Urol. praxi, 2011; 12(2): 75
Urol. praxi, 2011; 12(2): 80-90
selective embolization and radiofrequency ablation), biological therapy and conventional surgical treatment 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. Basic treatment modality for localized disease is surgical therapy. But significant number of patients are still primarily diagnosed in advanced or metastatic stage of disease. Complex care and interdisciplinary approach with integration of surgery and systemic medication with best supportive care on individual basis is optimal method of treatment for a patients with advanced or metastatic...
Urol. praxi, 2011; 12(2): 92-96
Nocturia is a symptom with potentially serious negative impact on quality of life. In case of night polyuria as a nocturia cause, which is not symptom of the other serious disease, the urologist has effective instrument for successful management. The nocturia therapy needs the complex approach covering a regime proceeding and a medicament therapy of the desmopressin (MINIRIN MELT®) as well. Meeting the recommended conditions of its use is essential for the safe and effective nocturia.
Urol. praxi, 2011; 12(2): 97-99
Urinary incontinence is defined by ICS as the complaint of any involuntary loss of urine. The first step is to diagnose the specific type of incontinence. The treatment is conservative, pharmacologic and surgical. The special part of management is the men’s urinary incontinence.
Urol. praxi, 2011; 12(2): 100-104
Renal carcinoma is a chemoresistant and radioresistant tumour. The only curative treatment in the early stage of the disease is surgery. Targeted biological therapy in which receptor tyrosine kinase inhibitors, mTOR inhibitors as well as the VEGF-binding monoclonal antibody are used has been a major breakthrough in the treatment for metastatic renal carcinoma in the last few years. against VEGF.
Urol. praxi, 2011; 12(2): 105-110
Prostate cancer (PC) is the most common solid neoplasm in Europe and USA with the third highest mortality. Introduction of PSA-based screening multiplied incidence with stagnant level of mortality. These results can be explained by shift to lower stage at the time of diagnosis and also by improved therapeutic schedules.
Urol. praxi, 2011; 12(2): 111-113
With increasing incidents of prostate cancer, the number of curative, effective radical prostatectomies carried out through various means has been rising. The most frequent complications in the postoperative phase are urine incontinence and erectile dysfunction. For sexually-active men, losing their ability to have an erection can lead to a marked decline in their quality of life. Numerous publications confirm the benefits of both urologists and their patients taking an active stance towards this problem. A single, standard strategy for addressing the issue does not exist; apart from surgical techniques, methods include postoperative care and...
Urol. praxi, 2011; 12(2): 134-135
Urol. praxi, 2011; 12(2): 135
Urol. praxi, 2011; 12(2): 117-119
The case report presents a patient with a bilateral long ureteral stricture. The diagnostic and therapeutic considerations as well as the definitive solution of this pathological condition are described.
Urol. praxi, 2011; 12(2): 120-122
at the Department of the University Hospital in Hradec Králové Radical retropubic prostatectomy is carried out more commonly in younger patients without serious comorbidities. There is very important the satisfied functional result of surgery, not only oncologic. The most common complications are the urine incontinence, the erectile dysfunction, the anastomotic stricture and the overactive bladder symptoms. The authors have executed retrospective analysis of 489 patients after radical retropubic prostatectomy. The incidence of incontinence was 3 %, erectile dysfunction 63 %, anastomotic strictures 7 % and overactive detrusor < 3 %. The great...
Urol. praxi, 2011; 12(2): 123-125
Extracorporeal shock wave lithotripsy is one of the basic treatment methods of urolithiasis. Nevertheless, that in comparison with percutaneous litholapaxy and ureteroscopy, less complications is occurring for ESWL, serious life-threatening complications could occur. A case report of splenic rupture in 32 hours period after ESWL in 66-year old male patient, with no concomitant risk factors, is presented. Careful follow-up, early diagnosis and immediate surgical intervention play essential role in the management of splenic rupture. Appropriate information of potential complications of ESWL treatment is necessary to perform especially in out-patient...
Urol. praxi, 2011; 12(2): 126-128
The findings of acquired bladder diverticula are relatively common, especially at the patiens with bladder outlet obstructions. The case of the giant urinary bladder diverticulum imitating infrahepatic cyst is rare nowadays in spite of having the modern diagnostic metods.
Urol. praxi, 2011; 12(2): 129-130
The article introduces the concept of pain, how and why it occurs, what can affect it and the options of treatment or alleviation of pain.
Urol. praxi, 2011; 12(2): 131-133
Urinary tract infection is the second most often disease beside diseases of the respiratory tract. It is characterised by a typical presence of bacteria in the urinary tract. Recurent infections of the urinary tract can cuse renal hypertension, renal insifficiency. Health care providers role is to provide information to parents and children about regimen by means and thus prevent or minimize onset of a new infection of the urinary tract.
Urol. praxi, 2011; 12(2): 136
Urol. praxi, 2011; 12(2): 137
Urol. praxi, 2011; 12(2): 114-116
Cystectomy is arduous urological procedure with need of nutrition support therapy and metabolic status assessment and treatment. The article brings nutrition specialist’s perceptions of the entire process from indication till follow-up.
Urol. praxi, 2011; 12(2): 138-139