Bladder stones is a common disease in the urinary system. Generally speaking, the causes of bladder stones are mainly common in lower urinary tract obstructive diseases. Because women have short and straight urethra, they are therefore obstructive in lower urinary tract obstructive in women. Diseases are relatively rare, and bladder stones are also relatively rare in women. Recently, the integrated clinic of Putuo District People's Hospital's difficult kidney disease diagnosis and treatment admitted a female patient who was trapped by 's bladder "stone" .
Expert joint diagnosis and treatment (photo provided by the interviewed unit)
Aunt Wang (pseudonym), 68 years old this year, has been repeatedly urinating for more than a month, and has poor urination and pain. "I went to the hospital to see several departments and took medicine, but none of them improved." Aunt Wang came to the outpatient clinic of the Department of Nephrology of Putuo District People's Hospital with a try. After an ultrasound examination of the urinary tract, Aunt Wang was found to be suffering from it. Bladder multiple stones.
"Bladder stones are more common in men, and it is rare for women to suffer from such diseases." Gu Minjuan, a doctor who received the doctor, felt that Aunt Wang's disease was a bit "spoken", so she recommended her to go to the integrated clinic for diagnosis and treatment of difficult kidney diseases.
Chief physician of Nephrology Chen Ye, Chief Physician of Traditional Chinese Medicine Gao Shurong, Director of Urology Geng He asked Aunt Wang in detail about her condition after receiving the treatment. Combined with the results of the B-ultrasound examination, the three experts felt that this disease was not simple, so they immediately arranged for Aunt Wang. CT urography (CTU) to further understand the condition of bladder stones.
"Seeing the image, there are two stones in the bladder area, and the density of these two stones is uneven, unlike the CT manifestations of typical stones." Geng He, director of urology department, told reporters that generally speaking, urinary stones are in CT There is a high density shadow on top, and the density is relatively consistent.
Imaging results made the three experts more sure that Aunt Wang was not suffering from bladder stones. To clarify the cause, further examination is needed. After listening to the experts' suggestions, Aunt Wang agreed to be hospitalized for further examination and treatment.
Urological Surgical Treatment (Photo provided by the interviewed unit)
After being admitted to the hospital, it was found through cystoscopy that Aunt Wang’s bladder stones turned out to be two “disguised” tumors. Since the surface of the tumor is covered with tiny stones, the tumor is completely wrapped, so the ultrasound examination only found "stones" but no tumor was found. Given that the tumor was 1 cm in size, after communicating with Aunt Wang and her family, the doctor immediately performed general anesthesia of , and the tumor was removed under cystoscopy.
Doctor reminds you that when you encounter repeated urination discomfort and pain in life, you must not take it lightly and go to the hospital for treatment in time. For some "special" people and "distorted" diseases, various examinations must be improved, and CTU and other examinations are also required if necessary. In addition, elderly patients need to pay attention to the possibility of excluding tumors. Female patients also need to consider gynecological diseases and can also choose multidisciplinary joint outpatient clinics (MDT) for treatment. This type of outpatient clinic has great advantages in the diagnosis of such difficult diseases.
It is understood that the integrated clinic for diagnosis and treatment of difficult kidney diseases opened by Putuo District People's Hospital is composed of nephrology, combined with traditional Chinese medicine and urology, focusing on various difficult kidney diseases, such as hematuria , proteinuria, edema, low back pain and Kidney stone , etc., analyze the patient's condition, make clear diagnosis and Chinese medicine syndrome differentiation, and formulate individualized comprehensive treatment plans for traditional Chinese and Western medicine to achieve systematic and comprehensive precise treatment, bringing better quality to patients Efficient diagnosis and treatment services. The outpatient clinic uses fixed time, fixed clinics, and fixed experts. Patients only need to hang one number to obtain joint diagnosis and treatment from experts in three departments, truly realizing the "one-stop" diagnosis and treatment of difficult diseases.
Integrated diagnosis and treatment of difficult kidney diseases Since the clinic opened in June last year, nearly 500 patients with difficult kidney diseases have been diagnosed and treated. The outpatient clinic was rated as the 2021 Chinese hospital humanistic brand innovation case.
Reporter: Yiwen
Editor: Huang Mei
