Urodynamické vyšetření v urologii je termín označující celou šíři testů, které společně mohou posloužit zhodnocení docela značného rozsahu urologických obtíží. Zahrnují celou skupinu individuálních vyšetření od prosté uroflowmetrie až po složitější cystometrii, elektromyografii a videourodynamické vyšetření. Cílem těchto vyšetření je odpovědět na specifické otázky týkající se schopností pacienta jímat a naopak zase vypuzovat moč. K důležitým principům urodynamiky, tak jak byly uvedeny Nittim, patří: 1. urodynamické vyšetření nepřispívá k diagnóze pokud neodráží obtíže uváděné pacientem; 2. neprokázání abnormality při vyšetření ještě neznamená, že neexistuje; 3. ne všechny zachycené abnormální nálezy jsou klinicky významné. K součástem dobré urodynamické praxe patří jasná indikace k vyšetření, precizní provedení a dokumentace, stejně jako přesná analýza a intepretace výsledků. Cílem urodynamického vyšetření je reprodukovat symptomy při současném objektivním měření fyziologie močového měchýře. V tomto článku popisujeme vlastní urodynamické vyšetření a jeho indikace., Urodynamic testing in urology is a term used to describe a wide array of tests that, when used together, can be useful in the evaluation of patients with a range of urologic complaints. Urodynamics consists of a group of individual tests ranging from simple uroflowmetry to complex cystometry, electromyography (EMG), and video urodynamics (fluoroscopy). The goal of urodynamics is to answer specific questions regarding the patient’s ability to store and eliminate urine. Important principles of urodynamics as noted by Nitti are: 1. urodynamics are not diagnostic unless they reproduce the patient’s presenting symptoms; 2. failure to identify an abnormality does not rule out its existence; and 3. not all abnormalities recorded are clinically significant. Elements of good urodynamic practice include a clear indication for the study, precise measurements and documentation, and accurate analysis and reporting of results. The goal of urodynamics is to reproduce symptoms while simultaneously taking objective measurements of bladder physiology. In this article we describe urodynamics procedure and indications., and Belsante M. J., Peterson A. C.
Karcinom prostaty, močového měchýře a ledviny patří k nejčastějším maligním onemocněním. Riziko všech těchto zhoubných nádorů narůstá s přibývajícím věkem. Ve stárnoucí populaci vyspělých zemí představuje uroonkologie závažný medicínský problém. Přehledný článek shrnuje současné poznatky o epidemiologii. diagnostice a léčbě těchto onemocněni s akcentem na šetrné postupy vhodné pro starší nemocné., Carcinomas of prostate, urinary bladder and kidney are common malignancies. Risk of these malignant tumors is increasing in the old age. Urooncological diseases represent serious problem in the aging population of advanced countries. The article gives an overview and short summary of recent opinions on epidemiology, diagnostic and treatment of these tumors especially in the older age., Ivan Kolombo, Pavel Beňo, Michal Toběrný, and Lit. 19
Bio-degradable stents are be made of different synthetic polymers (like polylactide or polyglycolide) or their co-polymers (polydioxanone). They can be used for treating benign stenoses of the small and large intestine, particularly in Crohn’s disease. Endoscopic introduction of bio-degradable stents into small and large intestinal stenoses is feasible and relatively simple. Initial results are encouraging and the complication rate is low. However, there are still some difficulties that need to be overcome. The rate of early stent migration is still rather high (up to one third of patients). This might be solved by changes in the shape or rigidity of the stents as well as by further improvement in the design. Proof of long-term efficacy and safety requires further studies., Stanislav Rejchrt, Jan Bureš, Jan Brožík, Marcela Kopáčová, and Literatura 52
Background: Obstetric complications developing at antiphospholipid syndrome are serious medical-social problem. Seeking of the treatment methods sets conditions for urgency of the article reviewed. Enzyme preparations are widely applied for treatment of women with fecundity disorder and hemorheology changes. Research objective was in clinico-laboratorial evaluation of Serrata drug impact in antiphospholipid syndrome in women with reproductive losses of Andijan state. Methods: Data of 43 women in the non-pregnancy state with reproductive losses (RL) in past history with revealed APS had been studied by us. Results: Thus, conducted therapy with Serrata was conductive to haemostasis. Conducted researches confirm the safety of application., Gulnoza Maniyozova, Habiba Negmatshaeva, Ozoda Yuldasheva, Gulnoza Turaeva, Dilfura Parpieva, and Literatura
The pilot study deals with the clinical results of the regenerative therapeutical method in intraosseous periodontal defects done by surgical augmentation procedure using a material of a new generation prepared on the basis of a bioactive glass. A group of 10 individuals were treated properly for chronic periodontitis. Some of treated infraalveolar periodontal lesions, both periodontal pockets and interradicular defects, persisted or recurred in posterior teeth. In order to eliminate them they were indicated for advanced periodontal surgery or regenerative surgical therapy stimulating healing processes of supportive tissues, mostly alveolar bone around treated teeth. Relevant clinical parameters, i. e. values of the pocket depth, gingival recession, and loss of attachment were evaluated before and after the periodontal surgery and compared with each other. The therapy led to significant improvement of clinical parameters in terms of the reduction of pocket depth and loss of attachment values. and R. Slezák, V. Paulusová