[ 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:
15/12/2020
15/12/2020
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。
Rn : 小便後感覺排尿不清
病患者男 - 61歲 本人今年61歲小便一向正常，兩年多前身體檢查前列線指數正常，但個多星期前晚上一次小.......Charles : 附睾炎一直看不好
病患者男 - 21歲 男病患者，附睾炎已服用cipide 約8星期療程。中間有好轉但一直沒有完全康復，應.......K H : 陰莖上有凸起的痣
病患者男 - 40歲 醫生您好！ 我沒有性伴侶及沒有拈花惹草，但我最近發現陰莖上有凸起的痣，近冠狀溝的.......Balanitis : Possible meatitis
病患者男 - 26歲 Hello, I’m not sure if I have meatitis.......ayumic : 飲水同以往一樣，但尿量好飲少左
病患者女 - 34歲 飲水同以往一樣，但尿量好飲少左 以前成日瞓瞓下會急尿急醒左去屙，屙好多尿 但3.......Charles : 抗生素過敏
男病患者，附睾炎服用cipide 14日療程。約第十日開始有腹瀉 嘔吐等症狀，應否繼續服藥？.......Ck117 : Esr偏高及小便穩血
病患者女 - 29歲 在9/2020身體檢查得出 esr 35 和小便常規 blood 1+ 最近再.......Wong Tse Wan : 忍尿問題
病患者女 - 20歲 平時都至少4-5小時先去一次小便，但唔知點解有時尿意好強烈，做野既時候唔覺得，但無....... 發出提問使用細則
致范健醫生 提問
