[ 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.
Details can be found in the following
https://www.researchgate.net/publication/12923885_Percutaneous_cystolithotomy_for_vesical_calculi_A_better_approach
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.
Details can be found in the following
https://www.researchgate.net/publication/12923885_Percutaneous_cystolithotomy_for_vesical_calculi_A_better_approach
范健醫生回覆:
12/15/2020
12/15/2020
The relevance of the technique, described by the paper published in April 1999, was self explanatory.
以上資料只供參考，不能作診症用途，
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
Kennethlam : 龜頭炎
本人種菌有克雷伯氏菌，請問如何醫治？謝謝.......cheung lisa : 乳糜尿
病患者男 - 57歲 醫生請問初步确疹是乳糜尿因淋巴搭錯線，請問有方法醫治嗎? 感恩.......Lam Kam Hung : 附睪炎
病患者男 - 20歲 你好 我上星期到泌尿科看診 診斷為附睾輕微發炎 吃了一個星期的抗生素， 但附睾腫塊.......Lam Kam Hung : 睾丸痛
病患者男 - 20歲 這星期睾丸不知道怎麼回事忽然有少少痛 是左側睾丸，而且好像摸到有一點腫塊，但又不肯.......Chan man chun : 下腹和睪丸痛
病患者男 - 21歲 醫生 這兩天我的下腹和左邊睪丸都有隱隱作痛的情況，應該看甚麼醫生？會是患了甚麼病？.......Yan : 前列腺癌復發疑問
病患者男 - 68歲 我爸爸2010年做左切除前列腺手術,當時Gleason Score 3 + 3, .......Jason fong : 前列線炎
病患者男 - 41歲 我有以下病徵呢幾排出現左，當射精時及射精後發現肚濟对下陰莖有少少痛.而且有尿频.背.......Hands : 非淋病尿道炎
病患者男 醫生好， 本人在大約4-5年前曾患非淋病尿道炎。經專科醫生醫應診服葯。醫生判斷已痊癒(再....... 發出提問使用細則
致范健醫生 提問
