Urology Intensive Care

Our Team      Photogallery

A brief overviw of the Urology Intensive Care Unit

The Intensive Care Unit of Urology takes care of patients coming directly from operating rooms. They stay in our department until their conditions improve and they are ready to be transported to the standard ward department.

Yearly, there are about 1.600 surgeries. Some patients need to stay in the ICU until their health conditions stabilize.

Our unit cooperates with the Department of Oncology for tumor operations, the Plastic Surgery Department in the case of sex reassignment surgery, and the IVF (In Vitro Fertilization) Center by withdrawing sperm for assisted reproduction. 

How will your detailed schedule look like? What type of surgeries, procedures, methods or treatment can you observe? Check what can you see by shadowing every member of the mentoring team.

Is this specialty placement ideal for you? 

  • This specialty is a very demanding one, because we care for patients right after their kidney, bladder, prostate surgeries and sometimes extremely interesting gender reassignement surgeries. It is a very difficult period of their treatment and therefore it is necessary that you are capable of working in an intense environment with patients in critical conditions.
  • Are you an aspiring nurse or would you like to focus on intensive care medicine or urology? You will meet with patients right after surgery, so if you are interested in immediate post-surgical care, you will enjoy your placement with us. As the placement is limited, there will be only one student at a time. 

Let's take a closer look at the specialty…

Urology is a discipline focused on dealing with the pathological conditions of the upper and lower urinary tract, male genital organs, and the adrenal glands. Our center is mainly focused on treatment of oncological urologic diseases. The professionals in our center provide more difficult classic or laparoscopic surgeries.

The Intensive Care Unit of Urology is a part of the Specialized Center of Urology. Professionals in the ICU are required to undergo special training in intensive care medicine in order to work here. One nurse usually takes care of only 1 or 2 patients during each shift. The rooms typically contain medical equipment, including respiratory machines that help patients breathe and nasogastric tubes that allow us to deliver food directly into patients' stomachs. Other devices monitor their vital functions, e.g. ECG electrodes. If needed, patients can also receive permanent or temporary stoma for their urine. Members of the Peripherally Inserted Central Catheter team (PICC), who can insert and take care of long-term vascular inputs for adult patients, are also part of our Unit.

When the conditions of a patient stabilize, he or she is transported to common patients' wards in the Standard Ward Department.

The Urology Center has multiple outpatient departments that have the most advanced equipment, such as 3D ultrasonography and video-urodynamic examination:

• General Outpatient Department
• Oncology Consulting Services
• Specialized Outpatient Department
• Andrology Consulting Services
• Metabolism Consulting Services
• Urodynamic Consulting Services
• Neurostimulation Outpatient Department
• Oncology Outpatient Department
• Outpatient Department for treatment of metaphylaxis of urolithiasis and chronic infections
• Andrology Outpatient Department
• Outpatient Department for dysfunctions of the lower and upper urinary tract
• Center for treatment and research of prostate carcinoma, run in cooperation with the Radio Therapeutic Oncology Center and Immunology Department
• Center for surgical gender reassignment

Who do we take care of? 

Our center takes care of patients with erectile dysfunction, „agile male“ problems, metaphylaxis, urolithiasis or chronic urinary tract infections. Furthermore, we deal with differentiation of urinary disorders, neurogenic bladder and urogynecological problems, which we treat in cooperation with the Obstetrics and Gynecology Specialized Center. As mentioned above, we are focused on oncology patients that suffer from urologic malignancy. We are the only center in the Czech Republic that conducts gender reassignment surgeries, which are performed in cooperation with the Department of Plastic Surgery. Moreover, we perform endoscopy surgeries of the lower and upper urinary tract, as well as for prostate carcinomas, bladder and kidney tumors, extended lymph disorders, testicular tumors, benign prostate hyperplasia and prostate tumors.

Patients are hospitalized in our department before or after their surgery if their health conditions require intensive care. We typically look after them for one day following their surgery. Once their conditions are stable, we arrange transport to a standard department. In cases where any complications occur and the patient has to undergo surgery multiple times, they are required to stay in our department for a longer period of time. All of the patients in our department have their vital functions monitored constantly.

Our methods and procedures

We provide the following methods and procedures in our department:

  • Laparoscopy radial cystectomy
  • LESS nephrectomy – one-port access technique
  • Laparoscopic radical prostatectomy technique
  • Laparoscopic resection of a kidney due to a tumor
  • Endoscopy urolithiasis treatment
  • Use of new imaging methods in bladder tumor diagnostics. The imaging method is called narrow banding imaging (NBI).
  • Derivation surgeries after cystectomy
  • Neuromodulation in treatment of acute urinary bladder symptomatology
  • Microsurgery technique in andrology surgeries
  • Use of Ho:YAG laser in surgeries 

How does the usual schedule look like?

  • You will be working in the hospital on the day shift on a regular schedule. The time that you spend in the hospital will depend on the situation in the ICU, your overall approach to the specialty and your mentor. You are guaranteed 25 hours of work per week, but will be able to spend even more time in the hospital, if you so desire. This placement is only available for one student at a time, therefore the acces might be slightly limited.

If you are not sure whether this choice is suitable for you, don't hesitate to contact us. We will discuss your experience and motivation and come up with the best solution for you.

Our Team

Photo Jan Šibík

Mgr. Sandra Marianová

ICU Nurse


I personally consider the work of nurses in our department to be of the highest standard and the praise from our patients is the best motivation for our work that we can get. I started my career in Neonatology ICU and I thought that I would always work with children. But when I started to work in urology with adult patients I noticed the one big difference between these two worlds. Adults can easily express their troubles and issues and on the other hand reward your work with a simple word. The interaction with children, while not less rewarding, is more difficult.

Why did I become a healthcare professional?

I dreamed about being a nurse ever since my childhood. I admired nurses in pediatric clinics that wore blue dresses with white aprons and bonnets. Luckily, we do not have to wear a bonnet anymore. When I was choosing a specialty I was looking for a dynamic and evolving field with the potential of professional growth. And these requirements were fulfilled in the intensive care unit. The work in ICU is demanding not only due to its healthcare standards, but also with respect to the difficulty of taking care of patients in critical conditions.

Every step can bring you immense opportunities. I worked as a home healthcare assistant in Amsterdam. In our hospital I started my career in Neonatology. These both experiences enriched me and brought me to the Urology ICU where I am particularly happy. I follow my motto also in the professional life.

What do I love the most about my specialty?

I like to do my job the best I can, by using the top equipment and materials. I take care of patients just as I would like to be taken care of myself. I see this approach as a crucial one as it enables you to always bear in mind the patient´s point of view. This is not a monotonous job. When I go to work in the morning I never know what to expect. Whether the day will be calm and slow, or fast and intense, which can be exciting and a stressful at a time.

What can you see by shadowing our team?

You will have an opportunity to have a look into the work of a ward nurse, which is different from the work of a general one. You can see specific procedures that are conducted only in our department such as gender reassignment surgeries, (e.g. of transsexuals) where we surgically change the sex of patients. Another intervention is the removal of the urinary bladder once a tumor occurs. We take care of patients after kidney, prostate, and urinary bladder surgeries. We will monitor intake and output of liquids and administer medication and infusion therapy according to the doctor’s orders. You will see the transfer of patients, hygienic care, administration of drugs, re-applying of bandages and invasive inputs, and a lot more. A portion of my work involves being a member of the PICC Team.

Apart from being a healthcare professional...

I like to spend time with my family. I enjoy traveling and concerts. I cannot forget to mention that I like playing sports.

My motto…

Per aspera ad astra.