Urology for Practice, 2009, issue 3

Editorial

Dobrá spolupráce kliniků i v době vrcholné techniky znamená velký přínos pro nemocné

doc. MUDr. Dalibor Sedláček CSc

Urolog. pro Praxi, 2009; 10(3): 155

Review articles

Possibilities in systemic therapy of the prostate cancer

MUDr. Kamil Belej, Ph.D., FEBU, MUDr. Ondřej Kaplan

Urolog. pro Praxi, 2009; 10(3): 168-174

Systemic therapy of the prostate cancer comprises an application of the medication influencing primary tumor and also metastases. This treatment is based on the hormonal therapy combined with prevention and therapy of the bone changes and in some cases chemotherapy. Current status in this field and possible use of the certain treatment modalities are summarized in the article.

Significance of combination therapy in treating lower urinary tract symptoms associated with benign prostate hyperplasia

MUDr. Jiří Klečka Ph.D, MUDr. Petr Běhounek, doc. MUDr. Milan Hora Ph.D

Urolog. pro Praxi, 2009; 10(3): 175-181

The article review key trials of monotherapy and combination therapy of α1-adrenergic receptor antagonists (alphablockers), 5α-reduktase inhibitors (5ARI) and antimuscarinic agents in the treatment of lower urinary tract symptoms (LUTS) associated with benign prostate hyperplasia (BPH). We got an overview of role of different medication possibilities and combination. In the treatment od LUTS including bladder outlet obstruction (BOO) with or without over activ bladder (OAB) we can use four group of medicaion. Mentioned α1-adrenergic receptor antagonists and 5α-reduktase inhibitors are widely accepted in LUTS treatment. The new...

Advanced kidney cancer - current trends in treatment (part 1)

MUDr. Ivan Kolombo FEBU, MUDr. Jiří Poněšický, MUDr. Martina Poršová, MUDr. Richard Pabišta, MUDr. Jaroslav Porš, MUDr. Radko Kříž, MUDr. Michal Toběrný, MUDr. Stanislav Černohorský, MUDr. Pavel Beňo, MUDr. Josef Kašík, MUDr. Slavomír Blažej, MUDr. Jan Tobiáš, MUDr. Leoš Gronka, MUDr. Milan Bartůněk

Urolog. pro Praxi, 2009; 10(3): 182-189

Renal cell carcinoma (RCC) is the most malignant urological tumour and the incidence of RCC in the Czech Republic is currently highest in the world. The overview has 2 parts. In part 1. the authors present some current facts about epidemiology, molecular pathophysilogy of RCC, general mechanism of new molecularly targeted biological therapies with antiangiogenic drugs, importance of cytoreductive nephrectomy in cytokines era and about of current regimes of systemic antiangiogenic therapies. In part 2. the surgical therapy or new alternative methods of minimally invasive procedures incorporated in current complex treatmet strategies of advanced...

Phimosis - does circumcision solve foreskin problems?

MUDr. Ivo Novák Ph.D, doc. MUDr. Richard Fiala, CSc., FEBU

Urolog. pro Praxi, 2009; 10(3): 190-193

The aim of the work was to show a summary about problems with the foreskin. Generally it is presented that the suspicion of phimosis is more frequent than the real incidence. The view of causes and consequences of phimosis and conservative or surgical approaches of treatment are noted in the paper. It is summarised, when an early operation is necessary or when a conservative approach is recommended. As well as the potential complications connected with the foreskin treatment. The work exposed the importance of the cosmetic result of circumcision for the patient. The common indication for circumcision is non-surgical. It includes religion, cultural...

Options of contraception in men

MUDr. Vladimír Kubíček CSc

Urolog. pro Praxi, 2009; 10(3): 194-199

Reliable contraceptive methods for men, comparable to modern female methods, have been identified. Selected regimens are under active development through the collaboration of andrologists, public sector agencies and pharmaceutical industries. Clinical studies employing prototype drugs have demonstrated that the hormonal approach to switching off spermiogenesis provides contraceptive efficacy and is reversible with short term safety. No regimen yet achieves consistent azoospermia in all men. Combination regimens involving a second gonadotropin-supressing agent, usually a progestine, combined with testosterone achieve close to the ideal of universal...

Case report

Sexual behaviour of the Czech population

prof. PhDr. Petr Weiss, Ph.D, doc. MUDr. Jaroslav Zvěřina CSc

Urolog. pro Praxi, 2009; 10(3): 160-163

The authors introduce the basic results of the new representative survey of sexual behavior in the general population in the Czech Republic (1 000 men and 1 000 women older than 15 years) and the comparison of these results with the previous surveys in 1993, 1998 and 2003. The results prove, that the trends in this area are positive. The average age of the first intercourse is stable, number of sexual partners in the last 12 month are decreasing, number of condom and hormonal contraception users are increasing and the attitudes of the population in the sexual issues are very liberal. In the area of sexual dysfunctions the erectile dysfunction have...

The spermiogram execution after surgery sterilization-vasectomy

MUDr. Miroslav Louda Ph.D, MUDr. Pavel Navrátil CSc, MUDr. Lukáš Holub, MUDr. Josef Košina, MUDr. Ivo Novák Ph.D, MUDr. Miloš Broďák, MUDr. Jaroslav Pacovský, MUDr. Eva Šimáková, MUDr. Dana Nováková

Urolog. pro Praxi, 2009; 10(3): 164-165

The man sterilization problem have become still one of the rare aims in urology practise. Most popular form in pregnancy prevention is female anticonception. Get a clear wiev of a knowledges in full forces is time exacting proces. We instance the upvaluation of treated men inclusive of the patient case with strange finding in his spermiogram.

Management of urinary incontinence with clean intermittent autocatheterization and fesoterodine in patiens with sclerosis multiplex

MUDr. Květoslav Novák

Urolog. pro Praxi, 2009; 10(3): 166-167

The case is presented as a treatment example of urinary incontinence in neurogenic bladder in patients with multiple sclerosis. The significant treatment effect was reached by combination of clean intermittent autocatheterization and administration of fesoterodine at intolerance of others antimuscarinics.

For nurses

Pre-dialysis patient education

PhDr. Dagmar Magurová, PhD, Mgr. Eva Mudráková

Urolog. pro Praxi, 2009; 10(3): 201-202

Both the nurse and physician in an outpatient nephrology practice allow the patient to obtain new information and knowledge, acquire skills, and create value, attitudinal, emotional, and volitional structures helping to achieve a positive change in his behaviour.