Cítím s tebou aneb úvaha o empatii

MUDr. Radkin Honzák, CSc.

Urol. praxi. 2026;27(1):3

Urinary tract infections in patients with dysfunctional voiding

MUDr. Eva Burešová, Ph.D.

Urol. praxi. 2026;27(1):6-10 | DOI: 10.36290/uro.2025.059

Urinary tract infections are the most common complication in patients with dysfunctional voiding. Most cases involve asymptomatic bacteriuria. Symptomatic infections often require acute care and hospitalization; for this reason, it is necessary to focus on their prevention.

Pharmacotherapy of overactive bladder syndrome and modern methods of treatment

MUDr. Jiří Sumara

Urol. praxi. 2026;27(1):11-16 | DOI: 10.36290/uro.2025.035

The following text provides a detail overview of the current pharmacotherapy for OAB (overactive bladder), a review of individual anticholinergics, their properties, side effects, and an possible combinations of medicinal substances. A special attention is given to the treatment of OAB in older adults. Due to frequent presence of comorbidities and polypragmasia, it is advisable to administer antimuscarinics that have higher tissue selectivity and do not pass through the blood-brain barrier. In addition to pharmacological treatment, the text also discusses other modern therapeutic options such as the application of botulinum toxin, neurostimulation/modulation,...

Imaging of tumours of the kidney and urinary tract using computed tomography

MUDr. Jan Pernický, Ph.D., MUDr. Petr Stránský ml., prof. MUDr. Jiří Ferda, Ph.D., prof. MUDr. Milan Hora, Ph.D., MBA

Urol. praxi. 2026;27(1):18-22 | DOI: 10.36290/uro.2025.081

Computed tomography (CT) is the fundamental imaging technique in diagnosing tumours of the kidney and urinary tract. It enables the detection, characterization, and staging of renal and urothelial cancers and remains the method of choice owing to its high spatial and temporal resolution and wide availability. Multiphase protocols provide detailed information on lesion morphology and enhancement characteristics, including assessment of lymph node involvement and distant metastases. CT urograp­hy is crucial for diagnosing urothelial carcinomas of the upper and lower urinary tracts. The main limitations of CT are the difficult differential diagnosis of...

Treatment of urinary dysfunctions in adult patients with neurological diseases

doc. MUDr. Jozef Marenčák, PhD.

Urol. praxi. 2026;27(1):23-30 | DOI: 10.36290/uro.2025.077

Neurogenic lower urinary tract dysfunction significantly impairs patients´ quality of life, is associated with numerous life-threatening complications, and represents a significant economic burden on healthcare system. Diagnosis is based on patient history, physical examination, imaging procedures, and urodynamic testing, with the need to determine the individual risk level. The goals of treatment include preser­ving renal function, improving quality of life, preventing urinary tract infection, and maintaining a low-pressure bladder that is boht continent and capable of comlete emptying. The article provides an overview of current treatment options...

The influence of lifestyle on the prevention and treatment of benign prostatic hyperplasia from a pharmacist's perspective

Mgr. Ondřej Šimandl

Urol. praxi. 2026;27(1):37-41 | DOI: 10.36290/uro.2025.055

Benign prostatic hyperplasia is one of the most common non-malignant diseases affecting middle-aged and older men. In addition to pharmacological treatment and surgical options, lifestyle and dietary measures also play an increasingly important role, both in the prevention and supportive treatment of this disease. The article offers a view of the issue of benign prostatic hyperplasia from the perspective of a pharmacist, who, among other things, has an irreplaceable role in educating patients and supporting adherence to treatment. Attention is paid in particular to the influence of diet, physical activity, limiting alcohol consumption and non-smoking,...

Sexual health of patients after oncological treatment - how to improve quality of life, the impact of oncological treatment on sexual health and reproductive ability of men, rehabilitation options and psychological support

doc. MUDr. Taťána Šrámková, CSc.

Urol. praxi. 2026;27(1):31-36 | DOI: 10.36290/uro.2025.061

Oncology treatment and the disease itself can significantly affect patients' sexuality, both in the area of physiological functions and in the psychological and relational aspects. The most common problems include sexual dysfunction, changes in self-concept and shifts in partner dynamics. Although sexuality remains an important part of the quality of life of cancer patients, it is often overlooked in the context of comprehensive cancer care. The goal of oncosexology is to identify and address these difficulties through a multidisciplinary approach, including education, psychological support, pharmacotherapy, and couples therapy. Acess to information...

Management of asymptomatic bacteriuria - when is treatment necessary?

MUDr. Lucie Sedláčková

Urol. praxi. 2026;27(1):52-54 | DOI: 10.36290/uro.2025.052

Asymptomatic bacteriuria (ABU) without clinical signs is a common clinical condition. It is usual in patients with urinary catheters and in patients with pathology of urinary tracts. The occurrence of ABU increases with age and is more pronounced in women. It is usually not treated and often disappears spontaneously. The administration of antimicrobial therapy to patients with asymptomatic bacteriuria should always be assessed on a case-by-case basis to avoid unnecessary burdensome treatment. According to current recommendations, we specifically search for and treat ABU in patients undergoing surgical procedures that affect the mucosa of the urinary...

Metastatic prostate cancer mimicking a primary urothelial carcinoma of the bladder

MUDr. Michaela Uhrinová Vukušičová, MUDr. Ivan Viľcha, MUDr. Mária Cinová, MUDr. Mária Mikitová, MUDr. Ľubomír Ličák

Urol. praxi. 2026;27(1):48-51 | DOI: 10.36290/uro.2025.051

A 67-year-old patient with several months of recurrent urinary retention with subsequent occurrence of gross hematuria, while palpation of the prostate and the level of total prostate-specific antigen were not significant for prostate cancer. Cystoscopy revealed papillomatous formations in the prostatic urethra, subsequently also in the neck, trigone and posterior wall of the bladder, and urine cytology was suspicious for high-grade urothelial carcinoma. The patient underwent transurethral resection of pathological lesions with the finding of prostatic adenocarcinoma with Gleason score 10. As part of the differential diagnosis, in patients with lesions...

Nonpharmacological measures in recurrent urinary tract infections in children and adolescents

MUDr. Zuzana Vyoralová

Urol. praxi. 2026;27(1):42-47 | DOI: 10.36290/uro.2025.078

Urinary tract infections (UTIs) in children are a common reason for visiting a paediatrician as well as for being hospitalized. Children with recurrent UTIs are at a higher risk of kidney injury, particularly when concurrent with vesicoureteral reflux. Prevention involves a set of measures intended to reduce the recurrence rate and thus the risk of renal insufficiency. Given the increasing pharmacological resistance of bacteria, nonpharmacological measures are becoming increasingly important.