Je potřebná znalost multikulturní zdravotní péče

doc. PaedDr. et Mgr. Eva Zacharová, Ph.D.

Urol. praxi, 2013; 14(4): 147  

Advanced prostate cancer and new drugs from medical oncologist’s point of view

MUDr.Hana Študentová, MUDr.Vladimír Študent jr., doc.MUDr.Vladimír Študent, Ph.D., prof.MUDr.Bohuslav Melichar, Ph.D.

Urol. praxi, 2013; 14(4): 152-156  

There were several new agents for treatment of advanced prostate cancer registered in Europe in past few years such as abiraterone acetate, enzalutamide and cytotoxic agent cabazitaxel. Because of the new drugs, novel approaches and knowledge of disease pathogenesis we are capable not only to improve patient´s quality of life but also prolong it significantly.

Prostate adenocarcinoma and assessing the degree of its differentiation: changes in Gleason score grading from

MUDr.Daniela Kurfürstová, MUDr.Milan Král, Ph.D.

Urol. praxi, 2013; 14(4): 157-159  

its development until now and its significance in pathology and urology practices. Prostate cancer is the most frequent newly diagnosed cancer in males in the Czech Republic. Pathologists and urologists put maximum effort into as accurate diagnosis and good treatment of patients affected by this type of cancer as possible. As a result, the original system for grading acinar adenocarcinoma of the prostate proposed by Gleason and co-workers has been modified several times. Significant changes in evaluation of tissue samples, especially those obtained by needle biopsy, were agreed at the 2005 urological pathology conference in San Antonio (ISUP...

Pharmacotherapy in urology in elderly patients

MUDr.Miroslava Romžová

Urol. praxi, 2013; 14(4): 160-164  

The predominant urologic problems in geriatric patients are symptoms of the lower urinary tract. Most include incontinence, detrusor instability or benign prostatic hyperplasia. Daily functioning of older patients is affected by these problems, reducing the quality of his life. Help is often difficult. The solution could be pharmacotherapy. However, due to the use of many drugs to other health problems, there is a high probability of side effects. Therefore, the need of each patient individually assessed and proceeds very cautiously.

Post-prostatectomy urinary incontinence and treatment options

MUDr.Eva Burešová, MUDr.Aleš Vidlář, Ph.D., doc.MUDr.Vladimír Študent, Ph.D.

Urol. praxi, 2013; 14(4): 166-169  

The most common cause of stress urinary incontinence in men is iatrogenic or trauma-induced sphincter insufficiency. Post-prostatectomy urinary incontinence has a major impact on the patient’s quality of life. The authors present an overview of the diagnosis and management options of this condition.

Uroflowmetry: an irreplaceable investigation method to diagnose urinary dysfunctions

MUDr.Eva Burešová, MUDr.Aleš Vidlář, Ph.D., doc.MUDr.Vladimír Študent, Ph.D.

Urol. praxi, 2013; 14(4): 170-172  

To evaluate lower urinary tract symptoms, it is important to utilize objective methods since subjective description of symptoms need not completely reflect the reality and may differ significantly in each patient (1, 2, 3). Thus, investigation methods to obtain objective results are used in diagnosing lower urinary tract symptoms (4, 5, 6). Uroflowmetry is among the basic urodynamic methods and its main benefits are non-invasiveness, simple use, easy reproducibility, and possibility of repetition over time.

Dopis redakci - komentář k článku Geryk, a kol. Multiplicitní nádory testis

doc. RNDr. Ladislav Dušek, Ph.D., prof. MUDr. Jitka Abrahámová, DrSc.

Urol. praxi, 2013; 14(4): 192-194  

Alternatives of treatment in ejaculatio praecox

MUDr.Luděk Daneš, CSc., prof.PhDr.Petr Weiss, Ph.D.

Urol. praxi, 2013; 14(4): 174-177  

The premature or rapid ejaculation is a second most common sexual dysfunction. It creates difficulties for our patients as well as for their partners. The treatment was not very successful until the recent time. With new psychofarmacological drugs, especially with new antidepressants, are our possibilities much better. The authors provide an overview of the possible therapeutical approaches. The therapeut can apply biological treatment or psychotherapy. The combination of both, with an accent on pharmacotherapy, may be the most successful.

Occurence of prostate cancer in patiens with PSA level < 4 ng/ml

MUDr.Martin Hrabec, MUDr.Šárka Kudláčková, doc.MUDr.Vladimír Študent, Ph.D.

Urol. praxi, 2013; 14(4): 184-186  

The study is focusing on prostate cancer detection in patiens with serum PSA (prostate- specific antigen) level behind 4 ng/ml. The aim is to assess the aggressiveness of detected tumours and on the base of this data make some recommendation to the „threshold“ PSA level for prostate biopsy indication..

Malakoplakia of the bladder as an unusual reason of bilateral obstruction

MUDr.Martin Kučera

Urol. praxi, 2013; 14(4): 187-188  

Malakoplakia is a rare type of the chronic infection of the urinary tract caused by atypical immunity reaction. We present a case of patient with bilateral hydronephrosis and renal insufficiency, with cystoscopic finding of unspecific tumor-like focuses in the bladder as the cause of the obstruction of both ureters. Malakoplakia was found by histological investigation of the resected tissue. The article summarizes basic diagnostic and therapeutic procedures in this uncommon urological disease.

Focus on disinfection

Bc.Lada Čiklová

Urol. praxi, 2013; 14(4): 189-191  

Medical device disinfection belongs to the fundamental procedures to provide safe health care,often carried out routinely according to the established practice without acceptance of new possibilities and requirements. Contemporary possibilities of disinfecting procedures and processes and medical equipments to meet the duty of health care providers established in legislation which complicate orientation of health profesionals in this issue.

How to manage pain

MUDr.Jiří Kozák, Ph.D.

Urol. praxi, 2013; 14(4): 178-182  

Pain is a complex phenomenon that is considered a symptom of acute conditions and a syndrome if it evolves into a chronic stage. Pain can constitute a short informative or warning signal that is not always necessary to be treated, but it highlights some adverse reactions of the organism or warning when a certain cause due to which an organism is harmed appears. The pain is described as acute, while sometimes the notion „normal pain“ is used for the pain regularly encountered in sports, after some exertion or in degenerative diseases of old age. Chronic pain is a continuing progression of painful symptomatology and it often has important...