"Thank you for successfully solving the problem of prostatic hyperplasia and bladder stones that have been bothering me for a long time. Let me have a good year with peace of mind! "The Spring Festival is approaching, and Daddy Xu (pseudonym), who is about to be discharged from the hospital to enjoy a family reunion, made a special trip to express his deep gratitude to the medical staff in the second ward of the Department of Urology of Wuhan Puren Hospital.
Daddy Xu is 87 years old this year, and has been suffering from frequent urination, urgency, and laborious urination for more than ten years due to prostatic hyperplasia. Due to multiple conditions such as atrial fibrillation and pulmonary hypertension, the family was deeply concerned about the risks of surgery and relied on a urinary catheter for a long time. However, instead of bringing long-term tranquility, this lifestyle led to urinary tract infections that affected Daddy Xu's urination function.
On January 16, Daddy Xu came to the Department of Urology of Wuhan Puren Hospital for treatment because of urinary tract infection caused by long-term indwelling urinary catheter. "During the examination, the prostate gland was found to be too large, and the CT result showed that the prostate gland had grown and enlarged to 76×8.1×7.0 cm, and there are multiple stones of different sizes in the bladder, one of which is the size of an egg, if the stones in the bladder are not completely removed, in addition to not being able to urinate normally, it may also cause a series of problems such as pain and blood in the urine. Chen Lei, director of the second ward of the Department of Urology of Wuhan Puren Hospital, said.
CT imaging showed hyperplasia of the prostate gland to 76×8.1×7.0 cm
Due to Daddy Xu's advanced age and the combination of atrial fibrillation and pulmonary hypertension and other diseases, the operation is very difficult and risky. In the face of such a complex and high-risk case, the Second Ward of the Department of Urology immediately cooperated with the Department of Cardiovascular Medicine, the Department of Respiratory and Critical Care Medicine, the Department of Anesthesiology and other disciplines to jointly evaluate the feasibility and risk of surgery. After careful evaluation, it was decided to take transurethral laser enucleation for Daddy Xu under the premise of strictly controlling the operation time, and combined with open surgery to remove bladder stones.
On January 23, after full communication with Daddy Xu and his family, Chen Lei, director of the Second Ward of the Department of Urology, led the medical team to perform transurethral laser enucleation for Daddy Xu. During the operation, the large prostate gland was removed by making full use of the narrow space, and all the stones in the bladder were removed, so as to relieve the organic lesions that affect the urination function for Daddy Xu at one time. "It's not often that such a large prostate with bladder stones is combined! After the operation, the medical staff sighed. After the operation, Daddy Xu's urination function has been significantly improved, and his quality of life will also be greatly improved.
Daddy Xu's removed prostate gland and bladder stones
Chen Lei, director of the second ward of the Department of Urology of Wuhan Puren Hospital, said that prostatic hyperplasia is one of the common diseases in middle-aged and elderly men, and its incidence increases with age. The reason why prostatic hyperplasia is easy to cause bladder stones is that patients with prostatic hyperplasia always can't urinate cleanly, and there will be a lot of residual urine in the bladder, and the crystalline substances in the urine will gradually accumulate to form stones; On the other hand, due to prostatic hyperplasia leading to urinary tract infection, bacterial mass, pus and crystalline material accumulate and easily promote the formation of stones. Clinical data show that about 10% of patients with prostatic hyperplasia have bladder stones.
Director Chen Lei reminded that patients with prostatic hyperplasia need to pay attention to drinking more water, pay attention to personal hygiene and care of the urinary catheter when inserting a urethral catheter or undergoing a cystostomy tube to drain urine because they cannot urinate, so as to avoid the formation of stones by precipitating crystals on the surface of the catheter. At the same time, for the problem of dysuria caused by prostatic hyperplasia, it should be treated by medical attention in time, and if necessary, the hypertrophic gland can be removed through minimally invasive surgery to improve urination and reduce the occurrence of stones.
Reporter: Luo Bing Correspondent: Li Linmu, Zhang Yu, Zhou Hong.
Editor: Wang Jian.
Editor-in-charge: Summer.
Editor: Wang Jun.