Urology for Practice, 2024, issue 2

Editorial

Také běžím pomalu

Pavel Frühauf

Urol. praxi. 2024;25(2):59

Review articles

Urinary tract infection in patients with intermittent catheterization

MUDr. Roman Sobotka, FEBU

Urol. praxi. 2024;25(2):61-67 | DOI: 10.36290/uro.2024.032

The Clean Intermittent Catheterization (CIC) is the technique of inserting a catheter several times a day by patient himself and emptying of the bladder in cases where the patient does not urinate or urinates with a significant postvoiding residual volume. CIC replaces the permanent insertion of a urinary catheter or epicystostomy and reduces the rate of complications related to a long-term insertion of a catheter, especially the frequency of urinary tract infections, and improves patient's self-care and independance and quality of life without limiting sexual life and sports activities. The most common complication when performing CIC is the occurrence...

Urological complications in patients with multiple sclerosis

MUDr. Lucie Sedláčková

Urol. praxi. 2024;25(2):68-71 | DOI: 10.36290/uro.2024.033

In patients with multiple sclerosis the neurological deficit is manifested by a wide spectrum of clinical symptoms, including voiding dysfunction. Urinary tract infections worsen patients´ quality of life and can significantly affect the course of the disease. This article presents an overview of current treatment options of urinary tract dysfunctions. Moreover, treatment and prevention of urinary tract infections and the area of sexual dysfunctions are also mentioned.

Nephrology patient in urology care

doc. MUDr. Jaroslav Pacovský, Ph.D.

Urol. praxi. 2024;25(2):72-76 | DOI: 10.36290/uro.2024.034

Patient with kidney disease differs from other patients in many aspects. In general, these differences need to be known and used in routine clinical practice. Moreover, the urologist can help these patients in diagnostics and management of urological cause of the disease. Last but not least, the urologist is involved in the preparation of kidney transplantation process if the disease leads to the stage of renal failure.

From the boundary of urology

Acute and chronic renal failure

doc. MUDr. Nadežda Petejová, Ph.D., MSc., prof. MUDr. Josef Zadražil, CSc., doc. MUDr. Arnošt Martínek, CSc.

Urol. praxi. 2024;25(2):77-87 | DOI: 10.36290/uro.2024.035

Kidney injury and failure is generally a serious condition in clinical medicine, occurring in almost all fields, including urology. A relatively crucial step in adequate preventive and therapeutic management is early differentiation between acute and chronic renal failure. Each of them requires a different approach but also shares many common features. The present manuscript provides a brief overview of differential diagnostics between the two conditions and basic principles of treatment.

Case report

Ureteral orifice obstruction by tumour as a cause of renal colic with renal pelvis rupture

MUDr. Kateřina Michnová

Urol. praxi. 2024;25(2):93-94 | DOI: 10.36290/uro.2024.037

Renal colic is one of the most common causes of urgent urological evaluation. The differential diagnosis is broad, with the urological causes of renal colic including extramural or intramural ureteral obstruction, most often by a calculus. The present case report describes one of the rarer cases of ureteral obstruction by a bladder tumour involving the ureteral orifice, which causes congestion in the hollow system, resulting in a rupture of the renal pelvis.

Good advice from practice

A psychiatric patient in a urologist's office

MUDr. Jiří Poněšický

Urol. praxi. 2024;25(2):88-92 | DOI: 10.36290/uro.2024.036

Psychiatric diseases are very common in the population, which is why even a urologist regularly encounters them in his office. Psychiatric diseases can have urological symptoms and some psychotropic drugs can cause urological symptoms. Urological disease can have an impact on mental health. Urological medications can affect psychiatric illness. Psychiatric and urological issues can overlap. Some psychiatric patients may be more difficult to communicate with.