468
UROLOGIE3418043010756103166209268327348392
PRO754804301074592154
PRAXI930804301074591147200220
/11968043010732
Urol.1273804301075682129149165
praxi.1457804301075077119158178193
2024;25(4):238-2421670804301074487128169183227271293335356370415459502531569610651
/23668043010731
www.urologiepropraxi.cz47028043010765133201214261288335354403453471515565592639689716757797816832872911
2401248026012657115174
účinků340524101094987105152191238
a5905241010943
selektivnější64452410109357897140180210228269317359379411430
(tamsulosin,108552410109255192164196242261308341359406423
silodosin)151952410109355472119168215248266313334
jsou1864524101092254101148
spojeny340538101093685134154198246286
s6415381010936
častější693538101094082116145188208241261
retrográdní969538101092973102129177227254297346395414
ejakulací.1398538101094566107148196216258297316333
Inhibitory480551801122683140167225253289345382435
5α9545518011251107
reduktázy1100551801123587145201253292343389442
(finasterid,158255210109265380133179218251299331355409430
dutasterid)3405661010951100131175210241286316338389415
jsou780566101092257108158
doporučovány9635661010951101153203233284325373416460510552
k15405661010942
dlouhodobé16085661010950721221722222723243743405801010953101
terapii468580101093077108154207230252
s7475801010937
vysokou811580101094492129181226276328
mírou11665801010977100131182234
doporučení.14275801010952104158210242294336382435457477
Je1931580101093482
prokázán340594101095080128170213252296345
jejich70059410109216687107147196
gradující911594101094978121171219240261300321
efekt1247594101094470115157188
po14505941010951100
řadu1565594101092972122171
měsíců17515941010974118153174213262
a3406081010943
let39960810109216797
a5126081010943
jsou571608101092257106156
efektivní743608101094572117160192213256307328
v10876081010943
prevenci1146608101095180125168212262303324
progrese1486608101095180130181210255290336
onemocnění,18386081010949991453406221010974123164213258307328346
i7016221010921
jako738622101092164105153
prevence907622101095080124166210260300343
akutní1266622101094284133163212233
retence1514622101092973103147197237280
moči.18106221010974123163184202
Nepříznivé3406361010959105157187208247298319362407
jsou767636101092257107157
častější944636101094084120150195217252273
nežádoucí1237636101095096135180231281331372393
účinky1650636101094990111161204249
na1919636101095093
sexualitu340650101093681124175218240261291341
pacientů.699650101095195136157202253282332351
Zatímco1068650101095094124145220261310
EAU13966501010944101157
doporučuje15716501010951101153203233284324374396441
nasazení340664101094991125168206250299319
u6746641010948
prostat737664101095079127161191234262
nad1014664101094891140
401169664101094591
ml,1275664101097394112
v14016641010943
AUA14586641010954109160
guidelines1633664101094997117167211232252300345379
již34067810109224382
pro441678101095181131
30591678101094692
ml694678101097597
žlázy.810678101093860104143188204
Z4806921010950
inhibitorů546691801122578131156211236270322357410
5fosfodiesterázy971691801125080133172204257311337385424458506541589632681
se1668692101093681
do17656921010951101
doporučení188269210109501003407061010951101130179219263313333
k6897061010941
terapii746706101092973102146196217238
LUTS999706101094298143187
dostal1202706101095099134164208229
pouze14467061010951100150188233
tadalafil,1694706101093073124166187230256279300318
nutno3407201010950100130180230
podotknout,5917201010951102154204234276327377427458477
že1089720101093984
jako1194720101092265108156
pojišťovnami13727201010951101123144180211260302353397472493
nehrazená1886720101095096340734101095080125165211262307
terapie.672734101093176106151203225271290
Objektivní9887341010963116138184228261282327379400
efekt1414734101094673119163196
na1636734101095095
urodynamické1756734101095181131183227340748101095094169191231274318
parametry684748101095196125169245291322351397
není1107748101095096146167
měřitelný,13007481010975121150172202247269319361376
zlepšuje1701748101093960106158194244265311
IPSS,340762101092273119164185
s5537621010937
výhodou618762101094593146198252304356
je1002762101092371
nasazení1101762101095197134180222269322344
u14737621010951
pacientů1553762101095299141164211264295347
se1928762101093784
