[ 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 ]
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。
其他范健醫生醫務信箱回覆Hk2015 : 前列腺肥大手術
本人外父要做前列腺肥大手術，請問一般要留院多久？會否令尿道受損？手術後有何要留意？外父住唐樓高層，需行樓梯，是.......5234789abc : 影響不肓?
精液長期黃色(已有幾年), 膀胱2邊感到痛楚,起床時很少勃起,請問會否影響生育?? 感謝.......Adyfu : 陰莖發育
陰莖在勃起後長度少於七厘米便屬於小陰莖. 要檢查睪丸大小及男性荷爾蒙血液中的水平才可決定原因. 請問我該看.......Leo chewing : 睪丸癌
我早幾天開始感覺坐著時睪丸不適，用手觸摸睪丸發現左邊有硬留，我應該怎樣做，我的求醫程序應該怎樣?.......paul : 急尿
長時間都會急尿，就算痾完尿同有急尿既情況，尿液顏色正常，排尿時不痛，精液顏色正常，但係好似非常黏性，謝謝.......Amy : 割包皮
包皮要不要割? (1)包皮可以全卷起就不用割? (2)包皮存在是同來保護龜頭。請問正確嗎? 另外陰莖中段.......陳 : 睪丸炎
我1月因右睪丸炎入左醫院一晚, 醫生開左一隻抗生素比我, 之後無事, 到2月又右睪丸痛睇家庭醫生, 食左幾隻藥.......VINCI : 前列腺癌
本人的父親去年確診患上前列腺癌,打荷爾蒙針後，最近醫生指PSP指數仍是高達10，顯示癌細胞不受控，醫生建議做化.......chan.on23 : 生長激素
三年前買了一種生長激素hgh來服用本應作用應該在左右兩邊身體發揮，根據商店的說明吃了這藥後兩邊小腿骨會.......leo : 泌尿科
今日拿左驗身報告，話我尿紅血球多，好像有6，吾知係吾係有病，好旦心，求醫生解答....... 發出提問使用細則
致范健醫生 提問
即時提問 ?
