Biohackeři mění genetiku

prof. Ing. Jaroslav Petr, DrSc.

Urol. praxi. 2018;19(1):3  

Men‘s urethral trauma

MUDr. David Míka, doc. MUDr. Jan Krhut, Ph.D.

Urol. praxi. 2018;19(1):6-9 | DOI: 10.36290/uro.2018.045  

The most frequently injured part of the urinary tract is the urethra. Iatrogenic injuries predominate etiologically, external injuriesare less frequent. The consequences of this injury have a significant impact on the quality of the live of the affected individuals.Injury of the posterior urethra has the major impact.

Uncomplicated lower urinary tract infections in women – options of treatment and prevention

MUDr. Jiří Kladenský

Urol. praxi. 2018;19(1):10-15  

Urinary tract infections (UTIs) are among very frequent medical conditions for which women visit their general practitioner. Acuteuncomplicated cystitis the diagnosis of which is usually straightforward is the most common manifestation of UTIs in women. Whenchoosing an appropriate antimicrobial agent, it is advisable to take into consideration its pharmacokinetics, the assumed spectrumof efficacy, and the effect on the vaginal flora. Short-term treatment with a duration of three to five days is preferred. In women withrecurrent cystitides, following the commencement of appropriate therapy and retreatment of infection, it is necessary to perform acomprehensive...

Retroperitoneal lymphadenectomy in the treatment of testicular tumors

MUDr. Jaroslav Jarabák, MUDr. Zuzana Donátová, doc. MUDr. Roman Zachoval, Ph.D., MBA, doc. MUDr. Tomáš Büchler, Ph.D., prof. MUDr. Jitka Abrahámová, DrSc.

Urol. praxi. 2018;19(1):16-19 | DOI: 10.36290/uro.2018.047  

Multimodal treatment strategies in the treatment of testicular tumors may include surveillance, chemo – radiotherapy and/or retroperitoneallymph node dissection. Retroperitoneal lymph node dissection is associated with a relatively high rate of complicationssuch as ejaculation disorders and, as a consequence, has ceded its dominant role in the therapy of testicular tumors to chemotherapy.However, with the development of novel laparoscopic techniques, modified and nerve-sparing retroperitoneal lymph node dissectionis becoming increasingly popular. The long-term tumor control achieved by the procedure in suitable patients is comparableto that in...

Risks of non-quinolone prophylaxis for transrectal ultrasoud guiled prostate biopsy

MUDr. Michal Balík, MUDr. Jaroslav Pacovský, Ph.D., doc. MUDr. Miloš Broďák, Ph.D., doc. MUDr. Helena Žemličková, Ph.D.

Urol. praxi. 2018;19(1):20-22 | DOI: 10.36290/uro.2018.048  

Overall increased resistance to common antibiotics and increased incidence and severity of infectious complications after transrectalprostate biopsy force us to search for new antibiotic prophylaxis regimens. The change of antibiotic prophylaxis beforetransrectal prostate biopsy (with complete restriction of fluoroquinolones) in our department led to significant increase in incidenceand severity of infectious complications in 2016. Recurrence of fluoroquinolones reduced incidence and severity of infectiouscomplications in 2017 to previous levels.

Transplantation – the criteria for listing

MUDr. Silvie Rajnochová Bloudíčková, Ph.D.

Urol. praxi. 2018;19(1):23-26 | DOI: 10.36290/uro.2018.031  

Pretransplant evaluation is an important step in the procedure of a patient's preparation before placing him on a waiting list fora renal transplant. Pretransplant work-up aims to diagnose, treat, and optimize any preexisting disease before listing to maximizethe probability of successful transplantation.

Experience with administration of verapamil into the plaque in patients with induratio penis plastica (Peyronie’s disease)

MUDr. Marek Broul, Ph.D., FECSM, MUDr. Petra Hokůvová, MUDr. Jan Schraml, Ph.D.

Urol. praxi. 2018;19(1):29-32 | DOI: 10.36290/uro.2018.049  

Induratio penis plastica, or Peyronie’s disease, is a condition characterized by the presence of fibrous plaques in the tunica albugineaof the penis. It is a connective tissue disease in which the plaques composed of collagen may significantly alter the anatomy andfunction of the penis. The author summarizes literature data and the results of treatment with verapamil in 19 patients.

Venerology minimum for urologists

MUDr. Filip Rob, Ph.D., prof. MUDr. Jana Hercogová, CSc.

Urol. praxi. 2018;19(1):33-35  

Incidence of sexually transmitted infections has been steadily rising in the Czech Republic especially in specific populations suchas men who have sex with men. Therefore syphilis, gonorrhea and lymphogranuloma venereum should be always considered indifferential diagnostics of various conditions in urological praxis. If these diseases are diagnosed early they can be cured withoutserious complications. The purpose of this short article is to provide basics of epidemiology, clinical presentation, diagnostic andtherapeutic approach for these three mandatory reported diseases in the Czech Republic.

Bladder exstrophy – late complication after urinary tract reconstruction

MUDr. Michaela Motolová

Urol. praxi. 2018;19(1):36-38 | DOI: 10.36290/uro.2018.051  

This case-report is about a 43-year old fully living father of two children, who after his birth and during his early childhood underwenta staged surgical management of bladder extrophy. In this repair process it was applied the Gersuny technique of internal continenturinary neodiversion. Due to the predisposition of the neouretra to stricture formation, it was recomnended regular autodilation – hewas non-compliant and since his adolescence there was no regular urological follow up. His miction is based on scrotal compression –it is not limiting procedure, but for the last 10 yaers he has noticed the presence of stones in the scrotal sac....

Reno-alimentary fistula in kidney arteriovenous aneurysm

MUDr. Kateřina Šťastná Bedrnová, MUDr. Viktor Vítů, MUDr. Miroslav Zahálka

Urol. praxi. 2018;19(1):39-41 | DOI: 10.36290/uro.2018.052  

We present case of pathological communication between kidney (exactly kidney aneurysm created after uncomplicated kidneyresection) and descending colon. Fistulas in the midst of urinary tract and surrounding structures are relatively frequent andpersistent problem in urology. Aneurysm is pathological artery enlargement caused by structural changes in artery wall. A-V aneurysmor fistula is anomalous artery-venous communication. Most of cases of fistulas and aneurysms have iatrogenic origin, ordue to cancerous, inflammatory or after irradiation processes. Pathological communications between kidney and digestive tractare very rare. Literature mentions...

Education of nurses in urology

Mgr. Pavla Kordulová

Urol. praxi. 2018;19(1):46-48 | DOI: 10.36290/uro.2018.054  

The main stimulus for creating a short text was not only the awareness of the extremely demanding nursing care in urology,which has become established in the high specification during the last years, but also presents the possibility of acquiring specificknowledge for nurses and their practical development of skills in clinical practice.

Zpráva z pracovní konference SAU 2017

MUDr. Michaela Matoušková

Urol. praxi. 2018;19(1):49-50  

Bladder mucosa regeneration after chronic inflammations

MUDr. Jakub Pavelka, MUDr. Roman Staněk

Urol. praxi. 2018;19(1):42-45  

The urinary tract is the second most often location of infections in the human body. Repeated and inappropriately treatedinfections cause weakening of bladder mucosa, which has relatively restricted means of regeneration. As a result of long-timedamaging of the epithelium, revealing and irritating of nerve endings inside the bladder wall with consequent difficulties occur.Those complaints are best characterised in a hard to catch modality called interstitial cystitis. It is an illness summarised as PainfulBladder Syndrome causing lingering troubles to patients on one hand side, on the other hand putting the physician in a difficultposition in the question...