souběžnou340776101093686136187234273323373423
erektilní782776101094575120163196217238288309
dysfunkcí.1110776101095194130158208258301341362381
NON-INVASIVE2705375012092184276316349441526610689722807879
THERAPIES11885375012073157230308393465499571650
STATEMENT2705510010974151230307387489568660738
TEN:10605510010976156247279
Clinicians13915510010981123164238279337379451524576
should20195510010951125186260301372
discuss24445510010971113164222296347400
incontinence2705639010941115173235309352394467523598656712
management101056390109102173247318384440541598672715
strategies1754563901095195150222265321387428485536
(eg,2319563901094323635639010961127157
pads,25495639010969141212263295
diapering,2715767010971113185254310366407480546578
barrier9105767010966137193249290347402
creams)13725767010958114170241343395439
with18715767010989130174248
all21805767010971112153
patients23945767010969140184225281354398451
who2715896010989163224
have6155896010974145205261
urgency9955896010974130195251325383440
urinary15545896010974130171244316372427
incontinence.21015896010942115173235308352394468524597656712743
(Expert2716025010944123184253310366409
Opinion)7166025010990159201275316377451494
Patients3996152010971131170203256321360409
who8436152010983149201
present10796152010961109161210262328367
with14816152010984117156222
UUI17386152010987174215
symptoms19886152010950108200262302355448497
should25196152010949115167233264326
be2716281010959113
evaluated4646281010954112169203267326366419478
and10256281010959123185
counseled12916281010947101165231278332364417476
regarding18496281010948102158217263324356422478
potential24096281010961115154208272312346403436
strategies271640901094990136196235289345378430479
used7986409010965113167226
to1072640901094195
manage12146409010995154218277333387
incontinence1648640901093499146199263304336402453519565619
(eg,2314640901093688146174
liners,2536640901093467132184232279309
pads,2716538010961121180229258
diapers,592653801096195152213266313362390
barrier10456538010959117165212245297345
creams,1452653801094896148207300349378
external18936538010953111151204251317374407
catheters,23636538010948107146212264306357405452482
absorbent2716667010959118166219266325376442482
washable7956667010983142190255313371405456
protective12946667010961109161202253301341375430484
briefs18196667010959107139193226275
or21356667010954102
underwear)22786667010966131191245290374426485532567
and2716796010959125185
to498679601094195
mitigate6356796010995128167201257316356409
the10866796010941107158
impact12876796010933128188247293334
of1663679601095389
leaking1793679601093487145207241305362
on21976796010954120
QoL.23586796010984138207236
It2637679601094384
is2763679601093382
important2716924010933128188242288329386452492
to829692401094195
note9896924010965118159211
that12666924010941107164204
no15366924010966119
randomized17216924010948107170232284379410462513575
controlled23616924010948101165206253306338371423484
trials271705301094189121180212261
(RCTs)5847053010936113188258307341
have9787053010966125181235
compared12657053010948101194256314360414474
the17917053010942108160
clinical2003705301094882113179211259316349
effectiveness24047053010954891241772232642963544062717182010966119167216
of,517718201095389117
or6657182010953101
patient7967182010961120159193245311350
satisfaction11767182010950109149182229265322369410441495559
with,17667182010984117156222251
these20477182010941107159208260
strategies.2337718201094990136196235289345378430479507
The2717311010971137190
clinician489731101094882114180211259291350414
should9327311010950115167233264326
present12867311010962110161210262328367
a16837311010959
description,17717311010962115162210256290350391422476540569
as23697311010959109
well25077311010983136169201
as27377311010959107
the2717439010941107159
risks472743901094881128192239
and7527439010960124186
benefits,9787439010959113177229262295335384412
of1431743901095490
each15617439010954113159225
of1826743901095490
the19567439010941107159
options21567439010954115154188240306353
to2550743901094295
the26857439010942107159
patient2717568010961121160194245311351
in657756801093399
the7907568010941107159
context9837568010948102166206260316356
of1374756801095489
