[ 會員#24702 ] Dream
膀胱石治療方法
病患者男 - 56歲
Dear Dr Andrew Yip,
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.
https://www.researchgate.net/publication/12923885_Percutaneous_cystolithotomy_for_vesical_calculi_A_better_approach
Dear Dr Andrew Yip,
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.
https://www.researchgate.net/publication/12923885_Percutaneous_cystolithotomy_for_vesical_calculi_A_better_approach
葉維晉醫生回覆: [ 11/28/2020 ]
Taking out bladder stone from the suprapubic route is a known method. This study showed that it is possible and probably a safe method to deal with bladder stone. However, this approach has not been a popular method in dealing with bladder given the fact that it is invasive because it requires a suprapubic puncture. Moreover, the safety of the transurethral route has been proven over many years of worldwide practice. The surgical community would not overnight change its practice because of one published study. I agree that it may turn out to be a good method of dealing with bladder stone but we may need to wait for more published data to prove the same.
Dr Andrew Yip
Dr Andrew Yip
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。
其他葉維晉醫生醫務信箱回覆Gogogo : 龜頭上的血管
勃起時特定位置上的突點是正常的？發現約3年 附有網絡私隱圖片不便公開 .......Tuesday : 會不會感染性病？
請問唔帶安全套口交 男方會不會感染性病？.......KP : 睪丸問題
病患者男 - 30歲 醫生 你好 最近自我檢查睪丸時發覺左邊睪丸好像大咗少少 但摸落去沒有痛 平時亦冇.......Benc : 念珠菌龜頭炎
病患者男 - 21歲 醫生你好，請問有其他療程需服用抗生素，但自己曾經有念珠菌龜頭炎，應怎麼辦？.......Unknown : 自慰後晚上經常失眠
病患者男 - 21歲 自慰後晚上經常失眠並伴有心悸 想知會是出了什麼問題?.......meilan : 腎石問題
病患者女 - 50歲 多謝醫生們的回覆， 那請問做這個體外衝擊波碎石，需要留院的嗎? 如需要，通常多少天.......Tong siu lung : 電脂扫描
病患者女 - 72歲 初步懷疑是鈣化物(續問) 請問什麼是電脂扫描？在哪裡可以做到？收費如何？.......Tong siu lung : 初步懷疑是鈣化物
病患者女 - 72歲 我媽今年72歲，早前睇中醫照X光無意中發現盤腔位置有一個13mm x 17mm呈橢.......cyril : 前列線增生
病患者男 - 49歲 您好，葉醫生 本人於17年患前列線增生， 小便比患病前慢少少，但排尿暢順。 直到.......meilan : 腎石問題
病患者女 - 50歲 醫生您好， 近來本人左腹間中感到隱隱作痛，但只是輕微的， 照超聲波後發現該位置有粒....... 發出提問使用細則
致葉維晉醫生 提問
即時提問 ?
