Fenomén násilí ve zdravotnictví

Mgr. Jaroslav Pekara, Ph.D.

Urol. praxi. 2017;18(4):143  

Pharmacotherapy treatment of urge incontinence and overactive bladder in elderly people

prof. MUDr. Eva Topinková, CSc.

Urol. praxi. 2017;18(4):148-153 | DOI: 10.36290/uro.2017.035  

Overactive bladder, characterized by episodes of urgency, micturition frequency, nycturia and, in majority of patients urge incontinenceaffect 20–30% of seniors 70 years and over. The treatment of choice are antimuscarininc drugs which consistently proveantimuscarinics superiority over placebo comparably so as in middle age. In old age due to the physiologic age-associated organchanges, frequent commorbidities and polypharmacotherapy antimuscarinics with higher tissue selectivity are recommended,which do not cross blood-brain barrier and those with low risk of drug interactions. Extended release formulations with lowerrates of AE are preferred....

Therapy resistant enuresis

MUDr. Pavel Drlík, MUDr. Marcel Drlík, FEAPU, doc. MUDr. Jiří Heráček, Ph.D., MBA, MUDr. Jiří Kočárek, Ph.D.

Urol. praxi. 2017;18(4):154-157 | DOI: 10.36290/uro.2017.036  

Monosymptomatic nocturnal enuresis (MNE) is a common disease in childhood. Enuresis has a significant impact on the childand its family quality of life. In some cases treatment fails. The most common causes of a failure are: low patient's adherence totreatment, misdiagnosis of other underlying pathology and incorrect use of therapy. Repeated child and its parents' education,detailed reexamination aiming to rule out all possible missed pathologic conditions and detailed history of previous therapy arethe key points of success. The treatment should follow the International Children's Continence Society recommendations. The firstline treatment is represented...

Renal trauma in the risk patients

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

Urol. praxi. 2017;18(4):158-161 | DOI: 10.36290/uro.2017.037  

Kidney trauma could have serious impacts from the short term, even long term aspects. There are risk factors worsening acuteand late course and final results of the renal trauma. Congenital abnormalities, coexisting diseases and associated medicationbelong to the most important factors. Patients with renal insufficiency or solitary kidney need special care. We always have tobalance risks associated with selection of the adequate diagnostic or therapeutic option.

Neoadjuvant chemotherapy for muscle-invasive bladder cancer

MUDr. Daniel Macík, MUDr. Michal Staník, Ph.D., doc. MUDr. Jan Doležel, PhD.

Urol. praxi. 2017;18(4):162-164 | DOI: 10.36290/uro.2019.019  

Radical cystectomy with pelvic lymph node dissection is a standard of treatment for muscle-invasive bladder cancer. However, nomajor improvement of oncological results was seen in the last 30 years. The multimodal therapy was introduced to achieve bettersurvival of the patients. The muscle-invasive bladder cancer started to be considered a systemic disease as 30–50% of cT2–4N0tumors have occult metastatic disease at the time of radical cystectomy. Based on experience with palliative chemotherapy formetastatatic disease, cisplatin-based perioperative chemotherapy was introduced into treatment algorithm of muscle-invasivetumors. In these...

Komentář – Fotoprotekce při antibiotické a onkologické léčbě

MUDr. Otakar Čapoun, FEBU

Urol. praxi. 2017;18(4):191  

Treatment of the infertile male

MUDr. Vladimír Kubíček, CSc.

Urol. praxi. 2017;18(4):170-177 | DOI: 10.36290/uro.2017.039  

Treatment of the infertile male is necessarily based on the correct diagnosis, and is necessarily related to general health status ofthe male in the future; result by correct indication can be better than in assisted reproduction. Assisted reproduction is indicatedonly in these cases of male infertility, if parenthood is not accesible by less stressing approach for man and for woman.

Phimosis in boys caused by balanitis xerotica obliterans

MUDr. Jan Trachta, MUDr. Jan Kříž

Urol. praxi. 2017;18(4):178-180 | DOI: 10.36290/uro.2017.040  

We present a case report of a 13-year-old boy with undiagnosed balanitis xerotica obliterans (BXO), resulting in urinary retention,paradoxical ischuria, and difficult placement of indwelling urinary catheter. Total circumcision with ventral and dorsal meatotomywas completely curative, with no need for local corticosteroids. BXO is a neglected and underestimated diagnosis in boys. Despitebeing the most common cause of secondary pathological phimosis in boys, BXO is often considered to be scarring phimosis onlyand mistakenly indicated for partial circumcision by some paediatric specialists.

Prostatic artery embolization as an alternative in managing moderate to severe LUTS

MUDr. Petr Dolák

Urol. praxi. 2017;18(4):181-183 | DOI: 10.36290/uro.2017.041  

The incidence of lower urinary tract symptoms associated with prostatic hypertrophy has been increasing, certainlyalso because of the prolonging life expectancy in the current population. Internal comorbidity is a complication ofurological treatment, particularly in elderly patients. Selective prostatic artery embolization is a relatively new and, sofar, little widespread alternative for these patients that has shown some promising early results, while having a verygood safety profile.

Nursing care of a patient with hypospadias

Lucie Králová, Mgr. Pavla Kordulová

Urol. praxi. 2017;18(4):187-190 | DOI: 10.36290/uro.2017.043  

Hypospadias is one of the most common birth defects of the urinary tract. This is a cleft of the urethra on the underside and affects oneof the 125–300 boys born. Genetic and hormonal influences are involved in the development. They are divided into front (glandular,coronary, subcoronary), middle (penile) and posterior (post-bodied, scrotal, perineal). Hypospadias can cause psychological trauma inother forms of mucosal and ejaculatory disorders, in addition to the possibility of sexual intercourse with the chord associated with thechord. The defect is assessed by a child urologist and treated surgically. High responsibility placed on nurses in...

Serenoa repens in the treatment of benign prostatic hyperplasia

MUDr. Jiří Slíva, Ph.D.

Urol. praxi. 2017;18(4):165-168 | DOI: 10.36290/uro.2017.038  

Benign prostatic hyperplasia is a very prevalent disease requiring long-term effective and safe treatment. The importance ofphytotherapy has been discussed for years and is also mentioned in the recent therapeutic guidelines. The article describes thecurrent position of these products with a dominant focus on Serenoa repens.

Optimized practices in hand hygiene

Mgr. Lukáš Fedor

Urol. praxi. 2017;18(4):184-186  

Hand hygiene is a basic element in the prevention of the spread of healthcare-associated infections and professional infectionsfor barrier-based nursing, which in the event of their occurrence have a negative impact on both the patient and the healthcarefacility itself. The communication presents the results of monitoring the compliance of hand hygiene at the paramedical staff ofthe Urology Clinic in selected nursing procedures.

Detour – efektivní extraanatomický stent

MUDr. Josef Košina

Urol. praxi. 2017;18(4):194-195  

M-LUTS: důležité je individuální posouzení predominujících symptomů

Urol. praxi. 2017;18(4):192  

Studie M-LUTSCA zaznamenala zlepšení kvality života pacientů s LUTS

Urol. praxi. 2017;18(4):193