Slovo úvodem

Ing. Tomáš Kocourek, Ph.D.

Urol. praxi. 2017;18(1)  

Diagnostics and classification of renal parenchymal masses – a brief summary

MUDr. David Ondra

Urol. praxi. 2017;18(1):6-9 | DOI: 10.36290/uro.2017.002  

After finding a renal parenchymal mass by an imaging method, we have to establish whether the mass is benign or malignant and decide whether it should be observed only or managed by intervention. This paper briefly summarizes classification, diagnostics and recommended treatment of renal masses.

Urological complications following cancer treatment

MUDr. Michael Pešl, FEBU, MUDr. Libor Zámečník, Ph.D., FEBU, FECSM

Urol. praxi. 2017;18(1):10-13 | DOI: 10.36290/uro.2017.003  

The incidence of most tumour diseases has been increasing in the last decades. Despite technical progress in radiotherapy and pharmacology and in spite of the development of mini-invasive surgical methods, potential complications of anticancer treatment continue more or less unabated. In urology, one may encounter iatrogenic injury to the urinary tract, whether following surgical treatment or administration of ionizing radiation. The administration of systemic chemotherapy may negatively affect gonadal functions as well as immunity, thereby worsening the course of urinary tract infections. The article presents the most common complications encountered...

Indications, results, and significance of early repeat transurethral resection of bladder tumours

MUDr. Antonín Brisuda, FEBU

Urol. praxi. 2017;18(1):14-16 | DOI: 10.36290/uro.2017.004  

Early repeat transurethral resection of bladder tumour is used to refine staging of the disease and to rule out residual tumour left behind in the bladder after primary resection. The review article deals with the indications for and results of early repeat resection, and presents the experience of the author’s workplace.

Treatment of urinary tract infections in the era of antibiotic resistance

MUDr. Marek Štefan

Urol. praxi. 2017;18(1):17-20 | DOI: 10.36290/uro.2017.005  

Recently, there has been increasing prevalence of both healthcare-associated and community-acquired urinary tract infections caused by bacteria resistant to commonly prescribed antibiotics. The article summarises the types of antibiotic resistance commonly seen in everyday urological practice and also outlines the principles of antibiotic therapy and prevention of urinary tract infections caused by resistant pathogens.

Metabolism and sex, sex and metabolism

MUDr. Michaela Šnejdrlová, Ph.D.

Urol. praxi. 2017;18(1):22-25 | DOI: 10.36290/uro.2017.006  

Erectile dysfunction is a relatively common health issue, with more than half of men aged 35–65 years in the Czech Republic having a certain degree of the disease. The causes of erectile dysfunction can be psychogenic and organic, with the organic ones including anatomical, neurogenic, hormonal, and vascular causes. Erectile dysfunction can be the first warning sign of serious disease; therefore, one should not be content with symptomatic treatment only, but a patient with erectile dysfunction should always undergo a comprehensive evaluation. This can result in improved prognosis as well as better quality of life.

Proteinuria

MUDr. Jan Vachek, PhDr., MUDr. Oskar Zakiyanov, Ph.D., prof. MUDr. Vladimír Tesař, DrSc., MBA, FERA, FASN

Urol. praxi. 2017;18(1):26-28  

Proteinuria is not only a cardinal sign of primary and secondary nephropathies, but also an independent pathogenic factor of progression of these diseases. Along with the serum creatinine level, red blood cell urine test, and renal ultrasound, qualitative and quantitative data on proteinuria belong to the basic nephrological evaluation. In routine practice, the dipstick test is used for the screening of proteinuria; this, however, cannot detect microalbuminuria, Bence-Jones proteinuria (free light chains, for instance, in multiple myeloma), and signs of tubulointerstitial diseases. For a more precise evaluation of albuminuria and/or proteinuria, the...

Salvage pelvic exenteration in a patient with local recurrence of cervical cancer and urological complications

MUDr. Alexander Nedbálek, MUDr. Barbora Nechanská, MUDr. Robert Šverma, MUDr. Richard Pabišta, MUDr. Ivan Kolombo, FEBU

Urol. praxi. 2017;18(1):31-33 | DOI: 10.36290/uro.2017.008  

This article is to report on the case of a female patient with local recurrence of squamous cell carcinoma of uterine cervix after response to prior therapy had failed. On the ground of radical hysterectomy and adjuvant radiotherapy and with developing sepsis, salvage total pelvic exenteration was performed. The patient has been in cancer remission for 7 years and she leads a quality life.

Five-year survival after radical nephrectomy for primary renal leiomyosarcoma

MUDr. Tereza Balajková, MUDr. Eva Poláčková, MUDr. Karel Zita, MUDr. Katarína Spurná, MUDr. Osvald Celman, MUDr. Eva Jandáková

Urol. praxi. 2017;18(1):34-36 | DOI: 10.36290/uro.2017.009  

The authors describe the case of a patient with the tumor of the upper pole of the left kidney, incidentally detected sonographically, which was performed in July 2011 due to a right hypogastric pain. There were no dissemination detected by imaging before operation. Histologically, after the left-sided radical transperitoneal nephrectomy, there was confirmed leiomyosarcoma of the kidney – low grade, no lymph nodes was positive. Even though the bad prognosis of these tumor group, the patient is right now 5 years after the nephrectomy with no detection of a local recurrence or metastases.

Emergent management of thermal penis burns

MUDr. Michaela Motolová

Urol. praxi. 2017;18(1):37-39 | DOI: 10.36290/uro.2017.010  

Burn injuries of the penis belong to the rare cases of urological clinical practise, but acute phase management plays a key role, especially in conditions where plastical surgery care is not available. This case report, is about a 47 year-old psychiatric patient, treated for schizophrenia and with a history of self-harm. Here are described the diagnostic steps and mutilation range classification used in a prophylactic system therapy. Urological measures include the urethral or suprapubic cathetrization, first line surgical treatment like the escharotomy and tangential necrectomy with the intent of tissue revitalisation until local conservative preparation...

Awareness of boys aged 15–19 on the prevention of cancer of the testicles

Bc. Jana Nespalová, Mgr. Alena Machová

Urol. praxi. 2017;18(1):40-43  

Testicular cancer in children is one of the rare types of malignant diseases, their incidence is increasing between 15 to 19 years. They are included amongst the most treatable cancers in adults. In the Czech Republic it is annually diagnosed about 400 cases, the incidence of testicular cancer is increasing. The disease is curable, if it is early diagnosis. Regular preventive examinations will reduce disease progression and the nurse at GPCY (general practitioner for children and adolescents) plays an irreplaceable role in this prevention. The aim of the research was to determine the awareness on testicular cancer prevention in boys 15–19. There...