经过周围前列腺切除术治疗的患者的巨型前列腺结石:病例报告
Gabriel de Azambuja Beigin1, Joao Henrique Godoy Rodrigues1, Murillo de Souza Tuckumantel2
1Department of Urology, São José do Rio Preto Regional Faculty of Medicine Foundation (FUNFARME), São José do Rio Preto, SP, Brazil.
AME case reports
|January 27, 2025
概括
前列腺结石很少见,但可能导致尿路滞留. 这一案例突出了一个34岁的男性,他患有大前列腺结石,成功接受了周围前列腺切除术的治疗,强调了它的有效性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗成像医学成像
背景情况:
- 尿,通常被称为结石,经常需要紧急护理.
- 虽然脏,尿道和膀结石很普遍,但尿道和前列腺结石并不常见.
- 特别是前列腺结石,代表了一种罕见的临床表现.
研究的目的:
- 报告一个罕见的前列腺大结石病例,导致尿路滞留.
- 讨论前列腺结石的诊断方法和成功的手术治疗.
- 为了强调围前列腺切除术治疗前列腺结石的有效性.
主要方法:
- 一名34岁的男性呈现出失尿症和下胃疼痛的症状.
- 诊断工作包括盆腔计算机断层扫描和尿道囊扫描.
- 直肠检查证实了可触摸的前列腺结石.
- 手术干预包括围前列腺切除,以移除结石.
主要成果:
- 计算机断层扫描检测出前列腺尿道内有大量的结石.
- 尿道囊图证实了前列腺结石和缩小了尿道通道.
- 围前列腺切除术成功切割并移除前列腺结石.
- 患者的尿和相关症状在手术后得到解决.
结论:
- 在出现尿的患者中,应考虑前列腺结石.
- 不同诊断包括良性前列腺增生和尿道狭窄.
- 围前列腺切除术是一种有效的手术方法,用于切除前列腺结石.
相关概念视频
Urinary Tract Calculi I: Introduction
1.1K
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
1.1K
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
863
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
863
Urinary Tract Calculi III: Medical Management
402
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)...
402
Urinary Tract Calculi V: Nursing Management
496
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
496
Urinary Tract Calculi VI: Surgical Management
1.0K
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...
1.0K


