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MUDr. Radkin Honzák, CSc.

Urol. praxi. 2022;23(1):3  

Lower urinary tract dysfunction in a diabetic patient

MUDr. Miroslava Ryšánková

Urol. praxi. 2022;23(1):6-11 | DOI: 10.36290/uro.2021.034  

Nervous and neuromuscular diseases affect the proper function of the lower urinary tract. Diabetes mellitus is one of the diseases that has a significant effect on the dysfunction of this function, especially the development of peripheral neuropathy. In the first phase, it leads to the development of overactive bladder syndrome, when left untreated, there is a loss of sensitivity and an increase in urine residue, up to urinary retention. We are talking about diabetic cystopathy. The detection of the stage of urinary tract involvement is preceded by a thorough examination of the patient. Follow-up treatment is usually lengthy. Patients with this diagnosis...

Current view of the problem of epididymitis

doc. MUDr. Jozef Marenčák, PhD.

Urol. praxi. 2022;23(1):12-18 | DOI: 10.36290/uro.2020.054  

Acute infections of the genitourinary tract are highly prevalent, and virtually all urologists have to deal with such cases on a daily basis in their clinical practice. Acute epididymitis presents a very common clinical picture in which two types of causative agents are usually considered: sexually transmitted organisms and common urinary pathogens. In young, sexually active men, Chlamydia trachomatis is usually causative and in older men with benign prostatic hyperplasia or other micturition disturbances, the most common uropathogens are involved. Chronic epididymitis has not yet been studied as thoroughly as acute epididymitis. Additional...

Urethritis

MUDr. Šárka Filáková, MUDr. Otakar Mareš

Urol. praxi. 2022;23(1):19-22 | DOI: 10.36290/uro.2022.011  

The incidence of sexually transmitted diseases is on the rise every year and is related to risky sexual behavior and low socioeconomic status. Like in other medical fields, the increase in antimicrobial resistance is a big concern for the future. That is why we need to take a stance on the therapy responsibly according to expert recommendation. A significant feature of STDs is that they are transmitted jointly and each of them facilitates breakthrough of another infection. The riskiness of the disease is also higher by it's asymptomatic course with all the consequences of chronic inflammation. When diagnosing we need to keep in mind that STDs are transmitted...

Small renal masses: contemporary trends in management approach

MUDr. Lukáš Gaduš, MUDr. Darina Pacigová, MUDr. Kamil Belej, Ph.D., FEBU, MBA

Urol. praxi. 2022;23(1):23-26 | DOI: 10.36290/uro.2021.036  

Small renal masses which are defined as tumours smaller than 4 cm represent a subset of renal tumours with low malignant and metastatic potential. They are commonly diagnosed incidentally in an asymptomatic stage on abdominal ultrasound, CT or MRI examination which are performed for another indication. The management of small renal mass is individual. The main treatment is surgical resection of renal mass, the alternative is focal ablation of the tumour. Active surveillance remains for a highly selected group of patients. Percutaneous renal mass biopsy is recommended prior to tumour focal ablation and should be considered in patients undergoing active...

Cosmetic preparations in the care of incontinence patients

PharmDr. Barbora Vraníková, Ph.D., doc. PharmDr. Andrej Kováčik, Ph.D., PharmDr. Petra Svačinová, Ph.D.

Urol. praxi. 2022;23(1):27-31  

Up to 47 % of Czech and Slovak patients with involuntary leakage of urine or stool suffer from accompanying skin manifestations, such as sores or incontinence dermatitis. Moreover, the prevalence and severity of dermal manifestations triple in patients with reduced mobility. Therefore, regular and sufficient hygiene of incontinent patients' intimate parts is essential for improving their comfort and quality of life. This article, which loosely follows up a series of articles on medical devices, aims to provide an overview of cosmetics specifically designed for incontinent patients, focusing on practical advice on their use and proper hygiene.

Erectile dysfunction and possibilities of its therapy from the perspective of a pharmacist

Mgr. Ondřej Šimandl

Urol. praxi. 2022;23(1):32-37  

Erectile dysfunction affects more than half of men over the age of 50 worldwide. Its causes can be various - somatic and psychological. Effective treatment of erectile dysfunction, incl. elimination of the causative cause, leads to improved couple satisfaction and improved quality of life of man and his health. The pharmacist also plays an important role in the prevention and treatment of this disease.

How frequent and dangerous is overactive bladder syndrome after radical prostatectomy?

MUDr. Lukáš Holub, MUDr. Petr Hušek, Ph.D., FEBU, MUDr. Jiří Špaček, prof. MUDr. Miloš Broďák, Ph.D.

Urol. praxi. 2022;23(1):38-43 | DOI: 10.36290/uro.2022.014  

Introduction: Hyperactive bladder syndrome after radical prostatectomy is a less common but serious disease that can have a major negative impact on quality of life. Method: A group of 500 patients after robot-assisted radical prostatectomy in 2016-2018 was evaluated. Hyperactive bladder was assessed on the basis of micturition diaries 3 and 6 months after surgery. Results: The median follow-up was 36 months. Overactive bladder syndrome was diagnosed in 15 (3 %) patients. First-generation anticholinergic therapy was effective in 12 (80 %) patients. In three (20 %) patients, treatment was changed to solifenacin, which remained effective. After 6 months,...

Spontaneous ureteral rupture

MUDr. Ondrej Kriško, MPH, MUDr. Ján Čičila, MUDr. František Cmorej

Urol. praxi. 2022;23(1):44-46 | DOI: 10.36290/uro.2021.014  

Spontaneous ureteral rupture is a rare and interesting condition that most often occurs as a result of ureteral obstruction. In this article, we describe a case report of patient who developed a rupture based on a small lithiasis

Renal artery pseudoaneurysm after open renal enucleation

MUDr. Petr Müller

Urol. praxi. 2022;23(1):48-50 | DOI: 10.36290/uro.2020.052  

This case study presents 73-year-old patient with renal carcinoma. An open renal enucleation was performed, followed by histological examination of the tumor, which determined that this was a case of light-cellular renal carcinoma. Two weeks later, patient presented with heavy hematuria. Following examinations showed renal artery pseudoaneurysm in the place of the extracted tumor. An embolisation was successfully performed to cure the pseudoaneurysm. The patient remains stable, with no post operation complications.