Publications by authors named "Kestranek J"

Article Synopsis
  • Vaginal laxity is a common issue linked to childbirth and is often overlooked in treatment.
  • The Jett Plasma for Her II Study assessed the effectiveness and safety of electroporation therapy in treating this condition, comparing active therapy with a placebo in a controlled study of 91 women.
  • Results demonstrated significant improvements in vaginal laxity and related symptoms, along with an increase in vaginal mucosa thickness, confirming the treatment's effectiveness and tolerability over 12 months.
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Objective: A case report of a patient with interstitial pregnancy and a history of hyperprolactinemia.

Case Report: A 30-year-old woman was hospitalized for a suspicion of ectopic pregnancy and referred for laparoscopy. During the laparoscopic surgery, interstitial pregnancy was dia-gnosed and solved with cornuostomy.

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Introduction And Hypothesis: The pathophysiology of pelvic organ prolapse (POP) has not been fully elucidated, although accumulating evidence suggests that oxidative stress is involved. The present systematic review comprehensively discusses this topic.

Methods: The PubMed/Medline, Scopus, and Web of Science databases were searched for relevant studies published up to May 2021.

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Objective: Historical and current view on the therapy of overactive bladder.

Methods: This review summarizes the historical approach and current therapy of overactive bladder. The articles were gathered from Pubmed and Scopus databases.

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Objective: A review of contemporary knowledge about uterine rupture during pregnancy, followed by a case-report of a patient with uterine rupture during pregnancy without an uterine scar.

Design: Review and case report.

Setting: Clinic of Obstetrics and Gynecology, University Hospital, Hradec Králové; Department of Gynecology and Obstetrics, Hospital Náchod.

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Hemorrhoids are commonly reported in women. However, despite the high prevalence of hemorrhoids in women and the major impact of this condition on quality of life, specific evidence and recommendations on the treatment of hemorrhoids in women are scant. This paper reviews various options in current therapy for hemorrhoids in women-namely, medical intervention (topical and systemic drug therapy)-and discusses the available clinical evidence for an appropriate use of over-the-counter topical formulations for the symptomatic treatment of hemorrhoids.

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Objective: Review of literature dealing with the specificity of the vagina from the standpoint of microbial colonization.

Design: Literature review.

Setting: Department of Obstetrics and Gynecology, Department of Clinical Microbiology, University Hospital and Medical Faculty in Hradec Kralove, Charles University Prague.

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Vulvovaginal candidiasis (VVC) is a hormonal-dependent infection but in contrast to sporadic VVC, therapy of recurrent vulvovaginal candidiasis (RVVC) is still unsolved. Long-term administration of medroxyprogesterone acetate was evaluated for the management of RVVC. Overall, 20 patients were treated with Depo-Provera; 14 patients were treated with Provera.

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Objective: Sling procedures are the preferred surgical treatment of stress urinary incontinence (SUI) due to their high success rate and low risk of complications.

Design: Case report.

Setting: Department of Obstetrics and Gynecology, Medical Faculty of Charles University and Faculty Hospital Hradec Kralove.

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Objective: To analyze experimental and clinical data on diabetes mellitus (DM) related to infections with focus on vaginal mycosis. To evaluate a role of DM in the epidemiology of vulvovaginal candidiasis.

Design: Review.

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Objective: To describe a case of uterovesical fistula after cesarean section with symptoms of vulvovaginal discomfort.

Design: Case report.

Setting: Department of Urology, Department of Obstetrics and Gynecology, University Hospital and Medical Faculty in Hradec Kralove, Charles University Prague.

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Objective: To find out the level of the diagnostic effort of gynaecologists which is focused on the issue of vulvovaginal discomfort.

Design: Pilot questionnaire study.

Settings: Department of Obstetrics and Gynecology, Department of Clinical Microbiology, University Hospital and Medical Faculty Hradec Králové, Charles University, Prague, Department of Biological and Medici Sciences, FaF UK in Hradec Králové.

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Objective: The study aimed to provide a description of a new and a hopeful possibility in the treatment of severe vulvodynia, which does not respond to treatments used so far.

Materials And Methods: The use of radiofrequency therapy in vulvodynia treatment is described for the first time. This method was suggested by a neurosurgeon after applying all available possibilities.

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Problem of mycoses in gynecology is considered very frequent and yeasts are traditionally described as most common cause of vulvovaginal disorders. While acute disorders can be promptly cured in most cases, there is a group of women suffering from those repeatedly. Following article refers to a group of patients in long-term follow-up and shows realistic possibilities of diagnostics, available to out-patient gynecologist.

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Objective: A study of vulvodynia and the possibility of its management.

Subject: Original study.

Setting: Department of Obstetrics and Gynecology, Teaching Hospital and Medical Faculty Hradec Králové, Charles University, Prague.

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Candida albicans is generally one of the most commonly isolated fungal pathogen from human body. It is a frequent cause of nosocomial infections, bloodstream infections, urinary infections and mucosal infections of oral cavity and vagina C. albicans can grow as hyphae, pseudohyphae, or budding yeast.

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Objective: A review of recurrent vulvovaginal candidiasis and the possibility of its treatment.

Subject: Original study.

Setting: Department of Obstetrics and Gynaecology, Medical Faculty Hradec Králové, Charles University, Prague.

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Vulvovaginal discomfort is generally the most common reason for visiting a gynaecological clinic. The acute complaints are, in most cases, solved by a gynaecologist himself and the decision procedure is based on possibilities arising from outpatient examination. If need be, the evaluation of wet preparation should be carried out.

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