Urology for Practice, 2009, issue 2

Editorial

Etiketa - součást našeho profesionálního chování

prof. MUDr. Vladimír Mihál CSc

Urolog. pro Praxi, 2009; 10(2): 55

Review articles

Chlamydia trachomatis - a urologist‘s nightmare ?

MUDr. Michaela Matoušková, doc. MUDr. Miroslav Hanuš CSc

Urolog. pro Praxi, 2009; 10(2): 60-64

Infections caused by Chlamydia trachomatis represent the most common sexually transmitted bacterial disease in developed countries. Infections with A, B, C and L serotypes cause serious illness in tropical and subtropical areas and are rarely encountered in our conditions. By contrast, oculogenital forms affect the populations of economically developed countries. The prevalence in the population shows an increasing trend. According to WHO, more than 90 million of all sexually transmitted infections are caused by the Chlamydia trachomatis bacterium annually. Data from the Czech Republic are unavailable since the diseases, except for lymphogranuloma...

Varicocele surgical treatment strategy

MUDr. Ivo Novák Ph.D, doc. MUDr. Richard Fiala CSc, MUDr. Jaroslav Pacovský, MUDr. Miloslav Louda Ph.D, MUDr. Peter Kuliaček, MUDr. Libor Janeček, prof. MUDr. Antonín Krajina, CSc, MUDr. Jan Raupach

Urolog. pro Praxi, 2009; 10(2): 66-68

Varicocele treatment strategy is frequently discussed topic. Specifications for surgical treatment are more tighter now. Treatment alternatives vary both in a surgeon and patient point of view. The recent trends in varicocele surgical treatment are discussed in this paper. Both lymphatic pathways sparing methods (a retroperitoneal laparoscopic ligation or an inquinal/subinquinal microsurgical ligation) and subinquinal prograde sclerotherapy are the current optimal surgical techniques. Minimum of serious complications (e. g. persistence or recurrence of varicocele, testicular atrophy, postoperative hydrocele) are major benefits of these methods.

Plastic induration of penis - local therapy with verapamil

MUDr. Libor Zámečník FEBU, Mgr. Marie Korousová

Urolog. pro Praxi, 2009; 10(2): 69-71

Induratio penis plastica or Peyronie‘s disease is characterized by the presence of fibrous plaques in the tunica albuginea of the penis. It is a connective tissue disease primarily affecting the tunica albuginea. The plaques are mainly composed of collagen and may significantly alter the anatomy and function of the penis. Treatment is difficult; medication therapy should always be initiated first. If oral medication fails, treatment with local injection applied directly into the plaque can be used. The author reviews the literature data and his own results of treatment with verapamil administered locally in 17 patients with this disease.

Metabolic problems in therapy of urolithiasis

doc. MUDr. David Stejskal, Ph.D., MBA, EurChem

Urolog. pro Praxi, 2009; 10(2): 72-78

The clear issue of the publication is given recurrent urolithiasis in terms of the division and then its primary prevention and selective and non-selective secondary prevention.

Urological continuing care after Transversal Spinal Lesion

MUDr. Martin Sutorý, CSc

Urolog. pro Praxi, 2009; 10(2): 79-81

Neurogennic dysfunction of the lower urinary tract develops in majority of patients after transversal spinal lesion (TSL). It is distinguished by a relative state of instability, which requires regular monitoring. Diagnostics, monitoring and therapy should be in the hands of renowned specialized neurological centers. Up to 2 years after injury, check-ups are necessary every 3–6 months; after that once every 1–2 years depending on risk factors. Routine monitoring can be performed by a general practitioner or a local urologist. It comprises physical and laboratory tests once a year, ultrasound examinations once every half a year, urine...

Sexually transmitted diseases - part III

MUDr. Lenka Páralová

Urolog. pro Praxi, 2009; 10(2): 82-84

This article is closely linked to the previous parts I and II of Sexually transmitted diseases. For the sake of clarity, a brief classification of all sexually transmitted diseases is included again. The last part of this trilogy is concerned with protozoan, mycotic, parasitic, and selected bacterial infections.

At a glance

Analgetická léčba nádorové bolesti v urologii

MUDr. Boris Leštiansky, MUDr. Marek Hakl Ph.D, MUDr. Radovan Hřib

Urolog. pro Praxi, 2009; 10(2): 91-92

Case report

Gunshot injury of the penis

MUDr. Daniela Strmenská, MUDr. Karel Franěk

Urolog. pro Praxi, 2009; 10(2): 85-86

The authors present a case of a 33-year-old man with a gunshot injury to the penis. They report on diagnosing and surgical management with an early foreign body removal followed by complete anatomical as well as functional repair.

For nurses

The nurse‘s role in identifying malnutrition

Bc. Vladislava Šenkýřová

Urolog. pro Praxi, 2009; 10(2): 87-89

Malnutrition is a long-term process in which the body lacks essential nutrients and substances required for a harmonious physical and mental development. It is sometimes referred to as an invisible humanitarian disaster. According to WHO statistics, approximately 800 million people suffer from malnutrition worldwide, which accounts for about 20 % of the population of developing countries. In 2000, almost four million people died due to malnutrition worldwide, 99 % of whom were from developing countries. A study in the Thomayer Memorial Teaching Hospital revealed that malnutrition occurred in 20–70 % of the hospital‘s clients. As many...

Information

Interaktivní workshop urologů, onkologů a právníků - odborníků na medicínské právo

doc. MUDr. Miroslav Hanuš CSc

Urolog. pro Praxi, 2009; 10(2): 97-98

Law in practice

Male sterilization (vasectomy) - present medical and legal aspects; Part two: medical aspects of vasectomy

MUDr. Zdeněk Mucha, MUDr. Pavel Rajmon, MUDr. Pavla Hluší

Urolog. pro Praxi, 2009; 10(2): 93-94

The authors inform about the indications and technique of carrying out a sterilization of a man. They mention its adverse effects and refute some common superstitions about its harmfulness for a man´s organism which are passed on among the general public.