Urology for Practice, 2018, issue 3

Editorial

Ať žijou mikrouti!

MUDr. Radkin Honzák

Urol. praxi. 2018;19(3):103

Review articles

Syndrome of chronic scrotal pain (part two)

doc. MUDr. Jozef Marenčák, PhD.

Urol. praxi. 2018;19(3):106-110 | DOI: 10.36290/uro.2018.067

Idiopathic scrotal pain syndrome (SPS) is defined as at least 3 months of chronic or intermittent scrotal content pain. SPS remainsone of the more challenging urological problems to manage. This can be a frustrating process for both the patient and clinicianas there is no well – recognized diagnostic regimen or reliable effective treatment. Many of these patients will end up seeingphysicians across many disciplines, further frustrating them. The etiolopathogenesis of SPS is not clearly delineated. SPS is a "diagnosisof exclusion" and therefore differential diagnosis excluding another, especially local pathology is extremely important.This article...

Vulvovaginitides for urogynaecologists

MUDr. PhDr. Pavel Čepický, CSc.

Urol. praxi. 2018;19(3):111-114 | DOI: 10.36290/uro.2018.068

The review article deals with the aetiology, diagnosis, and treatment of vulvovaginal discomfort (vulvovaginitides) and its urologicalsequelae which, however, are minimal. Described in more detail are vulvovaginitides of viral origin (molluscum contagiosum,genital herpes, condylomata acuminata) and vulvovaginitides “in the traditional sense of the word” (trichomoniasis, lactobacillosis,anaerobic vaginosis, aerobic vaginitis, atrophic vaginitis).

Deep infiltrating endometriosis of urinary tract

MUDr. Petr Klézl, MUDr. Jan Drahoňovský, doc. MUDr. Michael Halaška, Ph.D., MUDr. Alexandra Gregušová, MUDr. Věra Mašková, MUDr. Petr Nencka, doc. MUDr. Robert Grill, Ph.D., MHA

Urol. praxi. 2018;19(3):116-120 | DOI: 10.36290/uro.2018.024

Authors present their experience with surgical treatment of deep infiltrating endometriosis. We evaluated used techniques, indication criteria and postoperative results.

Combined bladder-saving procedures in the treatment of locally advanced urothelial tumors

MUDr. Tomáš Svoboda, Ph.D.

Urol. praxi. 2018;19(3):121-125 | DOI: 10.36290/uro.2018.069

Radical cystectomy with pelvic lymphadenectomy is the basic curative treatment for patients with advanced urothelial urinarybladder carcinoma. However, surgical treatment is quite often unfeasible from technical or other reasons or there is a patientwish to maintain his quality of life by urinary bladder sparing. Oncological treatment in the form of platinum-based neoadjuvantchemotherapy is associated with a high number of treatment responses, complete remision incl. and with an overall survivalimprovement, moreover, there is higher probability of bladder sparing surgery.

Sexual and reproductive medicine in practice

Current options and trends in treating erectile dysfunction

MUDr. Otakar Štanc

Urol. praxi. 2018;19(3):127-132 | DOI: 10.36290/uro.2018.070

Erectile dysfunction (ED) is a very frequent disease. The past decades have witnessed a dramatic development in its treatment,associated with an increased interest in this issue by both doctors and patients. The advent of PDE5 inhibitors in the late 1990swas a revolution in treatment. Since then no such fundamental progress has been made; however, evolution in treatment hascontinued up to the present day. This article summarizes the current treatment options for ED and trends in the development ofnew therapies.

Our first experiences with penile implants

MUDr. Lukáš Bittner, FEBU, FECSM, MUDr. Libor Zámečník, Ph.D., FEBU, FECSM

Urol. praxi. 2018;19(3):133-135 | DOI: 10.36290/uro.2018.071

The indications for penile prosthesis placement are a motivated patient with erectile dysfunction, who desires reconstitution ofpenile function adequate for intercourse and who has failed at least 1 (and usually several) more conservative treatment. Since2016 we have implanted 22 penile prostheses in our centre.

Mechanical devices and their use in andrology

MUDr. Libor Zámečník, Ph.D., FEBU, FECSM, MUDr. Lukáš Bittner, FEBU, FECSM, MUDr. Tomáš Hradec, FEBU

Urol. praxi. 2018;19(3):136-138 | DOI: 10.36290/uro.2018.072

This article presents the development, mechanism of action, efficacy, and patient satisfaction with regard to vacuum constrictionand external erection devices.

Case report

A case report of rare mucinous urethral adenocarcinoma and its options of surgical treatment

MUDr. Lucie Bartáková, MUDr. Miroslav Záleský, Ph.D., MUDr. Miroslav Levý, Ph.D., MBA, MUDr. Vanda Adamcová, doc. MUDr. Roman Zachoval, Ph.D., MBA

Urol. praxi. 2018;19(3):139-141 | DOI: 10.36290/uro.2018.073

Tumors of the urethra are rare in urology and the mucinous adenocarcinoma of the urethra is very unique. The case report describesa patient with this rare tumor, its symptom, diagnosis and surgical treatment. It points out the need to think about the possibilityof tumor occurrence even in less common localizations and that relatively uncommon diagnosis should be taken into account fordifferential diagnosis. Even in a locally advanced urethra tumor, some surgical solutions are possible and patients can benefit from it.

Renal cell carcinoma with tumor thrombus extending in the right atrium

MUDr. Pavel Žemla, MUDr. Aleš Vidlář, Ph.D., FEBU, MUDr. Petr Šantavý, Ph.D., MUDr. Vladimír Študent, Ph.D.

Urol. praxi. 2018;19(3):142-144 | DOI: 10.36290/uro.2018.074

Renal cell carcinoma is the most common primary kidney tumor. Czech Republic has the highest incidence of this type of tumorin the world. The occurrence of a tumor thrombus in the inferior vena cava is recorded in 4 % up to 10 % of patients at the timeof diagnosis. Renal cell carcinoma is in the most cases clinically mute or it may appear by atypical symptoms. In our case, thediagnosis of the renal cell carcinoma with a tumor thrombus extending in the right atrium was incidental, based on the suddenstuffiness. In collaboration with cardiac surgeons, the patient underwent a radical nephrectomy with cavotomy and exstirpationof the tumor thrombus protruding...

Emphysematous pyelonephritis

MUDr. Martin Mistr, MUDr. Hafuda Abdulbaset, MUDr. Khaled Baker

Urol. praxi. 2018;19(3):145-146 | DOI: 10.36290/uro.2018.023

Herein we describe a case report of 66 years old woman, who underwent nephrectomy for emphysematous pyelonephritis.

For nurses

Extracorporal of urolithiasis from nurse perspective

Sára Leierová, DiS., doc. MUDr. Miloš Broďák, Ph.D., Bc. Lenka Pásztorová, MUDr. Lukáš Holub

Urol. praxi. 2018;19(3):147-149 | DOI: 10.36290/uro.2018.075

Extracorporal shock wave lithotripsy (ESWL) is safe and effective method in the treatment of urolithiasis. The paper presents thespecifics of nursing care for patients undergoing ESWL and instructions for home care.