[ 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.
MYT : 前列腺炎
病患者男 - 29歲 前列腺炎除了Fluoroquinolone抗生素外 有什麼其他的抗生素有效？.......Ng ka fai : 性功能障礙
病患者男 - 38歲 勃起後陰莖連接下體部份沒感覺令到陰莖好快變軟不能進行性交.........eric : 泌尿的不適
病患者男 - 60歲 本人昨年頭確診膀胱癌早期和良性增生的問題。 九月頭做完膀胱鏡後，翌日晚感到不適，且.......Ivan : 解脲脲原體dna
病患者男 - 38歲 你好,本人驗尿後報告發現解脲脲原體DNA結果是positive,參考值為negat.......086 ian : 尿頻半年以上
今年28歲男。2020年10月突然出現尿頻情況 每天差不多24小時都會有尿意 但不是膀胱脹的感覺 只是不停.......Lo : 尿流速測試
病患者男 - 40歲 因成日等7-9秒先有小便，做了個流速測試，平均是8.6/ml /S 最大值是14........Lo : 擔心睪丸癌（續問）
病患者男 - 40歲 成日覺得鼠蹊位不適，痛，但自己摸到睪丸冇什麼硬塊，5月巳照左一次超聲波，有微石症，.......Lo : 擔心睪丸癌
病患者男 - 40歲 成日覺得鼠蹊位不適，痛，但自己摸到睪丸冇什麼硬塊，5月巳照左一次超聲波，有微石症，.......Kk : 陰莖破損
病患者男 - 30歲 陰莖突然有像結了焦的傷口（呈啡黑），發現之前未有受傷。現在有時跟底褲磨擦有少少痛。.......yjsp114 : 尿道炎
你好，本人被醫生診斷尿道炎並服用抗生素已經7天，但小便時還是刺痛，請問需要再驗嗎？謝謝 （本人下體並沒有流膿.......
發出提問使用細則
致范健醫生 提問
即時提問 ?
