Nitrofurantoin is not used for treating chlamydia.
會員#24702 Dream
Research about treatment options
病患者男 - 56歲
范健醫生,
Your are a great, kind and caring doctor. Thank you so much for your reply. I have a bladder stone 3.1 cm * 1.7 cm * 2.1 cm. There is a research about treatment options for treating bladder stone.
Vesical calculus is a common problem that is treated traditionally with open cystolithotomy or cystolithalopaxy. Open surgery has the inherent problems of a long scar, prolonged catheterization, extended hospitalization, and risk of infection. Transurethral cystolithalopaxy also requires special instruments that carry a risk of trauma, which could lead to urethral strictures. Thirty-eight patients (15 children and 23 adults) were treated for vesical calculi by percutaneous cystolithotomy (PCCL), a minimally invasive procedure. A fluoroscopic-guided tract was made to the bladder through a small suprapubic puncture (9-10 mm) and a nephroscope was inserted via an Amplatz sheath placed suprapubically. The calculus was fragmented with ultrasound or pneumatic energy before being flushed out. A suprapubic catheter was kept in place for 48 hours postsurgery; no urethral catheter was needed. Urethral instrumentation was kept to a minimum. After 48 hours, the suprapubic catheter was clamped and removed after the patient had two or three normal voids. No significant intraoperative or postoperative complication was encountered. Given that the urethra is spared, percutaneous cystolithotomy is a preferred approach in patients with vesical calculi.
The relevance of the technique, described by the paper published in April 1999, was self explanatory.
會員#24757 flaneoix
Unknown urological illness
病患者男 - 23歲
Dear doctors,
The symptoms have persisted for more than a year, it includes frequent urination, erectile dysfunction, numb penis, burning and itching sensation in both urinary tract and perineum. There is still no clear diagnosis till this day.
I first consulted a family doctor, a urine culture test was done. Bacteriology test showed moderate and mixed growth of staphylococcus aureus and streptococcus faecalis 10^4/ml. I was then diagnosied with UTI. After a week of antibiotic treatment, no gems and bacterias were found in the second test. But all sympstons still persisted with no alleviation.
I consulted a urological specialist after a few weeks. A rectal examination was performed with no abnormality. The ultrasonography of kidney, prostate and bladder and a third urine culture test were advised, still resulted in no abmorailty.
The doctor prescribed 2 weeks of urief 4mg and arcoxia but with no clear diagnosis. After the medicine treatment, the sympstons still persist until now with no avelliation.
Any advice from urological specialist are greatly appreciated, thank you!
范健
醫生回覆
Further information on the prostate is conducive to shedding light on the diagnosis.
會員#24702 Dream
Bladder stone procedures
范健醫生, 謝謝你的回覆。You are a great doctor. I have a bladder stone 3.1 cm * 1.7 cm * 2.1 cm. Transurethral cystolitholapaxy is widely used to treat bladder stone. Is it OK to use percutaneous suprapubic cystolitholapaxy? I think using the transurethral cystolitholapaxy procedure carries a risk of damaging the urethra and prostate while percutaneous suprapubic cystolitholapaxy will not damage the urethra and prostate. Is it true? I hope to use percutaneous suprapubic cystolitholapaxy if possible.
范健
醫生回覆
Transurethral cystolithotripsy is preferred because it is less invasive. Furthermore, damage to the urethra, prostate or bladder is unlikely using the latest instruments for negotiation, stone fragmentation and stone evacuation. The technique, having been around for a few decades, is pretty safe and mature. Do consult the relevant specialist to secure the proper perspective of the options available.
范健醫生(男)