Urology for Practice, 2016, issue 1

Editorial

Slovo úvodem

MUDr. Radkin Honzák, CSc.

Urol. praxi, 2016; 17(1)  

Review articles

PET/CT scanning in patients with prostate cancer

MUDr.Václav Ptáčník, MUDr.Jozef Kubinyi, Ph.D.

Urol. praxi, 2016; 17(1): 7-10 | DOI: 10.36290/uro.2016.002  

Prostate cancer (PC) is one of the most common malignant tumours in men. Screening for prostate cancer, including its recurrence or metastases, using conventional imaging techniques is usually relatively poorly sensitive. Fluorodeoxyglucose, the most widely used radiopharmaceutical for positron emission tomography (PET), also exhibits low sensitivity for detecting prostate cancer. Fluorine- labelled choline (FCH) that is especially sensitive in detecting bone and soft-tissue metastases of prostate cancer is currently available in the Czech Republic and is thus becoming a major diagnostic tool, particularly in evaluating the relapse of prostate cancer.

Peripheral neuropathy from the perspective of a urologist

MUDr.Klára Havlová

Urol. praxi, 2016; 17(1): 11-13 | DOI: 10.36290/uro.2016.003  

Peripheral neuropathies are a heterogeneous group of peripheral nerve diseases. The most common cause is diabetes mellitus that presents with frequent micturition, urgency, and/or urge incontinence in the initial phases. If untreated, lower urinary tract disease can be manifested by progressive loss of sensitivity, increasing residuum, and even urinary retention. Rarer causes of peripheral neuropathy and lower urinary tract dysfunction include, for instance, Guillain-Barré syndrome, hyperthyroidism, HIV, herpes simplex virus, or alcohol abuse. Initial diagnosis is generally non-invasive. Invasive examination methods are used when primary...

Retroperitoneal fibrosis

MUDr.Ján Švihra, MUDr.Vladimír Študent jr., doc.MUDr.Vladimír Študent, Ph.D.

Urol. praxi, 2016; 17(1): 14-16 | DOI: 10.36290/uro.2016.004  

Retroperitoneal fibrosis is a rare chronic inflammatory disease. Urologist have major role in it's diagnosis and treatment because of typical symptoms of obstruction of ureters. Around 1/3 of cases follows various diseases. The rest of cases has idiopathic ethiology and is called Ormond's disease. The biggest contribution to diagnosis has CT scan and histological examination of bioptic material. Because of rarity of disease there are not enough data on effects or assessment of therapy. There is constant search of new drugs and their combination. New invasive procedures like robotic-assisted surgery and autotransplantation of kidney also appear....

Current role of instillation chemotherapy and immunotherapy in treating non-invasive bladder cancer (Ta, T1, Tis)

MUDr.Pavel Sikora

Urol. praxi, 2016; 17(1): 19-22 | DOI: 10.36290/uro.2016.005  

Non–muscle-invasive bladder cancer (NMIBC) represents a group of diseases characterized by papillary tumours confined to the mucosa (in the case of Ta tumours), invading the lamina muscularis propria (in the case of T1 tumours), and flat (mostly highgrade) tumorous lesions of the mucosa (in the case of Tis tumours and/or CIS). Molecular biology techniques along with clinical experience have shown a high malignant potential in T1 and CIS, requiring aggressive treatment that is currently represented by the combination of transurethral endoresection (TURBT) and intravesical instillation chemotherapy or immunotherapy. In accordance with...

Sexual and reproductive medicine in practice

Testosteron replacement therapy and cardiovascular risk

MUDr.Aleš Horák

Urol. praxi, 2016; 17(1): 23-26 | DOI: 10.36290/uro.2016.006  

During the last years increase number of hypogonadal men with testosteron replacement therapy (TRT). Continually is assesed benefit this therapy with possible risk including cardiovascular diseases (CVD). In conformity with actually findings is not increase CVD risk by TRT.

