Urology for Practice, 2017, issue 5
Review articles
Does the standard practice confirm the efficacy of vinflunine in the treatment of metastatic urothelial carcinoma?
MUDr. Jana Katolická, Ph.D.
Urol. praxi. 2017;18(5):202-204 | DOI: 10.36290/uro.2017.048 
Vinflunine has been approved in Europe for second-line treatment of metastatic and advanced urothelial cancer after failure ofplatin-containing therapy. The reports from daily clinical practice with more heterogeneous patient populations present valuablesources of information on treatment modalities, risk stratification and side-effect management in this narrow indication. Theyconfirm the results from pivotal trials with regard to safety and efficacy.
MRI targeted biopsy of the prostate – 2nd part: fusion techniques
MUDr. Šárka Kudláčková, doc. MUDr. František Záťura, PhD.
Urol. praxi. 2017;18(5):206-208 | DOI: 10.36290/uro.2017.049
Prostate carcinoma is one of few malignant tumors being difficult to be diagnosed by conventional imaging methods. On ultrasonographythat is normally used in the diagnosis of prostate cancer, typical hypoechogenic lesion is visible in only 30 %, whichresults in low TRUS sensitivity. In recent years,MRI and especially multi-parametric analysis appears to be promising solution. MRIvisualised lesion is biopted either in real-time using in-bore technique or by selected fusion technique.
Infections of ureaplasma and mycoplasma in urogenital clinical practice
doc. MUDr. Miloslav Salavec, CSc, Mgr. Radek Sleha, Ph.D., MUDr. Miroslav Louda, Ph.D., doc. RNDr. Vanda Boštíková, Ph.D., Mgr. Sylva Janovská, Ph.D., prof. MUDr. Pavel Boštík, Ph.D.
Urol. praxi. 2017;18(5):209-216 | DOI: 10.36290/uro.2017.050
Mycoplasma and Ureaplasma infections of genitourinary tract are reviewed. Definiton, pathogen morphology, biochemial properties,pathogenesis as well as clinical presentation, diagnostical tools and recommended management of such infections aresummarized.
Endoscopy in urology and urinary diversion
MUDr. Petr Volf, MUDr. Martin Drábek
Urol. praxi. 2017;18(5):217-222 | DOI: 10.36290/uro.2017.051
Endoscopy is a minimally invasive diagnostic or therapeutic method. It allows to examinate the status of a body cavity or holloworgans using the body openings. Endoscopes are specially modified rigid tubes with an optical system composed of conventionallenses or flexible devices with optical fibers, which allow the diagnosis and therapy of various pathologies of the urinary tract suchas tumors, foreign bodies and urinary tract obstruction. Urinary diversion means urine drainage from the body other than thenatural way. Article describes the different types of endoscopy and urinary diversion in urology and is intended for non-urologyspecialists and GPs...
Sexual and reproductive medicine in practice
Penile curvature and its treatment
MUDr. Pavel Turčan
Urol. praxi. 2017;18(5):228-232 | DOI: 10.36290/uro.2017.053
Penile curvature are congenital or acquired. Congenital curvatures without hypospadia usually do not require a solution. The mostcommon cause of the acquired curvature is Peyronie's disease. It is a penile disorder with fibrous plaque in the tunica albuginea,which is manifested by pain, curvature, constriction or shortening of the penis and is particularly evident in the penis in the erectstate. Treatment is complicated and requires the patience of the patient and the doctor. The article focuses primarily on the conservativepossibilities of therapy, we bring an overview of individual methods and their effectiveness.
Case report
Testicular tumor in two brothers
MUDr. Anna Záveská
Urol. praxi. 2017;18(5):233-235 | DOI: 10.36290/uro.2017.054
Testicular tumors are the most common malignacy in men between the ages of 20 and 40 years. One of the risk factors is thefamilial incidence of testicular cancer. For brothers the risk of developing of the tumor is 8–10 times higher. The tumors are ofthe same histological type mainly in identical twins, but for most non-twin siblings there are different histological findings. Thisreport presents cases of two brothers aged 25 and 23 with testicular tumor who were examined and treated at our departmentin short time of 6 months. In both patiens was early performed radical inguinal orchiectomy. In the case of an older brother, therewas a histological...
Adult Wilm’s tumor – a rare case
MUDr. Juraj Beniak, MUDr. Kamil Fógel, MUDr. Marek Krolupper, MUDr. Zuzana Špůrková, MUDr. Petra Pokorná
Urol. praxi. 2017;18(5):236-237 | DOI: 10.36290/uro.2017.055
We present a case report of a 39 year-old patient who underwent a partial nephrectomy because of tumor. Histopathology resultsrevealed a rare case of adult Wilms' tumor. Patient underwent an adjuvant chemotherapy and is in a complete remission now.
Primary Malignant B-cell Lymphoma of the Epididymis
MUDr. Tomáš Kovář, MUDr. Khaled Baker, MUDr. Pavel Kříž, MUDr. Hafuda Abdulbaset
Urol. praxi. 2017;18(5):238-239 | DOI: 10.36290/uro.2017.058
Lymphomas are cancerous lymph nodes and lymphatic tissue. Primary extranodal lymphoma is a case of primary affection ofthe extranodal region with predominant tumor mass in this localization. Primary lymphoma of the epididymis without systemicinvolvement of lymphatic tissue is extremely rare. The first case was described by Schned et al. in 1979.
For nurses
Prevention of pressure ulcers when using incontinence aids and tools
doc. PhDr. Andrea Pokorná, Ph.D., Mgr. Nela Krajčíková
Urol. praxi. 2017;18(5):242-246 | DOI: 10.36290/uro.2017.057
Skin care for incontinent patients is very demanding and involves, in particular, risk identification and appropriate preventiveprocedures. However the issue is still underestimated in clinical nursing practice, with persistent myths and shortcomings, whichare caused in multifactorial way (caregiver's knowledge, their number and nurse/patient ratio, competencies and, last but notleast, by economic factors). Pressure ulcers and other skin damage and injury induced by skin maceration in incontinent patientsare among relatively well-influenced clinical situation and conditions. The paper therefore focuses on the main risk factors forincontinence of urine...
Pharmacological profile
Fixed combination of hyaluronate and chondroitin sulfate recurrent cystitis
MUDr. Jiří Slíva, Ph.D.
Urol. praxi. 2017;18(5):223-226 | DOI: 10.36290/uro.2017.052
Hyaluronic acid and chondroitin sulfate are widely distributed glycosaminoglycans throughout the human body. Among others,they also cover the bladder surface and the disruption of their layer may result in a higher incidence of urinary tract infections(IMC). This text discusses the possibilities of their intravesical application in order to reduce the recurrence of IMC, however, theyalso play a role in the treatment of bladder painful syndrome or in men with prostate cancer after radiotherapy.
Good advice from practice
Rehabilitation of a pelvic floor of patients with urinary incontinence
MUDr. Andrea Švojgrová
Urol. praxi. 2017;18(5):240-241
Rehabilitation of a pelvic floor should be an integral part of a therapy of patients with urinary incontinence. The aim of the article is to describecomplexity of the rehabilitation process, its individual points, to introduce basic physiotherapeutic approaches, options of the physicaltherapy. We also want to share our practical experience of the rehabilitation focusing on functional diagnosis and pelvic floor therapy.