Založení České společnosti paliativní medicíny

MUDr. Ladislav Kabelka, Ph.D

Urolog. pro Praxi, 2009; 10(4): 211  

Primary hormone therapy for localized prostate cancer

MUDr. Vladimíra Stáhalová

Urolog. pro Praxi, 2009; 10(4): 215-217  

Hormonal therapy (HT) of prostata carcinoma produces delayed clinical progression in all stages of disease. Locally advanced and regional stage (T3N0–1M0GX) is domain of neoadjuvant or adjuvant hormonotherapy in combination with radiotherapy (RT). Mortality reduction of prostata cancer is accomplished by early diagnosis, increasing surgical a radiotherapeutic procedures and introduction of hormonal therapy into primary treatment (table 1). Recommended proceedings are verified by clinical trials, which combine agressive treatment primary tumor with hormonal therapy in the same time. It is neccessary to determinate an indivudual risk of each...

Advanced kidney cancer - current trends in treatment (part 2)

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(4): 218-230  

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...

Postoperative care and nutrition of patients following cystectomy

MUDr. Kateřina Bartoníčková

Urolog. pro Praxi, 2009; 10(4): 231-233  

A successful cystectomy requires proper indication, technical performance, and postoperative care. Standard postoperative medication procedures include the prevention of thromboembolic disease, administration of antibiotics, prokinetics, antiulceratives and mucolytics. Parenteral nutrition based on the intestinal replacement selected is also an integral part. An early return to enteral feeding is attempted from postoperative day 7 to day 10. Most patients clearly benefit from All-in-One bags during the parenteral nutrition phase. The care of cystectomy patients is provided by a team of nurses and physicians who ensure an individual approach based...

Effective pain therapy after urology surgical procedures

doc. MUDr. Jiří Málek, CSc

Urolog. pro Praxi, 2009; 10(4): 234-237  

In developed countries, the growth in medical interest led to fostered intellectual interest in postoperative pain control. Czech Society of Anesthesiology and Intensive Care Medicine has acknowledged this trend and published guidelines for acute postoperative pain therapy in 2008. This short article presents overview of basic analgesics and methods of postoperative analgesia in urology patients. The main principals for successful therapy are not only good knowledge of drugs, but also organization of acute pain service including regular measurement and documentation of pain intensity, prompt treatment of intensive pain and use of procedure specific...

Urinary incontinence from a gynaecologist’s perspective

MUDr. Petr Dzvinčuk Ph.D, MUDr. Otakar Müller, MUDr. Eva Látalová

Urolog. pro Praxi, 2009; 10(4): 238-243  

The urinary incontinence belongs to the most frequent health problems in female population. Approximately 50 % of women suffer from any type of incontinence during their lifetime. This condition is not associated with high morbidity or mortality, however it influences the quality of life of affected patient. The aim of this article is to provide brief review of current diagnostical and therapeutical approach and methods in management of urinary incontinence.

Photoselective vaporization of the prostate with Green Light laser - our initial experience

MUDr. Theodor Kabilka, MUDr. Roman Veselý

Urolog. pro Praxi, 2009; 10(4): 244-245  

Laser treatment in BPH therapy started in eighties in the last century, like a tendency to choose prudent and a less risk metod than transurethral resection of the prostate. Photoselective vaporization of the prostate with Green Light laser can be trust disposable in case, when is clasical endoresection contraindicated.

Wound dressing changes using the V. A. C. system

Jitka Hanousková

Urolog. pro Praxi, 2009; 10(4): 247-248  

The paper aims at describing the method used for secondary healing wounds, including those in abdominal surgery. The mechanism of action, indications for treatment, contraindications, method of application, advantages, and experience with treatment will help to get acquainted with this issue.