Hovory o zdraví, aneb naslouchejme pacientům

PhDr. Lucie Klůzová Kráčmarová

Urol. praxi. 2016;17(5)  

Adrenocortical carcinoma

MUDr.Igor Hartmann, Ph.D., MUDr.Filip Čtvrtlík, Ph.D., doc.MUDr.Zdeněk Fryšák, CSc., doc.MUDr.Martin Doležel, Ph.D., MUDr.Pavel Rajmon, doc.MUDr.Vladimír Študent, Ph.D.

Urol. praxi. 2016;17(5):206-209 | DOI: 10.36290/uro.2016.053  

Adrenocortical carcinoma is a relatively rare, but very malignant disease. Complete surgical removal of tumour tissue is the only chance for the patient. Other treatment methods fail to result in satisfactory outcomes. Therefore, early disease diagnosis is essential that is based on a close collaboration of the endocrinologist, radiologist, and surgeon. The review article discusses the fundamental principles of the diagnostic and therapeutic process, with emphasis being placed on utilization in the practice.

Renal colic

MUDr.Tomáš Ürge, Ph.D., MUDr.Petr Běhounek, MUDr.Václav Janda, MUDr.Viktor Eret, Ph.D., prof.MUDr.Milan Hora, Ph.D., MBA

Urol. praxi. 2016;17(5):210-213 | DOI: 10.36290/uro.2016.054  

Renal colic is characterized by convulsive, paroxysmals recurring abdominal pains, often were accompanied by vomiting and bowel atony. Renal colic meets urologist almost every day. Its diagnostic and treatment belong to the basic urological skills. We present diagnostic procedures and possibilities of conservative treatment of this condition.

DECT, magnetická rezonance.

MUDr.Jan Pulcer

Urol. praxi. 2016;17(5):214-216 | DOI: 10.36290/uro.2016.055  

The use of imaging techniques in urolithiasis Imaging techniques are an essential part of evaluating a patient suspected of having renal colic in order to confirm or exclude the diagnosis. Subsequently, they allow to determine a specific effective and feasible treatment. In general, imaging techniques are indispensable in modern medicine, as proved by the treatment of urolithiasis.

A new type of erectile dysfunction treatment in the Czech Republic - the application of alprostadil cream

MUDr.Libor Zámečník, Ph.D., FEBU, FECSM, MUDr.Jan Novák

Urol. praxi. 2016;17(5):217-221 | DOI: 10.36290/uro.2016.056  

The authors summarize the pharmacological and clinical findings on topical treatment of erectile dysfunction with alprostadil cream.

Sexual dysfunctions in obese diabetics

MUDr.Dita Pichlerová, PhDr.Jitka Herlesová, prof.PhDr.Petr Weiss, Ph.D.

Urol. praxi. 2016;17(5):222-225 | DOI: 10.36290/uro.2016.057  

The article presents a summary of studies concerning sexual dysfunction in obese diabetics. There are defined basic terms regarding sexual dysfunction in men and women. From these studies suggest that obesity of 2nd and 3rd grade and diabetes mellitus increase the probability of sexual dysfunctions, although the mechanism is often unclear. A significant reduction of weight and improvement of diabetes caused a lower incidence of sexual dysfunction.

The metastasis of breast cancer to the urinary bladder

MUDr.Zuzana Lenčová, MUDr.Petr Prošvic

Urol. praxi. 2016;17(5):227-228 | DOI: 10.36290/uro.2016.058  

The article describes the case of metastasis of breast cancer to the urinary bladder. However, metastases of breast cancer are common, the documented incidence of bladder metastases is roughly 3%. In majority of cases, the breast cancer metastasis to the bladder is associated with lower urinary tract symptoms and other pelvic organ metastases.

Uretero-arterial fistula

MUDr.Tomáš Lakomý, MUDr.Pavel Svoboda, MUDr.Jaroslav Tůma, MUDr.Jiří Toman

Urol. praxi. 2016;17(5):230-232 | DOI: 10.36290/uro.2016.059  

Uretero-arterial fistula is a rare, but potentionaly life-threatening cause of bleeding into the urinary tract, manifested by gross haematuria. The first case associated with pressure of ureteral stent was described by Moschowitz in 1908. In the next case report we present a patient after pelvic surgery, for an advanced colorectal cancer, followed by gross haematuria by the reason of the presence of uretero-iliac fistula, diagnosed up during surgery for immitigable bleeding into the urinary tract.

Undescended testis in adult men

MUDr.Kateřina Gocalová, MUDr.Milan Svoboda

Urol. praxi. 2016;17(5):233-234 | DOI: 10.36290/uro.2016.060  

Cryptorchidism is a pathological condition in which the testicle is stored outside of the scrotum. It is one of the most common congenital anomalies affecting more than 3 % of full-term and 9–30 % of preterm male infants. Long-term abnormal deposit of the testicle in adulthood leads to a reduction in fertility and an increased risk of developing cancer. Therefore any positional anomalies of testicle require treatment, which should end in 12–18 months of age. We present a case of undescended testis in adult men.

Extensive retroperitoneal lymphadenopathy with accompanying renal pain as a manifestation

MUDr.Maksym Falion, MUDr.Jiří Král, MUDr.Miloš Bočan, MUDr.Zdeněk Peremský

Urol. praxi. 2016;17(5):235-237 | DOI: 10.36290/uro.2016.061  

of rare „burned-out” germ cell testicular tumor This report documents the rare case of burned-out germ cell tumor of the left testicle. It also highlights the problem of this rare tumors, when the correct diagnosis is made at the advanced stage of the disease, and the symptoms are often caused by the metastatic process. Burned-out germ cell tumor is defined as the presence of metastasis of germ cell tumor with histological regression of the primary testicular tumor. An important part of the treatment of this patients is removal of the affected testicle because of high percentage of persistence of cancer cells, even after chemotherapy.

History education perioperative nurses in urology

Mgr.Pavla Kordulová

Urol. praxi. 2016;17(5):238-242 | DOI: 10.36290/uro.2016.062  

History of nursing and medical fields can be opened from the perspective of the history of public health, medical history and methods of nursing, history of legal regulation of specific medical and nursing legal institutions and in terms of education. This study set out to provide a comprehensive summary of the history of education of perioperative nurses in urology.

Zpráva z pracovní konference SAU 2016 v Brně

MUDr. Michaela Matoušková

Urol. praxi. 2016;17(5):246-247  

Communication with patient after having radical prostatectomy

PhDr.Pavel Harsa, Ph.D.

Urol. praxi. 2016;17(5):243-245  

The article considers contemporary approaches to communication with patient after having radical prostatectomy, concerning unpleasant and serious informations about patients' health status, including communication with their relatives.