{"id":1506,"date":"2023-07-09T16:14:15","date_gmt":"2023-07-09T14:14:15","guid":{"rendered":"https:\/\/apolinar.eu\/?page_id=1506"},"modified":"2023-08-07T13:18:03","modified_gmt":"2023-08-07T11:18:03","slug":"urogynekologie-pro-odborniky","status":"publish","type":"page","link":"https:\/\/apolinar.eu\/vi\/urogynekologie-pro-odborniky\/","title":{"rendered":"Urogynekologie &#8211; pro odborn\u00edky"},"content":{"rendered":"                <!-- TEXT BLOCK -->\r\n        <section\r\n                class=\"pdt-40 pdb-20 \"\r\n            >\r\n            <div class=\"wrapper2 text_block\">\r\n                <h1 class=\"title_h2 text_center_mdm\">Urogynekologie<\/h1>                                                                                                <div class=\"page_content reset_margins\">\r\n                                                        <\/div>\r\n            <\/div>\r\n        <\/section>\r\n    \n\n                <!-- TEXT BLOCK -->\r\n        <section\r\n                class=\" pdb-40 \"\r\n            >\r\n            <div class=\"wrapper2 text_block\">\r\n                                                                                                    <h3 class=\"title_h3 text_center_mdm\">Urogynekologick\u00e9 centrum<\/h3>\r\n                                                <div class=\"page_content reset_margins\">\r\n                                                                                        <p>Urogynekologick\u00e9 centrum Gynekologicko-porodnick\u00e9 kliniky 1. LF UK a VFN Praha poskytuje komplexn\u00ed p\u00e9\u010di \u017een\u00e1m s dysfunkc\u00ed doln\u00edho urogenit\u00e1ln\u00edho traktu \u2013 hlavn\u00edm zam\u011b\u0159en\u00edm je p\u00e9\u010de o \u017eeny se stresovou inkontinenc\u00ed mo\u010di, se sestupem p\u00e1nevn\u00edch org\u00e1n\u016f, hyperaktivn\u00edm mo\u010dov\u00fdm m\u011bch\u00fd\u0159em a monitorov\u00e1n\u00ed a p\u00e9\u010de o \u017eeny po porodn\u00edm poran\u011bn\u00ed an\u00e1ln\u00edch sfinkter\u016f.<\/p>\n<p>V r\u00e1mci komplexn\u00ed p\u00e9\u010de urogynekologick\u00e9 ambulance funguje proktologick\u00e1 ambulance veden\u00e1 chirurgem. V posledn\u00edch letech nar\u016fst\u00e1 i objem p\u00e9\u010de o \u017eeny s neuralgick\u00fdmi bolestmi v oblasti p\u00e1nve a genit\u00e1lu. Vzhledem k tomu je od ledna 2023 v r\u00e1mci urogynekologick\u00e9 ambulance vy\u010dlen\u011bn \u010das pro ambulanci pro pacientky s chronickou neuralgickou bolest\u00ed.<\/p>\n<p><strong>Kontakt<\/strong>: telefonn\u00ed \u010d\u00edslo: +420 224 967 463.<br \/>\n<strong>Ambulantn\u00ed vy\u0161et\u0159en\u00ed<\/strong>: komplexn\u00ed diagnostika (urodynamika, UZ, v\u010detn\u011b 3D\/4D, cystoskopie, kalibrace uretry a dal\u0161\u00ed).<\/p>\n                                    <\/div>\r\n            <\/div>\r\n        <\/section>\r\n    \n\n                <!-- TEXT BLOCK -->\r\n        <section\r\n                class=\"pdt-10 pdb-40 bg3\"\r\n            >\r\n            <div class=\"wrapper2 text_block\">\r\n                                                                                                    <h3 class=\"title_h3 text_center_mdm\">Na co se pacientky \u010dasto ptaj\u00ed?