Ph.D.

Urol. praxi, 2014; 15(1): 12-17  

The right differentiation of patients based on the degree of their disorders’ risk is an essential precondition for the appropriate use of secondary prevention. In fact, 75 per cent of patients’ disorders classify as low risk. Such cases can be treated according to the principles of general metaphylaxis. Only 25 per cent of patients face a high risk of further attacks. Consequently, it is imperative to identify these cases in time and perform additional metabolic tests. Having correctly identified the individual biochemical risk in these patients, a specific metaphylaxis approach using suitable drugs must be taken.

Permanent implantation of radioactive seeds 125I in the prostate cancer treatment

MUDr.Branislav Obšitník, PhD., MUDr.Alžbeta Molnárová, MUDr.Pavol Lukačko, Mgr.Jozef Grežďo, PhD., RNDr.Kristína Poláková, PhD., MUDr.Ľuboš Bezák &dagger,

Urol. praxi, 2014; 15(1): 18-21  

Transperineal permanent implantation of radioactive seeds 125I – LDR (low dose rate) brachytherapy is according to actual guidelines for prostate cancer treatment together with radical prostatectomy and external beam radiotherapy applicable as one of radical treatment options (with curative intent) for men with localized low and intermediate risk prostate cancer. It´s effectiveness and low morbidity, together with high probability for preservation of urinary continence and preservation of erectile functionare including brachytherapy into the standard treatment options. This method is in Slovakia available from 2007 and clinical experience...

Bone densitometry in urological practice

MUDr.Petr Kasalický

Urol. praxi, 2014; 15(1): 22-25  

Bone densitometry is an essential method for assessing the risk of fractures, diagnosing osteoporosis and even reimbursing the treatment of osteoporosis (primary as well as secondary one). DXA (dual-energy x-ray absorptiometry) is currently the fundamental densitometric technique. In addition to commonly assessed values (BMD – bone mineral density), there are other parameters that can be obtained by bone densitometry. Indications to bone densitometry are primarily in the hands of specialists concerned with diagnosing and treating osteoporosis. However, this methodology can also be utilized by urologists in their practice, particularly...

Preliminary ejaculation - clinical aspects

doc.MUDr.Jaroslav Zvěřina, CSc.

Urol. praxi, 2014; 15(1): 27-29  

Contemporary methods in diagnosis and treatment of premature ejaculation are discussed. Overview of partners and psychological aspects of the sexual dysfunction is given. Biological therapeutic methods include topical anesthetics and pharmacotherapy. Most frequently are in this indication used some serotoniergic antidepresives. There are informations about possibilities of some surgery therapeutic methods.

Unusual complication of Fournier’s gangrene

MUDr.Leo Pšenčík, MUDr.Jaroslav Hynčica

Urol. praxi, 2014; 15(1): 33-35  

Fournier gangrene is a very serious necrotic fasciitis of external genitals and perianal area. It mostly has an impact on people with weakened immunity and also with serious comorbidity disorder. It is often possible to find gateway to the infection. As a treatment there is used a radical surgery by removing necrotic substance, broad-spectrum antibiotics, derivation of urine and observation at intensive care unit. According to our case study a morbidity and mortality of this disease is rather high and ranged between 20–75 % despite the early intervention in the treatment and a progress in therapeutic access.

Evaluation of annual activity of the Consulting Room for problems with urinary incontinence

Mgr.Petra Brédová, Mgr.Martina Morávková, Mgr.Radmila Pacltová

Urol. praxi, 2014; 15(1): 36-39  

People who suffer from urinary incontinence are socially handicapped and their quality of life is significantly reduced. For this reason Since November, 2011, the Consulting Room of the Regional hospital of Liberec has been focusing on incontinence. Counseling is primarily targeted towards stress incontinence where the rehabilitation is the first choice. The therapy is oriented mainly at muscle function disorders. The emphasis is on the muscles of the pelvic floor and the disorders of their function as stabilization and sphincters. The purpose/aim of this study is to introduce our Consulting Room including a summary of its operation in the...

Zápis z konference Sdružení ambulantních urologů ČR (SAU) Brno, hotel International, 29.-30. 11. 2013

doc. MUDr. M. Hanuš, CSc., ve spolupráci s členy, výboru SAU MUDr. M. Matouškovou, a prim. MUDr. J. Hiblbauerem

Urol. praxi, 2014; 15(1): 40-43  

An outline of the history of urology (until mid-19th century)

doc.MUDr.Rudolf Michalský, CSc. 1, MUDr.David Míka

Urol. praxi, 2014; 15(1): 44-46  

The article reviews data about a number of historical circumstances related to selected urologic diseases and examination and treatment of the latter since the ancient Egyptian, Palestinian, Greek and Roman era. A survey of prominent medical practitioners of the time is provided, focusing on clinical experience in urology and on the performance of cystolithotomy. The subsequent part of the article deals with urological procedures as performed in medieval and early modern Europe. Initial attempts to establish urology on scientific principles are related to chemical urinalysis (beginning with the second half of the 18th century). Construction...

Prevention and epidemiology of health care-associated urinary tract infection

MUDr.Jarmila Kohoutová

Urol. praxi, 2014; 15(1): 30-31  

Acute urinary tract infection are the second most common infectious disease in the general population and most common health-care associated infections with the risk of transition to chronic disease. The vast majority of urinary tract infections associated with health care resulting in causal connection with the introduction of the urinary catheter (especially the permanent catheters) or endoscopic surgery. Catheterization in properly indicated cases, standardization of aseptic practice in the implementation and management of catheter, hand hygiene and patient education are fundamental and available factors in the prevention of urinary tract...