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Transurethral seminal vesiculoscopy in the diagnosis and treatment of seminal vesicle stones

Chinese Medical Journal 2012年第8期125卷 1475-1478页

作者： SONG Tao ZHANG Xu ZHANG Lei ZHANG Fan FU Wei-jun Department of Urology Clinical Division of SurgeryChinese People's Liberation Army General HospitalBeijing 100853China

Background Seminal vesicle stones are one of the main causes of persistent hemospermia. Treatment requires removal of the stone, generally through open vesiculectomy. The purpose of this study was to apply a transurethral seminal vesiculoscopy for diagnosis and treatment of the seminal vesicle stones with an ureteroscope. We assessed whether this transurethral endoscopic technique is feasible and effective in the diagnosis and treatment of the seminal vesicle stones with intractable hemospermia. Methods Totally 12 patients with intractable hemospermia underwent transurethral seminal vesiculoscopy through the distal seminal tracts using a 7.3-French rigid ureteroscope. Age of patients ranged from 25 to 57 years （mean age （43.7±10.5） years）. The patients＇ symptoms ranged in duration from 4 to 180 months （mean duration （47.8±45.3） months）. All patients underwent transrectal ultrasonography, pelvic computed tomography or magnetic resonance imaging before the operation. Positive imaging findings were observed in patients with seminal vesicle stones and dilated seminal vesicle size. A 7.3-French rigid ureteroscope entered the lumen of the verumontanum, and then the seminal vesicle under direct vision. Seminal vesicle stones were found unilaterally in 11 cases and bilaterally in one case. Results All 12 patients successfully underwent transurethral seminal vesiculoscopy. The seminal vesicle interior with single or multiple yellowish stones ranging from 1 to 5 mm in diameter was clearly visible. All the stones were easily fragmented and endoscopically removed using a grasper. The operative time was 30 to 120 minutes （mean （49±22） minutes）. The mean follow-up period was （6.9±3.0） months （range 3-13 months）. Symptoms of hemospermia disappeared after one month in 10 patients and after three months in two patients. Three patients with painful ejaculation could completely be relieved postoperation. There was also improvement in one patient with erectile dysfunction. There were n

关键词： seminal vesicle stones hemospermia transurethral seminal vesiculoscopy ureteroscope

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Ureteroscopic holmium laser to transect the greater omentum to remove an abdominal drain:Four case reports

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World Journal of Clinical Cases 2021年第31期9卷 9584-9591页

作者： Hong-Ming Liu Guang-Heng Luo Xiao-Fei Yang Zhu-Gang Chu Tian Ye Zhi-Yong Su Li Kai Xiu-Shu Yang Zhen Wang Department of Urology Guizhou Provincial People’s HospitalGuiyang 550002Guizhou ProvinceChina Department of Urology The Affiliated Hospital of Guizhou Medical UniversityGuiyang 550000Guizhou ProvinceChina Department of General Surgery Guizhou Provincial People’s HospitalGuiyang 550002Guizhou ProvinceChina

BACKGROUND Drainage tube removal is difficult when the greater omentum becomes incarcerated in the drainage tube through the side ***,known removal methods are either ineffective or will cause additional damage to the patient in a secondary *** and the holmium laser have been used in various surgical techniques in urology,and in theory,they are expected to be a good strategy for solving the problem of tissue *** SUMMARY Four patients diagnosed with difficult removal of an abdominal drainage tube following abdominal surgery are *** patients underwent surgery to remove the incarcerated greater omentum in the drainage tube using a holmium laser and a ureteroscope,and a new 16-F drain was then placed in the abdominal or pelvic *** efficacy of this technique was evaluated by intraoperative conditions,success rate,and operating time;safety was evaluated by perioperative conditions and the probability of postoperative *** four operations went smoothly,and the drains were successfully removed in all *** average operating time was 24.5 ***,the average irrigation volume was 892.0 mL,the average drainage volume was 638.5 mL,and no bleeding or damage to surrounding tissues was ***,the average drainage volume was 32.8 mL and the new drains were removed within 36 *** patients were able to get out of bed and move around within 12 *** visual analogue pain scores were all below *** average follow-up duration was 12.5 mo and no complications such as fever or bleeding were *** Ureteroscopic holmium laser surgery is an effective,safe and minimally invasive technique for removing drains where the greater omentum is incarcerated in the abdominal drain.

关键词： ureteroscope Holmium laser Drainage Greater omentum Complication of abdominal surgery Case report

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Neodymium:Yttrium Aluminum Garnet Laser for Mini-Percutaneous Treatment of Upper Urinary Tract Stones