<\/h3>\r\n                                                <div class=\"page_content reset_margins\">\r\n                                                                                        <p><strong>Opera\u010dn\u00ed l\u00e9\u010dba stresov\u00e9 inkontinence<\/strong><\/p>\n<p>V r\u00e1mci opera\u010dn\u00ed l\u00e9\u010dby stresov\u00e9 inkontinence mo\u010di jsou k dispozici v\u0161echny aktu\u00e1ln\u011b prov\u00e1d\u011bn\u00e9 operace:<\/p>\n<ul>\n<li>Tahuprost\u00e9 vagin\u00e1ln\u00ed p\u00e1sky.<\/li>\n<li>Bulking agent.<\/li>\n<li>Burchova kolpopexe (ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f prov\u00e1d\u011bna laparoskopicky).<\/li>\n<\/ul>\n                                    <\/div>\r\n            <\/div>\r\n        <\/section>\r\n    \n\n                <!-- TEXT BLOCK -->\r\n        <section\r\n                class=\"pdt-10 pdb-40 \"\r\n            >\r\n            <div class=\"wrapper2 text_block\">\r\n                                                                                                    <h3 class=\"title_h3 text_center_mdm\">Co je\u0161t\u011b \u0159e\u0161\u00edme<\/h3>\r\n                                                <div class=\"page_content reset_margins\">\r\n                                                                                        <p>Centrum \u0159e\u0161\u00ed i komplikace po p\u0159edchoz\u00edch operac\u00edch \u2013 odstran\u011bn\u00ed erodovan\u00e9 p\u00e1sky, odstran\u011bn\u00ed p\u00e1sky z uretry, mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e a speci\u00e1ln\u00ed techniky odstran\u011bn\u00ed p\u00e1sky u neuralgick\u00fdch bolest\u00ed vznikl\u00fdch po zaveden\u00ed p\u00e1sky.<\/p>\n<ul>\n<li>Ve spolupr\u00e1ci s urology se na pracovi\u0161ti prov\u00e1d\u00ed i rekonstrukce vezikovagin\u00e1ln\u00edch p\u00ed\u0161t\u011bl\u00ed (laparoskopicky nebo vagin\u00e1ln\u011b).<\/li>\n<li>V r\u00e1mci \u0159e\u0161en\u00ed sestupu se prov\u00e1d\u00ed cel\u00e9 spektrum klasick\u00fdch vagin\u00e1ln\u00edch rekonstruk\u010dn\u00edch operac\u00ed v\u010detn\u011b z\u00e1v\u011bsu na sakrospin\u00e1ln\u00ed vazy, u velmi rizikov\u00fdch pacientek se prov\u00e1d\u00ed i kolpocleisa. Velk\u00e1 \u010d\u00e1st pacientek podstoup\u00ed i laparoskopickou sakrokolpopexi.<\/li>\n<li>Centrum se zam\u011b\u0159uje i na \u0159e\u0161en\u00ed komplikac\u00ed po p\u0159edchoz\u00edch operac\u00edch pro sestup, v\u010detn\u011b odstran\u011bn\u00ed zaveden\u00fdch implant\u00e1t\u016f.<\/li>\n<li>V r\u00e1mci \u0159e\u0161en\u00ed OA B (syndrom hyperaktivn\u00edho m\u011bch\u00fd\u0159e, anglicky \u201eoveractive bladder\u201c) je k dispozici komplexn\u00ed diagnostika, v\u010detn\u011b aplikace botulotoxinu. U komplikovan\u00fdch pacientek je k dispozici i sakr\u00e1ln\u00ed neuromodulace.<\/li>\n<li>V r\u00e1mci perine\u00e1ln\u00ed poradny se sleduj\u00ed \u017eeny po rozs\u00e1hl\u00fdch porodn\u00edch poran\u011bn\u00edch. Opera\u010dn\u011b je mo\u017en\u00e9 \u0159e\u0161it perzistuj\u00edc\u00ed inkontinenci stolice sekund\u00e1rn\u00ed suturou extern\u00edho an\u00e1ln\u00edho sfinkteru.<\/li>\n<\/ul>\n<p>Prov\u00e1d\u00ed se i remodalace hr\u00e1ze po rozs\u00e1hl\u00fdch poran\u011bn\u00edch. U \u017een s perzistuj\u00edc\u00ed inkontinenc\u00ed stolice je v r\u00e1mci centra mo\u017enost i indikace k sakr\u00e1ln\u00ed neuromodulaci.