Proč pacienty varovat před workoholismem?

Mgr. et Mgr. Jana Vyskočilová

Urol. praxi. 2019;20(5):203  

The use of implants in the treatment of female urinary incontinence

MUDr. Miroslav Krhovský

Urol. praxi. 2019;20(5):207-213  

The introduction of surgical/tape implants into clinical practice has entirely changed the approach to treating stress incontinence. Complicated surgeries, which formerly required prolonged periods of hospitalization – usually for a week – can now, pretty much, be performed as outpatient surgeries. Besides, it’s noteworthy to say that applying such methods has resulted in greater success, in contrast to the traditional approaches (e.g., Colpopexis sec. Burch). Today, the implantation of tensionfree, subutheral tapes is considered the gold standard in solving the stress incontinence. The theoretical basis for a wide-scale implementation...

New treatment options in hormone-sensitive prostate cancer

MUDr. Otakar Čapoun, Ph.D., FEBU

Urol. praxi. 2019;20(5):214-218  

The main aim of the treatment of metastatic prostate cancer (mPC) is to lower the value of testosterone to the castration level. Androgen deprivation therapy (ADT) leads initially to a reduction of the level of prostate–specific antigen and/or to radiographic and clinical response. The combination of docetaxel chemotherapy or new hormone agents (abiraterone acetate, enzalutamide, apalutamide, darolutamide) in the first line treatment of mPC may lead to an increase in overall survival or time to radiographic progression. This article assesses the results of available studies and in conclusion it reviews which combination is the most appropriate...

Ten years of permanent brachytherapy for prostate cancer in Czech Republic

doc. MUDr. Renata Soumarová, Ph.D., MBA, MUDr. Tomáš Blažek

Urol. praxi. 2019;20(5):220-222  

This year, it has been ten years since the method of permanent brachytherapy was introduced in the Czech Republic as one ofthe treatment options for localized prostate cancer. In patients with a low risk of recurrence, the method has excellent resultsand low toxicity. Its further advantages include the speed of execution and rapid return to normal life; therefore, it is increasinglysought by both referring physicians and patients. The review article deals with the method’s advantages, its current indicationsand benefits, as well as with how the treatment has changed over the course of ten years.

Tumours of adrenal glands in practise and their treatment

MUDr. František Hruška, FEBU, MUDr. Igor Hartmann, Ph.D., MUDr. Milan Král, Ph.D., prof. MUDr. Vladimír Študent, Ph.D., MUDr. Filip Čtvrtlík, Ph.D., MUDr. Paulína Szász, doc. MUDr. Zdeněk Fryšák, CSc.

Urol. praxi. 2019;20(5):224-229  

Disease of adrenal glands can be met in daily practise of an urologist whereas his or her role is significant within multidiscipline cooperation with, in particular, a radiologist and endocrinologist. Nowadays, determination of the main diagnosis can be more effective thanks to more available displaying and laboratory examination methods. Consequently, this also contributes to a better subsequent solution in a form of monitoring, pharmacotherapy or a surgical solution. Given that the common findings of examination are incidentalomes of adrenal glands, in particular, an experienced radiologist is necessary for successful diagnosis of a possible malignant...

Testosterone replacement therapy – news, indications and safety of treatment

doc. MUDr. Juraj Fillo, PhD., MPH, MUDr. Michaela Levčíková

Urol. praxi. 2019;20(5):230-235  

Testosterone is well known as an important male sex hormone. It has important functions in the body. During ageing drops testosterone approximately 1.2 % yearly, sometimes it drops significantly and becomes testosterone deficiency. Obesity acts against testosterone and more men with abdominal obesity has insufficient level of testosterone. Many doctors have problems with testosterone supplementation because they afraid of the potential risks of prostate cancer. Opinions on his actions in the male body in last 40 years were changed. In the article are current opinions on the influence of testosterone on male health and results of supplementation.

Ureteral endometriosis

MUDr. Barbora Polová, doc. MUDr. Jan Krhut, Ph.D., MUDr. Roman Staněk

Urol. praxi. 2019;20(5):236-237  

In our case report we describe a 65 years old women with accidental finding of left hydronephrosis. A tumorous mass in the distalpart of the ureter was described according to computed tomography and a double J stent was inserted. The patient was examinedby a gynaecologist and a surgeon and a colonoscopy was performed, all with negative findings. The patient was reffered toundergo a resection of the left ureter wih exstirpation of the tumourous mass. Surprisingly, extragenital intrinsic endometriosiswas described in final histology.

Complications of BCG intravesical therapy – BCGitis

MUDr. Petr Hušek, FEBU, MUDr. Jaroslav Pacovský, Ph.D., MUDr. Jiří Bureš, prof. MUDr. Miloš Broďák, Ph.D.

Urol. praxi. 2019;20(5):238-241  

Bacillus Calmette – Guerine intravesical therapy has become a standard treatment of high grade non-muscle invasive bladercancer (Ta, T1) and cancer in situ (CIS) in clinical practice. Good clinical outcomes are associated with possible side effects. Seriousside effects are relatively rare. BCG vaccine is a safety method, when correct application and contraindication are observed. Thearticle presents case report of 73 years old man with complicated intravesical BCG vaccine therapy – BCGitis. Goal of the article isto summarise posibble BGG complications and their management, incluiding the most serious cases.

Not every swelling and redness of scrotum belongs to the operating room

MUDr. Sabina Kaprálová, MUDr. Kamila Michálková, MUDr. Jan Vrána, doc. MUDr. Eva Klásková, Ph.D., prof. MUDr. Vladimír Mihál, CSc.

Urol. praxi. 2019;20(5):242-244  

Acute idopathic scrotal edema is a rare benign cause of scrotal edema and erythema with typical sonographic findings. It is morecommon in the pediatric population than in adults. And it doesn’t require surgical exploration. Authors present a case report ofsix-year-old boy with a recurrence of this disease. The study focuses on a brief overview of the issues, clinical manifestations andhow to diagnose the acute idiopathic scrotal edema.

Patient catetrization and nursing care of patients with bladder catheterization aimed at preventing infection

Mgr. Jana Lehnertová

Urol. praxi. 2019;20(5):245-249  

Bladder catheterization is an invasive aseptic procedure that carries both infectious and non-infectious risks. The article dealswith the problems of urinary tract infections associated with catheteriziation. The article presents the possibilities of preventionof these infections, witch follow from the HICPAC/CDC recommendations and are then summarized in the conclusion as recommendationsfor practice.