방광 결석 제거 수술 대기 기간 중 호소한 야간뇨 및 회음부 불쾌감에 대한 복합 한약 치험 1례
Case Report of Combined Herbal Medicine Treatment for Nocturia and Perineal Discomfort Before Bladder Calculi Removal Surgery
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Bladder calculi greater than 10 mm should be managed via surgical treatment, such as cystolithotomy or percutaneous removal. Because risk evaluation for underlying disease must precede operation, patients are medicated with uroselective alpha blockers or analgesics until the operation occurs. However, disagreement exists about the success of these treatments. Case report: We present a case of a male patient who was hospitalized for sequelae of internal cerebral hemorrhage with complaints of nocturia and perineal discomfort. Abdominal computed tomography showed large bladder calculi. However, because of suspected pheochromocytoma, immediate surgery could not be performed, so we treated him with Korean medicine for 27 days (Daesiho-tang for 27 days and Jakyakgamcho-tang was started at 14th day of treatment, treated till 27th day.) until a cystolithotomy could be performed. Nocturia and perineal discomfort improved after 9 days, and the patient stopped taking acetaminophen. Conclusion: The administration of Daesiho-tang and Jakyakgamcho-tang to a patient with bladder calculi successfully controlled symptoms of nocturia and perineal discomfort until cystolithotomy could be performed.
Abstract
Background: Bladder calculi greater than 10 mm should be managed via surgical treatment, such as cystolithotomy or percutaneous removal. Because risk evaluation for underlying disease must precede operation, patients are medicated with uroselective alpha blockers or analgesics until the operation occurs. However, disagreement exists about the success of these treatments. Case report: We present a case of a male patient who was hospitalized for sequelae of internal cerebral hemorrhage with complaints of nocturia and perineal discomfort. Abdominal computed tomography showed large bladder calculi. However, because of suspected pheochromocytoma, immediate surgery could not be performed, so we treated him with Korean medicine for 27 days (Daesiho-tang for 27 days and Jakyakgamcho-tang was started at 14th day of treatment, treated till 27th day.) until a cystolithotomy could be performed. Nocturia and perineal discomfort improved after 9 days, and the patient stopped taking acetaminophen. Conclusion: The administration of Daesiho-tang and Jakyakgamcho-tang to a patient with bladder calculi successfully controlled symptoms of nocturia and perineal discomfort until cystolithotomy could be performed.
참고문헌 (17)
- Douenias R, "Predisposing factors in bladder calculi:review of 100 cases", Urology, 37(3), pp.240~243 (1991)
- Papatsoris AG, "Bladder lithiasis :from open surgery to lithotripsy", Urol Res, 34(3), pp.163~167 (2006)
- Perez Castro E, "CROES Ureteroscopy Global Study Group. Differences in ureteroscopic stone treatment and outcomes for distal, mid-, proximal, or multiple ureteral locations:the Clinical Research Office of the Endourological Society ureteroscopy global study", Eur Urol, 66(1), pp.102~109 (2014)
- Türk C, "EAU Guidelines:Bladder Stones", European Association of Urology, ~ (2019)
- Nagaraj M, "Clinical study and management of vesical calculus", Int Surg J, 5(4), pp.1281~1285 (2018)
- Jeevaraman S, "A study on ureteric calculi", J Int Med Res, 3(10), pp.2969~2972 (2016)
- Prstojevic JK, "Characteristics of calculi in the urinary tract", Mater Sociomed, 26(5), pp.297~302 (2014)
- 김형준, "요로결석의 비수술적 치료", 대한의사협회지, 63(11), pp.668~676 (2020), 대한의사협회
- Kakizaki H, "Mirabegron Add-on Therapy to Tamsulosin for the Treatment of Overactive Bladder in Men with Lower Urinary Tract Symptoms:A Randomized, Placebo- controlled Study (MATCH)", Eur Urol Focus, 6(4), pp.729~737 (2020)
- 백종원, "응급실에 내원한 요로결석 환자의 급성 통증 조절에 영향을 미치는 요인", 대한응급의학회지, 24(4), pp.410~419 (2013), 대한응급의학회
- 한민철, "하부요관결석의 기대요법 시 Tamsulosin의 결석배출 효과", Investigative and Clinical Urology, 47(7), pp.708~711 (2006), 대한비뇨의학회
- 강동일, "Tamsulosin 0.2 mg의 단기간 투여가 요로결석 배출에 미치는 영향: 다기관, 전향적, 무작위배분에 의한 연구", Investigative and Clinical Urology, 50(6), pp.586~590 (2009), 대한비뇨의학회
- Doo HK, "Oriental Medicine Kidney-system Study", pp.162~178 (1993), The Research Institute of Oriental Medicine
- Panayi DC, "Rectal distension:the effect on bladder function", Neurourol Urodyn, 30(3), pp.344~347 (2011)
- Akl MN, "The effect of rectal distension on bladder function in patients with overactive bladder", Neurourol Urodyn, 31(4), pp.541~543 (2012)
- Maeda T, "Female Functional Constipation Is Associated with Overactive Bladder Symptoms and Urinary Incontinence", Biomed Res Int, 2017, pp.2138073~ (2017)
- 신영섭, "芍藥甘草湯의 硏究動向 分析", 대한한의학 방제학회지, 25(2), pp.271~302 (2017), 대한한의학방제학회[DOI]