[ 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。
arwa520 : 冠狀溝甩皮定裂傷
何醫生你好 最近我發現自己陰莖同包皮之間既上面冠狀溝有裂傷/甩皮狀況, 用大少少既水沖都有啲微痛, 就好似平.......086 ian : 排尿唔順
病患者男 - 28歲 去小便要企10秒左右先屙 一次小便既尿速會快下又慢下 疾下疾下咁 屙完一陣都仲會覺.......YEUNG WAI TUNG : 副睾丸炎，導致輸精管有硬塊
病患者男 - 33歲 你好醫生！我先前急症室醫生判斷副睾丸炎，食了抗生素療程30天，疼痛終於減輕了，但是.......hihi : 去廁所後很快會有尿急的感覺
病患者女 - 20歲 已經維持4年 去廁所後很快會有尿急的感覺 但尿量很少 經常有尿急的感覺 腹部沒有疼.......Flora ma : 腎上腺有一個小瘤
已經照咗，發現身上先有一個2 cm嘅瘤，請問係咪睇泌尿科醫生做手術呢，請問醫生你有沒有這個服務？.......Ivan : 陰囊、肛門痕癢
醫生你好， 本人由半年前起陰囊、肛門附近不時痕癢，龜頭皮膚整體少少紅（唔係一點一點），尿道無痕無痛無分泌....... 發出提問使用細則
致范健醫生 提問
