[ 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Joe C : 陰莖彎曲
病患者男 - 22歲 你好，本人的問題是：陰莖在勃起時，最多只能與身體成90度，不能超過90度，亦即是不.......Dan : 前列腺液和前列腺按摩後的尿液含有CDC Coryneform Group G
曾患上龜頭炎，後來因為盆腔不適而尋求泌尿專科醫生意見。 曾多次進行驗中段尿，結果均無菌，已進行電腦素描，一切.......ArthurAz422 : 小便有糞臭味
病患者男 - 28歲 痾尿後間唔中會嗅到有陣糞臭味。。 都持續左約半年左右.......Minilom : 泌尿問題
病患者女 - 49歲 醫生，你好！ 本人10幾年前，曾不停發低燒，最終種菌發現尿道有大腸桿菌，但當.......Summer : 隱血尿
病患者男 - 31歲 由上年開始，去廁所多左，但未係話每個鐘都要去，大約兩小時去一次。夜晚4小時會起一起.......Man : 前列腺炎手術
病患者男 - 53歲 慢性細菌前列腺炎,如口服抗生素冇効可否打抗生素或手術治療？謝謝医生！.......cheung lisa : 乳糜尿
病患者男 - 57岁 患者早段時間得於再ㄧ次做更微細檢查，終於查到問題在左下邊，但近10日左右小便回覆正.......hin0129 : 泌尿問題
病患者男 - 18歲 請問喝水多一小時去一次廁所正常嗎? 還有近期小便後過幾分鐘尿道口會有一秒的刺痛感 .......hin0129 : 泌尿問題
請問喝水多一小時去一次廁所正常嗎? 還有近期小便後過幾分鐘尿道口會有一秒的刺痛感 但只是少數會發生而且小便時不.......泰嶬 陳 : 瀨尿
病患者男 - 27歲 我會瀨尿，我穿紙尿全條片十分濕，我最愛喝可樂呀, 有時穿左都會瀨尿，我會影響工作呀....... 發出提問使用細則
致葉維晉醫生 提問
即時提問 ?
