用前列腺切除术治疗巨型前列腺尿道结石的案例报告
Yunus Erol Bozkurt1, Caner Buğra Akdeniz2, Bilali Habeş Gümüş3
1Manisa Merkez Efendi State Hospital, Department of Urology, Manisa, Turkey.
International journal of surgery case reports
|December 22, 2023
概括
巨型前列腺尿道结石很罕见,没有标准的手术方法. 开放性前列腺切除术成功地在一个62岁的男性患者身上切除了一块78x48x56毫米的大石头.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
背景情况:
- 前列腺尿道结石并不常见,特别是巨型结石.
- 对于处理这些大石头,目前还没有标准化的手术程序.
研究的目的:
- 报告一个巨型前列腺尿道结石的病例.
- 描述一个大前列腺尿道石的手术管理.
主要方法:
- 一个62岁的男性呈现出失尿和出血症.
- 计算机断层扫描显示了一个巨大的前列腺尿道石头 (78x48x56毫米).
- 开放性前列腺切除术是通过延长的膀切口进行的.
主要成果:
- 成功移除巨型前列腺尿道石.
- 患者的症状在术后得到解决.
结论:
- 前列腺结石被分为真正的前列腺结石或尿道结石 (初级或二级).
- 虽然内镜是大多数石头的主要治疗方法,但对于大型石头负担来说,开放式手术方法是首选的.
相关概念视频
01:30Urinary Tract Calculi III: Medical Management
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...