<\/p>\n                                    <\/div>\r\n            <\/div>\r\n        <\/section>\r\n    \n\n                <!-- TEXT BLOCK -->\r\n        <section\r\n                class=\"pdt-10 pdb-40 \"\r\n            >\r\n            <div class=\"wrapper2 text_block\">\r\n                                                                                                    <h3 class=\"title_h3 text_center_mdm\">Spolupr\u00e1ce s dal\u0161\u00edmi obory<\/h3>\r\n                                                <div class=\"page_content reset_margins\">\r\n                                                                                        <p>Centrum prov\u00e1d\u00ed komplexn\u00ed klinickou diagnostiku obt\u00ed\u017e\u00ed u \u017een s podez\u0159en\u00edm na neuralgick\u00e9 obt\u00ed\u017ee v oblasti p\u00e1nve a doln\u00edho urogenit\u00e1ln\u00edho traktu. Pro adekv\u00e1tn\u00ed diagnostiku a l\u00e9\u010dbu pacientek je nezbytn\u00e1 spolupr\u00e1ce s algeziology (specializovan\u00fdmi anesteziology), urology, neurology, fyzioterapi\u00ed, s radiologi\u00ed (viz sch\u00e9ma).<\/p>\n<ul>\n<li>Velk\u00e1 \u010d\u00e1st obt\u00ed\u017e\u00ed je funk\u010dn\u00edho charakteru a je \u0159e\u0161ena fyzioterapi\u00ed.<\/li>\n<li>Ned\u00edlnou sou\u010d\u00e1st\u00ed l\u00e9\u010dby je spolupr\u00e1ce s algeziologem a spr\u00e1vn\u011b indikovan\u00e1 farmakologick\u00e1 l\u00e9\u010dba chronick\u00e9 bolesti.<\/li>\n<li>P\u0159i podez\u0159en\u00ed na neurologickou p\u0159\u00ed\u010dinu obt\u00ed\u017e\u00ed jsou pacientky odes\u00edl\u00e1ny na konsili\u00e1rn\u00ed neurologick\u00e9 vy\u0161et\u0159en\u00ed ke spolupracuj\u00edc\u00edmu neurologovi.<\/li>\n<li>P\u0159i podez\u0159en\u00ed na urologickou p\u0159\u00ed\u010dinu obt\u00ed\u017e\u00ed (syndrom bolestiv\u00e9ho mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e) jsou pacientky odes\u00edl\u00e1ny na urologickou kliniku k specialistovi, kter\u00fd \u0159e\u0161\u00ed tento typ obt\u00ed\u017e\u00ed.<\/li>\n<li>P\u0159i podez\u0159en\u00ed na syndrom p\u00e1nevn\u00ed kongesce jsou pacientky odes\u00edl\u00e1ny ke spolupracuj\u00edc\u00edmu interven\u010dn\u00edmu angiologovi k proveden\u00ed embolizace.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Laparoskopick\u00e9 uvoln\u011bn\u00ed pudend\u00e1ln\u00edho nervu<\/strong>: P\u0159i selh\u00e1n\u00ed konzervativn\u00ed l\u00e9\u010dby a vylou\u010den\u00ed v\u0161ech dal\u0161\u00edch mo\u017en\u00fdch p\u0159\u00ed\u010din neuralgick\u00e9 bolesti u pacientek s pudend\u00e1ln\u00ed neuralgi\u00ed prov\u00e1d\u00edme laparoskopick\u00e9 uvoln\u011bn\u00ed pudend\u00e1ln\u00edho nervu.<\/p>\n<p><strong>Neuromodula\u010dn\u00ed l\u00e9\u010dba<\/strong>: U komplikovan\u00fdch pacientek je mo\u017en\u00e9 ve spolupr\u00e1ci s interven\u010dn\u00edm algeziologem zv\u00e1\u017eit mo\u017enosti neuromodula\u010dn\u00ed l\u00e9\u010dby. Na na\u0161em pracovi\u0161ti prov\u00e1d\u00edme p\u0159\u00edm\u00e9 zaveden\u00ed neuromodula\u010dn\u00edch elektrod na posti\u017een\u00fd nerv (pudend\u00e1ln\u00ed nerv).<\/p>\n<ul>\n<li>Ned\u00edlnou sou\u010d\u00e1st\u00ed l\u00e9\u010dby je i mo\u017enost konzultace klinick\u00e9ho psychologa v kter\u00e9koliv f\u00e1zi l\u00e9\u010dby.