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Painful urination, flank pain, medical examination revealed severe hydronephrosis

Báo Thanh niênBáo Thanh niên11/12/2024

Ms. TTK (68 years old, living in Cu Chi, Ho Chi Minh City) has had dull pain in her left flank for many years, recently the condition has gotten worse with painful urination.


On December 11, Master - Specialist Doctor 2 Nguyen Vinh Binh, Head of the Department of Urology, Xuyen A General Hospital, Ho Chi Minh City, said that patient K. was discovered by doctors to have grade 4 hydronephrosis when examined at the Elderly Health Care program organized by the locality in collaboration with the hospital.

Taking a medical history, Mrs. K. said that 10 years ago, she was diagnosed with left ureteral stenosis and was treated at another hospital. Recently, she often had painful urination accompanied by pain in the left flank. After being accidentally diagnosed with the disease at the Elderly Health Care program, Mrs. K. decided to go to the hospital for treatment.

At the Department of Urology, through examination and necessary tests, the patient was diagnosed with simultaneous ureteral stenosis at two different segments (the intravesical ureter and the left dorsal ureter). This is the cause of the grade 4 hydronephrosis of the left kidney.

Tiểu buốt, đau hông, khám sức khỏe phát hiện thận ứ nước nặng- Ảnh 1.

Surgeon operating on patient

The surgery was performed immediately after that. During the 8-hour surgery, the doctors worked together to solve each problem. First, they determined the location of the 2 narrow segments on the irradiation screen, then they performed an open surgery to insert the narrow pelvic ureter into the bladder using the Lich-Gregoir method, and finally they performed a retroperitoneal laparoscopic surgery to create an end-to-end anastomosis of the dorsal ureter.

With close coordination between the doctors, the surgery went smoothly. The patient recovered well after surgery and returned to normal activities in a short time, even though the patient is 68 years old this year.

According to Dr. Binh, if hydronephrosis is examined and detected early, it will have a better treatment and recovery direction. Therefore, the doctor recommends that people pay attention to regular general health check-ups. This is very necessary to detect diseases early even if they have not yet shown symptoms, thereby having a timely treatment plan to preserve kidney function before it progresses to chronic kidney failure.



Source: https://thanhnien.vn/tieu-buot-dau-hong-kham-suc-khoe-phat-hien-than-u-nuoc-nang-185241211105623514.htm

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