Pohled na současnou postgraduální přípravu lékařů

JUDr. Pavel Janda

Urol. praxi. 2017;18(3)  

Radical cystectomy in the time of ERAS

MUDr. David Čapka, MUDr. Ivan Kolombo, FEBU, MUDr. Petr Klézl, MBA, MUDr. Petr Nencka, FEBU,, MUDr. Věra Mašková, MUDr. Otakar Štanc, MUDr. Michal Soška, MUDr. Jindřich Šonský,, MUDr. Alexandra Gregušová, MUDr. Romana Richterová, MUDr. Miroslav Hruška,, doc. MUDr. Robert Grill, Ph.D., MHA

Urol. praxi. 2017;18(3):98-104 | DOI: 10.36290/uro.2017.023  

Fast-track method of accelerated rehabilitation after surgery, also called ERAS (Enhanced Recovery After Surgery), is a set ofprotocols aimed to reducing hospitalization time, reduce patient morbidity and increase the effectiveness of surgery. ERAS isan interdisciplinary approach and a lot of studies clearly demonstrate the advantages of these approach for a variety of surgicalprocedures, including radical cystectomy (RC). The article discusses the various aspects and benefits of this comprehensive process.ERAS requires good interdisciplinary collaboration, a clear common aim of preserving individual approach in the contextof personalized medicine....

Diagnosis and treatment of nephrotic syndrome in children

doc. MUDr. Sylva Skálová, Ph.D., MUDr. Jakub Zieg, Ph.D.

Urol. praxi. 2017;18(3):105-108 | DOI: 10.36290/uro.2017.024  

Nephrotic syndrome is caused by increased permeability of glomerular filtration barrier, which results in heavy proteinuria, hypoproteinemiaand edemas. The most common form in children is idiopathic nephrotic syndrome, which is further classified according to therapeutic responseto corticosteroids. Other immunosupressants (levamisol, cyclophosphamide, cyclosporin A, mycophenolate mofetil) and monoclonalantibodies (rituximab, ofatumumab) are used as steroid sparing agents in the management of complicated cases. Advances in moleculargenetics and understanding of podocyte pathophysiology changed the approach and management of hereditary nephrotic syndrome.

Effect of vitamins, minerals, and trace elements on human health with a focus on the urogenital system. What are the risks involved in their deficiency or overdose? – 2nd part

MUDr. Jiří Kladenský

Urol. praxi. 2017;18(3):109-114 | DOI: 10.36290/uro.2017.025  

What was mentioned in the previous chapter on the effect of vitamins on the human body applies as well to minerals and trace elements,namely that abundant literature has been published on their effect on the human body; however, given the fact that some of the publicationsare produced by the manufacturers of food supplements themselves, these are frequently written in a tendentious way in orderto persuade the reader of the necessity of taking such products, and their scientific validity is often biased. For this reason, there is a riskthat, due to excessive use because of advertising, the users of these food supplements can relatively easily overdose...

Factors affecting continence after radical prostatectomy

MUDr. Vladimír Študent Jr., UDr. Jan Šarapatka, MUDr. Ján Švihra Jr., MUDr. František Hruška, doc. MUDr. Vladimír Študent, Ph.D.

Urol. praxi. 2017;18(3):115-118 | DOI: 10.36290/uro.2017.026  

Radical prostatectomy is the single most common cause of stress incontinence in males. It significantly reduces the quality ofeveryday life of the patients, especially those who are younger and more active. The aim of this review is to analyse possibleetiological factors of incontinence after RP.

Overview of diagnosis and treatment of urinary tract infections in patients with multiple sclerosis

MUDr. Eva Burešová, MUDr. Pavel Kratochvíl, MUDr. Aleš Vidlář, Ph.D., FEBU

Urol. praxi. 2017;18(3):119-121 | DOI: 10.36290/uro.2017.027  

Urinary tract infections (UTIs) can have a profound effect on the course and prognosis of patients with multiple sclerosis (MS). Inroutine practice, they are encountered on a daily basis by the physicians in charge of these patients. However, there is still lackingan unequivocal recommendation that urologists, neurologists, and general practitioners should follow. The present review dealswith this issue, including the diagnosis and treatment of UTIs in patients with MS.

Fournier's gangrene

MUDr. Miroslav Šuráň, MUDr. Jana Jarošincová, MUDr. Jan Milota

Urol. praxi. 2017;18(3):124-126 | DOI: 10.36290/uro.2017.029  

Fournier's gangrene is a very serious necrotizing fasciitis of external genitals and perianal area. It affects mostly weakened immunosuppressedpatients and patients with comorbidities. As a treatment there is used radical surgical removal of necrosis, treatmentwith broad-spectrum antibiotics, drainage and intensive care. It is important a very fast start. Authors describe a clinical case report.

Late metastasis from clear cell renal carcinoma to testicles

MUDr. Patrícia Zuková, MUDr. Jan Pokorný, FEBU, MBA, MUDr. Romana Badejová

Urol. praxi. 2017;18(3):127-128 | DOI: 10.36290/uro.2017.030  

Carcinoma metastases are very rare, accounting for less than 1 % of testicular carcinomas and metastases from clear cell carcinomasare even rarer. In the following, we present a rare case of metastasis from clear cell renal carcinoma to ipsilateral testicleappearing 18 years after transperitoneal nephrectomy.

Robot-assisted radical prostatectomy, the experience after performed the first 50 procedures

doc. MUDr. Miloš Broďák, Ph.D., MUDr. Josef Košina, MUDr. Michal Balík, MUDr. Lukáš Holub,, MUDr. Jaroslav Pacovský, Ph.D., MUDr. Petr Hušek, FEBU

Urol. praxi. 2017;18(3):129-132 | DOI: 10.36290/uro.2017.031  

The authors present the first experience with robot-assisted radical prostatectomy according to carried out the first 50 cases.There were evaluated surgical results, complications, oncologic and functional results. The duration of surgeries was shortenedgradually and blood losses were minimal. Incontinence of urine and other adverse effects occurred minimally. Great majority ofpatients had postoperatively zero PSA level.

The specifics of nursing care for patients with ureteroileostomy

Mgr. Ludmila Hranická

Urol. praxi. 2017;18(3):133-136 | DOI: 10.36290/uro.2017.032  

Lately ureteroileostomy becomes common solution to dealing with diseases in urinary system. Reason for that is in increasingnumber of patients diagnosed with bladder cancer that is most frequently the indication to stated derivation surgery. Medicaltreatment of patient with ureteroileostomy has its own specifics and it requires specialization it this issue.

Ohlédnutí za KNOU – Komplexní novinky v uroonkologii 2017

MUDr. Michaela Matoušková

Urol. praxi. 2017;18(3):137-138

Photoprotection during antibiotic and antineoplastic treatment

MUDr. Jiří Ettler, MUDr. PharmDr. Jan Dvořák, MUDr. Filip Prusík, doc. MUDr. Karel Ettler, CSc.

Urol. praxi. 2017;18(3):122-123  

One of the possible adverse effect in various drugs is increased sensitivity to sun irradiation. It can manifest as a phototoxic orphotoallergic reaction. Patients using high-risk medication should be educated about photoprotection. Measures of sun protectioninclude avoidance of exposure to the sun during midday, wearing photoprotective clothes and aplication of sunscreens.