shared14977568010949115172220272334
decision-making.18657568010961115160194241274327392426521579641675738795825
STATEMENT3997698010974147223296372470546634707
ELEVEN:11327698010979152228303379467495
Clinicians16537698010981119157227265319357425495543
should22227698010951121179249287355
offer2603769801096199137189241
bladder2717826010966104171239307359412
training707782601094496164201272309379441
to11737826010944101
all12997826010971109147
patients14707826010969137177215267337377425
with19207826010989127167237
OAB21827826010989165243
(Strong24507826010943113153205263333395
Recommendation;2717955010985137191249347445498568635703743781839909937
Evidence12407955010979135173240293363417469
Level:17427955010975128183236273300
Grade20757955010987139207275327
A)24347955010979119
STATEMENT32305374010974151230307386488568660737
TWELVE:40455374010977178258334413493524
Clinicians46475374010981122164237280338379450524575
should53015374010951125186260301372
offer31025503010961103144200255
behavioral33985503010966122195267327368430485557598
therapies40375503010943117173228300369411467518
to45965503010944105
all47415503010972113154
patients49355503010970141185226283356400451
with54275503010989130174247
OAB.31025632010989169250281
(Clinical34195632010944125167209282324382453494
Principle)39505632010979135176250308349419461516560
Behavioral32305759010977131196256314347401449509542
therapies38505759010941107161209268329363417466
for4394575901093589137
OAB,46095759010984161238268
such49555759010949115163229
as52615759010959108
fluid5447575901093366132165227
management,31025888010995154220279337392487540606647677
caffeine38285888010948107143179233267332386
reduction,42625888010948102163229277319353406472502
physical48135888010962128186235268316375409
activity/52715888010959107148182240273315373404
exercise,31026017010954112165213261295344398428
dietary3605601701096295149190249297356
modifications,40376017010995148210243276309357417458492545611660690
and48036017010959125186
mindfulness50656017010995129195256292357392458511561610
offer3102614601095489125179227
patients33936146010961121162195249315356406
with38636146010984117158225
OAB41526146010984161238
some44546146010949103198251
efficacy,4769614601095490123156204263311370400
excellent52336146010954112160213247280334400441
safety,31026274010949108144198239297328
and34636274010959125187
few3683627401093690174
if3890627401093469
any39936274010960125183
adverse42116274010959120178232280329382
effects.4628627401095489125179227268317348
However,50096274010990143227281339393441471
the55146274010941107161
success31026403010949115163211264314363
of3514640301095490
these36546403010941107160209263
measures39676403010994148207256322370425474
is4490640301093483
highly46226403010966100158224257315
dependent49876403010961115176230295357411477519
on55556403010954120
patient31026531010961121162195249315356
acceptance,35436531010959107155209270311371436486539569
adherence,41976531010959120186240287341407455510540
and48216531010960125187
compliance.50926531010948102197258291325384451499553583
While310266600109105171204238291
the34456660010941107161
research36576660010948102151204264312360426
on41356660010954119
the43066660010941107161
effectiveness4519666001095389125178226268301359413478532581632
of5202666001095489
behavioral534266600109601131802392973102678901093387135194228
therapies33746789010941107160208267329362417466
is3884678901093382
highly40106789010966100158224257315
variable,43696789010958117165200259318351405435
bladder4848678901095993152213275328376
training5269678901094189148181247282348406
has31026918010966125174
been33236918010959113166232
extensively36026918010954112153207273322355413467500560
studied4208691801094991156218252306367
and46226918010959125186
is4856691801093382
recommended49856918010948101149203298393446512574628690
based31027046010959118167221282
on34207046010954120
strong3576704601094990138193259317
evidence.4392970460109531111452062603263734274574387702707344
STATEMENT32307179010974151230307386488568660737
THIRTEEN:40467179010977171219305382461540632663
Clinicians47907179010981122164237278336379450524575
may544571790109101173228
offer31017307010961103144200255
select34167307010952108149205263306