At a glance

Allergy, anaphylaxis, anaphylactic shock

MUDr.Božena Kalabusová

Urol. praxi, 2016; 17(1): 27-29  

Anaphylaxis is a severe, life-threatening systemic reaction that is almost always unanticipated and may lead to death by airway obstruction or vascular collapse. The most fleguent cause of anaphylaxis are food, drugs and insect. Administration of intramuscular epinephrine at the onset of anaphylaxis, before respiratory failure or cardiovascular compromise, is essential. Histamine H1 receptor antagonists and corticosteroids may be useful adjuncts. All pacients at risk of recurent anaphylaxis should be educated about use of epinefrine autoinjektor and drugs for first aid.

Case report

Massive bleeding as complication of puncture nephrostomy

MUDr.Jana Krausová, MUDr.Miroslava Ryšánková, MUDr.Marie Hurtová, doc.MUDr.Miloš Broďák, Ph.D.

Urol. praxi, 2016; 17(1): 30-31 | DOI: 10.36290/uro.2016.008  

The authors present case report of massive bleeding appearing closely after removing of nephrostomy. Urgent vasographic arteficial embolization of bleeding artery was life-saving procedure.

Glansectomy by treatment penile verrucous carcinoma

MUDr.Slavomír Klátil

Urol. praxi, 2016; 17(1): 32-34 | DOI: 10.36290/uro.2016.009  

Penile squamous cell carcinoma is a rare cancer and almost exclusively a lesion of uncircumcised older men. Verrucous carcinoma is an uncommon variant that accounts for only 5 % to 16 % of all penile squamous cell carcinomas. The following case report describes penile verrucous carcinoma in a 60 – year old white man as an incidental finding during circumcision. The patient subsequently underwent glansectomy.

A young man with a rare scrotal tumour

MUDr.Jiří Ladman, MUDr.Radka Bulínová, MUDr.Libor Šafařík, CSc., MUDr.Pavel Holan, MUDr.Leoš Handrejch

Urol. praxi, 2016; 17(1): 35-37 | DOI: 10.36290/uro.2016.010  

Lymphangioma is a benign tumour resulting from a vascular anomaly in the neonatal, infant, and childhood periods. Scrotal occurrence is rare. The finding may hamper the differential diagnosis of scrotal resistance as well as that of acute scrotum.

Adrenocortical carcinoma

MUDr.Martin Kuhn, MUDr.Lumír Domes, MUDr.Michal Plintovič, MUDr.Libor Palička, MUDr.Pavol Vajcík, MUDr.Vladimír Trojek

Urol. praxi, 2016; 17(1): 38-39 | DOI: 10.36290/uro.2016.011  

A case report of a patient with an asymptomatic formation in retroperitoneum. A series of tests was performed – computed tomography (CT), endocrinological and gastroscopic examination. The patient has undergone surgery with a histological finding of an adrenocortical carcinoma pT2 N0 M0. The patient is followed up on urology and oncology ambulance without adjuvant therapy.

For nurses

Minimizing the risk of healthcare-associated infections with indwelling urethral

Mgr.Petra Podrazilová, DiS.

Urol. praxi, 2016; 17(1): 40-44 | DOI: 10.36290/uro.2016.012  

catheter through the decision-making process Decision-making processes in health care are an integral part of strategic management. If the problem has to be solved effectively, the solution should be clearly based on the philosophy of decision-making processes. One of the serious problems of modern medicine are healthcare-associated infections. The article is focused to decision-making process leading to the minimization of urogenital infections caused in causal connection with health care.

Information

Podzimní konference Sdružení ambulantních urologů (SAU) 27. - 28. 11. 2015 v Brně

MUDr. Michaela Matoušková, MUDr. Jiří Klečka, Ph.D.

Urol. praxi, 2016; 17(1): 45-46  

Kontroly SÚKLu, je možné se připravit?

MUDr. Michaela Matoušková

Urol. praxi, 2016; 17(1): 47-49  


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