<\/li>\n<\/ul>\n                                    <\/div>\r\n            <\/div>\r\n        <\/section>\r\n    \n\n                <!-- TEXT BLOCK -->\r\n        <section\r\n                class=\"pdt-10 pdb-40 \"\r\n            >\r\n            <div class=\"wrapper2 text_block\">\r\n                                                                                                    <h3 class=\"title_h3 text_center_mdm\">Kontakty na na\u0161e odborn\u00edky:<\/h3>\r\n                                                <div class=\"page_content reset_margins\">\r\n                                                                                        <p>Prof. MUDr. Jarom\u00edr Ma\u0161ata, CSc. \u2013 <a href=\"mailto:masata@volny.cz\">masata@volny.cz <\/a><\/p>\n<p>Prof. MUDr. Alois Martan, DrSc. \u2013 <a href=\"mailto:alois.martan@vfn.cz\">alois.martan@vfn.cz <\/a><\/p>\n<p>Doc. MUDr. Kamil \u0160vab\u00edk \u2013 <a href=\"mailto:kamil@svabik.cz\">kamil@svabik.cz<\/a><\/p>\n                                    <\/div>\r\n            <\/div>\r\n        <\/section>\r\n    \n\n    <!-- BLOK KONTAKTY -->\r\n    <section\r\n            class=\"pdt-80 pdb-80 \"\r\n            >\r\n        <div class=\"wrapper2\">\r\n            <div class=\"text_block observe anim_drop1 anim_delay\">\r\n                                                            <\/div>\r\n                                <\/div>\r\n    <\/section>\r\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1506","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Urogynekologie - pro odborn\u00edky - Porodnice U Apolin\u00e1\u0159e<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/apolinar.eu\/vi\/urogynekologie-pro-odborniky\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Urogynekologie - pro odborn\u00edky - Porodnice U Apolin\u00e1\u0159e\" \/>\n<meta property=\"og:url\" content=\"https:\/\/apolinar.eu\/vi\/urogynekologie-pro-odborniky\/\" \/>\n<meta property=\"og:site_name\" content=\"Porodnice U Apolin\u00e1\u0159e\" \/>\n<meta property=\"article:modified_time\" content=\"2023-08-07T11:18:03+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/apolinar.eu\/vi\/urogynekologie-pro-odborniky\/\",\"url\":\"https:\/\/apolinar.eu\/vi\/urogynekologie-pro-odborniky\/\",\"name\":\"Urogynekologie - pro odborn\u00edky - Porodnice U Apolin\u00e1\u0159e\",\"isPartOf\":{\"@id\":\"https:\/\/apolinar.eu\/vi\/#website\"},\"datePublished\":\"2023-07-09T14:14:15+00:00\",\"dateModified\":\"2023-08-07T11:18:03+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/apolinar.eu\/vi\/urogynekologie-pro-odborniky\/#breadcrumb\"},\"inLanguage\":\"vi-VN\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/apolinar.eu\/vi\/urogynekologie-pro-odborniky\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/apolinar.eu\/vi\/urogynekologie-pro-odborniky\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Dom\u016f\",\"item\":\"https:\/\/apolinar.eu\/vi\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Urogynekologie &#8211; pro odborn\u00edky\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/apolinar.eu\/vi\/#website\",\"url\":\"https:\/\/apolinar.eu\/vi\/\",\"name\":\"Porodnice U Apolin\u00e1\u0159e\",\"description\":\"Klinika gynekologie, porodnictv\u00ed a neonatologie 1. 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