"多发性巨大膀胱憩室的综合治疗方法--病例报告"。

Wael Gazzah, Souheil Ben Taher, Sedki Masmoudi, Mahmoud Hamza, S. Naouar, B. Salem
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引用次数: 0

摘要

膀胱憩室通常由膀胱出口梗阻引起,通常采取保守治疗。然而,由于多发性巨大膀胱憩室的罕见性和复杂性,有必要采取有针对性的手术方法。 我们报告了一名 72 岁男性的病例,他有严重的排尿症状和腰痛,被诊断为多发性巨大膀胱憩室,其中一个压迫了输尿管。患者的复杂病症,包括年龄和合并症,给临床决策过程增加了复杂性。 患者接受了两阶段手术,包括经尿道前列腺切除术和三个憩室切除术。术后,患者的排尿症状明显改善,肾积水得到缓解,更重要的是没有出现并发症,证明了所选手术策略的有效性和安全性。 本病例强调了处理复杂膀胱憩室所面临的挑战,突出了个性化治疗策略和进一步研究非典型泌尿系统疾病的重要性。此外,本病例还强调了加强对罕见泌尿系统疾病的认识和研究的必要性。通过分享本病例的详细见解,我们旨在丰富临床知识库,最终改善类似挑战情况下的患者预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
“Management of multiple giant bladder diverticula: a comprehensive approach – a case report.”
Bladder diverticula are commonly due to bladder outlet obstruction, typically managed conservatively. However, the rarity and complexity of multiple giant diverticula necessitate a tailored surgical approach. We report on a 72-year-old male presenting with severe urinary symptoms and lumbar pain, diagnosed with multiple giant bladder diverticula, including one compressing the ureter. The patient’s complex presentation, including his age and comorbidities, added layers of complexity to the clinical decision-making process. The patient underwent a two-stage surgery, consisting of transurethral prostate resection followed by the resection of three diverticula. Postoperatively, the patient showed remarkable improvement in urinary symptoms, resolution of hydronephrosis, and importantly, no complications, attesting to the efficacy and safety of the chosen surgical strategy. This case underscores the challenges in managing complex bladder diverticula, highlighting the importance of personalized treatment strategies and further research in atypical urological conditions. Moreover, this case highlights the need for greater awareness and research into rare urological conditions. By sharing detailed insights from this case, we aim to enrich the clinical knowledge base, ultimately improving patient outcomes in similar challenging scenarios.
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