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2007年第2期27卷 197-199页

作者：罗洪波刘修恒吕胜启 Department of Urology Renmin Hospital of Wuhan University

To observe the efficacy and safety of mini-percutaneous nephrolithotomy with Neodymium：Yttrium Aluminum Garnet （Nd-YAG） laser in the treatment for upper urinary tract stones, from December 2005 to September 2006, 31 patients with renal stones, 15 patients with ureteral stones and 7 patients with renal and ureteral stones underwent mini-percutaneous nephrolithotomy with Nd-YAG laser by combination of rigid ureteroscope and flexible ureteroscope under B-ultrasound guidance. Clinical data including operation time, lithotripsy time, complications and stone-free rate were analyzed retrospectively. Our study showed that the percutaneous renal access （F14-F18） was successfully established under B-ultrasound guidance in all cases. Immediate phase Ⅰ lithotripsy was performed in 47 cases through single tract, and in one case through two tracts. Delayed phase Ⅱ lithotripsy was done in 5 cases of renal stones. Operation time ranged from 55 to 180 rain with an average time of 100±15 min. Lithotripsy time was from 25 to 135 min and the average lithotripsy time was 65±11 min. No severe complications occurred in our series. Complex renal stones were cleared in 34 of 38 cases （89.5 %）. All ureteral stones were completely removed in 15 cases （100 %）. It was concluded that mini-percutaneous nephrolithotomy with Nd：YAG laser for the treatment of upper urinary tract stones by combination of rigid ureteroscope and flexible ureteroscope has the advantages of effectiveness, mini-invasion, shorter operative time and safety.

关键词： percutaneous nephrolithotomy ureteroscope Nd:YAG laser urinary stones

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Acupoint Massage in Relieving Pain afte Ureteroscopic Holmium Laser Lithotripsy

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Journal of Acupuncture and Tuina Science 2014年第6期12卷 375-378页

作者： Xia Wei-qin Hong Jue Tongxiang Hospital of Chinese Medicine

Objective: To observe the effect of acupoint massage in relieving pain after ureteroscopic holmium laser lithotripsy. Methods: Ninety-two patients undergone ureteroscopic holmium laser lithotripsy were enrolled and randomized into a treatment group and a control group, 46 in each group. Patients in the control group were given regular nursing care, while patients in the treatment group were intervened by acupoint massage in addition to the regular nursing care. The pain was evaluated by visual analogue scale(VAS) at 6 h, 12 h, and 24 h after operation, and compared between the two groups. Results: There was no significant difference in comparing the VAS score at 6 h after operation between the two groups(P>0.05). The VAS scores in the treatment group at 12 h and 24 h after operation were significantly lower than those in the control group(both P<0.05). Fewer patients in the treatment group used analgesics compared with those in the control ***: Acupoint massage can effectively relieve the pain after ureteroscopic holmium laser lithotripsy, reduce the use of analgesics, and promote the recovery.

关键词： Acupoint Therapy Tuina Massage ureteroscope Lasers, Solid-State Pain, Postoperative

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Clinical experience and evaluation of Laparoscopic transperitoneal bladder diverticulectomy

Clinical experience and evaluation of Laparoscopic transperi...

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2014浙江省医学会男科学泌尿外科学学术年会

作者： Haiyong ZHOU Kai WANG Ji SUN Yufu YU DanfengXUN Yi FAN Department of Urology Zhejiang Xiaoshan Hospital Department of Urology Shanghai Changzheng Hospital

Objective:To assess the clinical experience and efficacy of laparoscopic transperitoneal bladder ***:From September 2010 to July 2013,17 cases(13 males and 4 females) of bladder diverticulum were retrospectively *** transperitoneal bladder diverticulum was performed for them.17 patients were examined by CT scan and cystoscopy preoperatively,using ureteroscope to explore the size and location of diverticulum intraoperatively,indwelling F5 double-J in the ipsilateral ureter of bladder diverticulum,then put the Zebra Urological Guidewire to bladder diverticulum.A F18 Foley catheter was introduced to the diverticulum with the balloon filled with *** diverticulum was easily recognized and precisely separated from the bladder under *** the diverticulum and neck of diverticulum by ultrasonic scalpel,then resect the whole *** defect in the bladder was closed by two layers of continuous 2-0 absorbable ***:17cases were operated successfully without conversion to open surgery,no severe perioperative *** mean operation time was(83 ± 21.7) min,the mean blood loss was(61 ± 19.4) ml,the mean hospital stay was(5.2 ± 1.7)days,drainage tube was removed after 1 3 days and the catheter was removed after 7-9 *** mean follow up for(20.4 ± 6.3) months,there were no recurrence and urinary tract ***:In our experience,the technique of Laparoscopic transperitoneal bladder diverticulectomy has proved to be safe,effective,feasible surgical method which has many advantages of minimal trauma,early recovery,less complication,shorter hospital *** can be an alternative surgical method for treating patient with bladder diverticulum.

关键词： Laparoscopy Bladder diverticulum ureteroscope urinary infection.

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A systematic review of controlled trials:comParative study of antegrade and retrgrade access ureterolithotriPsy for imPacted uPPer ure:eric calculi

A systematic review of controlled trials:comParative study o...

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第十六届全国泌尿外科学术会议

作者：王佳何欢沈朋飞李雄魏武然杨晓春四川大学华西医院泌尿外科

Objective:To assess the safety and efficacy of antegrade and retrograde for imPacted uPPer ureteral calculi:To Provide the current clinical ***:We searched MEDLINE(1966 to 2008) EMBASE(1966 to 2008), COCHRANE Library(... 详细信息

关键词： ureteroscope Percutaneous nePhrolithotomy systematic review

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