(Correspondent Ning Yafei) Grandma Liu was in pain due to kidney stones induced by "renal colic". Two years later, due to urinary tract infection, she suffered from multiple ureteral stenosis due to urinary tract infection. Hong Kong People's Hospital (Hubei Provincial People's Hospital) Department of Urology in the East Hospital of Wuhan University (Hubei Provincial People's Hospital) has helped her successfully get rid of the "claws" of the disease. On October 23, she returned to the hospital for a reexamination and recovered well. The radiant Grandma Liu was reborn.
2 years ago, Grandma Liu in Xinzhou, Wuhan suddenly suffered severe pain in her waist and back, and her body was accompanied by chills and high fever. The local hospital initially judged that it was " renal colic " induced by ureteral stones. Considering that Grandma Liu was old and physically weak and had a basic disease, it was difficult to treat it. After emergency pain relief, she was quickly referred to the Department of Urology at the East Hospital of Wuhan University People's Hospital for treatment.
After receiving the treatment, Professor Zhu Hengcheng, director of the Department of Urology at the East Hospital of the hospital, immediately found out that the patient's "culprit" of the continuous high fever - multidrug-resistant bacteria and treated symptomatically. Zhu Hengcheng introduced that kidney stones is called "one of the four major pains in medicine". It is not painful or itchy at first, but when the kidney stones fall into the ureter, the excretion of urine is blocked, and the ureters in the obstructed area will cause spasms and pressure. The pressure inside renal pelvis increases, and severe pain will occur in the waist.
After correcting the cardiac insufficiency and cerebral infarction status, Professor Zhu Hengcheng led the team to perform non-invasive ureteral soft-scopic renal pelvis ureter laser lithotripsy. After the operation, the patient recovered and was discharged from the hospital for rest. After the kidney stones were cured, Grandma Liu returned to her healthy life.
In May this year, Grandma Liu developed frequent urination and urgency, and even experienced hematuria with naked eyes, which was not effective in local hospitals. She remembered her original savior again, so she contacted Professor Zhu Hengcheng by phone. After consultation and communication, Zhu Hengcheng judged with his rich clinical experience that the condition was not as simple as urinary tract infection , and it was recommended that Grandma Liu be hospitalized for treatment.
compared with the color ultrasound results of the urinary tract. Combined with the results of related examinations such as CTU, anterograde and retrograde renal pelvic ureter cystographies, Professor Zhu Hengcheng diagnosed Grandma Liu with right hydronephrosis and severe stenosis in multiple places in the middle and lower sections of the right ureter, with a total length of 15 cm. "H ureteral stenosis has a length of up to nearly 60%, which seriously affects the excretion of kidney urine, which is undoubtedly a fatal blow to elderly people."
Considering the inflammatory exudation around the end of the ureter, severe pelvic adhesions, and the higher requirements of laparoscopic surgery for cardiopulmonary function, and the perioperative incidence of cardiovascular and cerebrovascular risks as much as possible, the Department of Urology of the East Hospital, in conjunction with the Department of Anesthesia of the East Hospital, and the Department of Cardiology, formed an MDT team to comprehensively formulate a personalized diagnosis and treatment plan, and decided to implement open right bladder muscle flap ureteral surgery for Grandma Liu.
Under the escort of Professor Meng Qingtao, director of the Department of Anesthesiology at the East Hospital, Professor Zhu Hengcheng, Professor Liu Haitao, and Dr. Song Huajie skillfully carried out the surgical operation. During the operation, the ureteral stenosis segment was fully freed and the bladder muscle flap was reconstructed to achieve no tension between the normal ureter and the bladder muscle flap. The entire operation took 2 hours, and the bleeding volume for the fine surgical operation was only 5ml. Two days after the operation, Grandma Liu got up and got out of bed and moved, and she removed the drainage tube five days after the operation and was successfully discharged from the hospital. On October 23, after a follow-up examination, the ureteral stenosis section was cured, and hydronephrosis and also disappeared completely.
Ureteral stenosis is a common complication after ureteral stone obstruction, repeated urinary tract infection and urinary tract injury. Its clinical symptoms are often not obvious, only manifested as faint swelling and pain in the renal area, and even no obvious discomfort. However, it damages renal function and in severe cases even induces renal atrophy and renal failure. Professor Zhu Hengcheng reminded that after obstruction of urinary tract stones, repeated urinary tract infections, or ureteral injury to , follow-up should be carried out closely, and once the condition is discovered, seek medical treatment early.
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