non-invasive37827307010974135209244286360419491543584644699
therapies45417307010943117173229300369412467519
to51197307010944105
all52837307010972113154
patients549773070109691413101743601094485141214258309
with34467436010990131174248
OAB.37317436010989168250281
(Clinical40497436010943125166207281322380451494
Principle)45797436010979135176250308349419460516560
Non-invasive32307564010987141207242276341400459508542600654
therapies,39737564010941107161209268329363417467497
such45597564010949115163229
as48777564010960109
pelvic50757564010961115148206240288
floor5453756401093366119173221
muscle31017692010995161208256287341
therapy34727692010941107159207264325382
(PFMT),38857692010936107176278348384412
transcutaneous4328769201094189146211260307372412471535587641705753
tibial5113769201094174131164223255
nerve53997692010966118166223275
stimulation,3101782101094990122217281314372412445497563591
transvaginal3728782101094189146212259317375432465529587621
electrical4384782101095387139186226274305353411443
stimulation,4862782101095091122217282314373413446498563592
and54897821010959125185
yoga31017949010958110168226
are33827949010959106159
conservative35957949010948102166214268314372429470502560612
therapies42617949010942108160208265326358412458
for4775794901093589135
OAB49647949010984161237
that52557949010942108165205
are55157949010960106160
Figure.27050700874771124177210257281
OAB580506808967129186
algorithm.79450680894872124177210234263315397420
1427033809853107
AUA/SUFU91734009664134198225284353407476
GUIDELINE:142534009670139166235294348375444503530
DIAGNOSIS19883400967097161230300375434461521
AND254134009664134203
TREATMENT277634009653118177241294386445514568
OF337634009675128
IDIOPATHIC35373400962796123199258322376445472536
OVERACTIVE410634009675134193258322386439467526585
BLADDER472434009664117181251320379443
Copyright75384020885494134174200222262302324
©1104840208860
2024120884020884080120160
American1395840208858119155181203238273314
Urological173584020885884124146186226248283318340
Association210384020885788119159195216251273296336376
Education250684020884889129164199221243283323
and285784020883575115
Research,299984020885388119155190216251291311
Inc.333784020882666102122
Unauthorized348684020885798133173195236276302324359394434
reproduction394784020882661101127167207248283304326366407
of438184020884066
this44758402088216283114
article46168402088356183105140161197
is484084020882253
prohibited.491984020884167107147169209231252287328348
Obr.340635011265120155174
2.53263501125076
AUA/SUFU653640010748100146179218269308360
algoritmus102964001074664109155181199225296341371
léčby14166400107185694138174
OAB1606640010758105148
(Cameron177064001072470115186224250294340
AP,212764001074890100
et224364001073865
al.23246400107456480
J2420640010731
Urol.246764001075479123142158
2024;212(1):11-20)264164001074182120158173214250285306343361374410441464502542565
Obr.21405241011265119153172
3.2328524101125073
Fenotypy2444524601073975121165190228273308
OAB27665246010758104146
a29265246010746
jejich29865246010718557290126171
cílená317252460107375473110155200
léčba338652460107185692135180
(Peyronnet3581524601072465100136161204250295332358
B,3953524601074459
et4027524601073863
al.410552460107456278
Eur4197524601074083107
Urol.4319524601075478121139154
2019;75(6):988-1000)4487524601074281118152167204241261300320333373414455482518554596638660
ZAZNĚLO341207012659130193267325382456
NA819207012670140
KONGRESE981207012665138211284349408467525
PACIENTI34136501063369103120152193226243
S600365010631
LUTS64736501062868101133
V796365010636
CENTRU84836501063264105138174215
ZÁJMU10783650106317299153193
ANEB128736501063879111147
CO145036501063271
ZAZNĚLO153736501063072106147179210250
NA180236501063979
SATELITNÍM18973650106317098131162180212253271325
SYMPOZIU223736501063169122157198229247287
SPOLEČNOSTI254036501063165106138170205246287320352370
ASTELLAS292636501063871104136168199241275
V3217365010636
RÁMCI326936501063375129163181
70.34653650106326479
VÝROČNÍ355936501063675111151187228245
KONFERENCE382036501063472114145177213245286321353
ČUS418936501063273105
V4310365010636
BRNĚ436236501063370111143
A4521365010638
MĚLI457436501065284115133
BYSTE472336501063370102135167
TO490536501063069
VĚDĚT499036501063668108140173