He is a nationally renowned expert in urological control and pelvic floor function reconstruction. He has extensive experience in the diagnosis and treatment of urological prostate diseases, adrenal glands, tumors, stones, various causes of urinary disorders and male and female urinary incontinence, and specializes in various minimally invasive endoluminal urological techniques (including laparoscopy, PCNL, URSL, etc.). The newest techniques include: Sling fasciotomy, intraurethral stent placement for neurogenic bladder, artificial urethral sphincter surgery, female stress urinary incontinence (TVT, TVTO, TVTS), male stress urinary incontinence suspension belt surgery, various complex urethroplasty, vesicovaginal fistula repair, sacral nerve modulation (Interstim), transurethral type A botulinum toxin external sphincter, bladder injection, female pelvic floor organ prolapse prolife and mesh patching for female pelvic floor organ prolapse, surgical treatment of severe enuresis (bedwetting) in children, etc.
”Sling” surgery to relieve urinary incontinence easily
Urinary incontinence is defined by the International Continence Association as an involuntary leakage of urine, a health problem that can be objectively described and can be taken into account by society. In a survey of nearly 4,000 people, it was found that the prevalence of incontinence among adult women in Nanjing was 29.8%, with stress incontinence being the most common, accounting for 63.4%, which is the type of incontinence that occurs when you hold your breath or laugh a little. In addition, the prevalence of stress incontinence, mixed incontinence and other incontinence increases significantly with age.
The survey also found that advanced age, high number of births, and low education are also some risk factors of concern. As China enters an aging society, the number of patients with female urinary incontinence has increased significantly. However, the actual consultation rate for the disease is low due to low awareness of seeking treatment, shyness or the belief that it is irrelevant.
There are currently more than 100 surgical methods for stress urinary incontinence, but many of them are not as effective as desired. In recent years, foreign scholars have introduced a new type of mid-urethral “sling” (TVT, TVTO), which uses a synthetic sling material with high strength and toughness, and very good histocompatibility. The procedure is simple, safe and highly effective (success rate of 94% or more). It has become the first choice of female urinary incontinence surgery. Since the mastery of this emerging technology in 2000, we have been the first to carry out and succeed in the province, and have performed TVT and TVTO for more than 600 female patients so far, which has completely solved their urinary incontinence that has plagued them for many years and improved their quality of life.
Sacral nerve modulation therapy cures urinary dysfunction
Chronic urinary dysfunction is very common in clinical practice, mainly including urge incontinence, urinary frequency and urgency, chronic urinary retention and chronic pelvic pain syndrome. since the 1990s, the concept of neuromodulation of urinary reflexes has been paid more and more attention, and functional electrical nerve stimulation has been applied to treat chronic urinary dysfunction. Sacral nerve stimulation and sacral neuromodulation, which have emerged in recent years and continue to be used in clinical practice, offer a new way of treating patients with voiding dysfunction.
There was an 18-year-old boy named Zhichao from Hefei, Anhui Province. When he was born, Zhichao was very cute with a tiger’s head and a tiger’s brain, but his parents noticed that their son’s urine line was very thin, and it was getting thinner as he grew older. The parents had a thunderbolt from a clear sky with severe hydronephrosis in both kidneys and ureters and reduced kidney function. The anxious parents took little Zhichao on a long road to seek medical help. In Shanghai, they had a consultation with urologists from all over the country, and the result was almost desperate: neurogenic bladder is a worldwide disease.
In order to prevent further aggravation of the fluid accumulation in the kidneys, a cystostomy had to be made in the lower abdomen to relieve the pressure on the upper urethra. Then a small operation was done on the neck of the bladder to relieve the pressure. Although the operation brought a ray of hope to the young life, the fistula made it impossible for little Zhichao to enjoy all the pleasures of nature as other little boys do, and he lived a very tired and exhausting life. Yet even so, the disease struck again four years ago. This time it was even more serious, because the increased fluid in the kidneys led to serious damage to kidney function, the toxins in the body could not be expelled, and upper gastrointestinal bleeding began to occur, so he had no choice but to have a fistula in the abdomen again.
This is one of the most advanced methods of treating urinary disorders internationally: a very thin electrode is placed in the third sacral foramen of the sacral spine, and the reflexes of the nerves are regulated by the weak electrical impulses distributed, so that you can urinate like a normal person. Moreover, this surgery is less invasive, with fewer side effects, good results and safe. Zhi Chao’s parents made up their mind and let Zhi Chao undergo sacral nerve modulation therapy. The surgery went very well, and after 7 days of testing, the residual urine volume dropped from 200ml to 50ml, which was beyond the imagination of Cui Zhichao and his parents. The cystostomy tube was removed.
A new combined transvaginal and bladder procedure to stop the vesicovaginal fistula
The first thing you need to do is to get a good idea of what you are getting into. The first time I found out that my urine always flowed involuntarily throughout the day, Ms. Li thought it was strange, she is not a child, how to urinate but can not control it on their own. If you say that you are incontinent due to pelvic floor relaxation, you are not yet 40 years old. What is going on? After observation, Ms. Li found that her urine did not flow out through the urethra, but from the vagina, due to shyness, Ms. Li did not go to the hospital in time, always hoping to heal naturally. The woman’s vulva was immersed in urine for a long time, and she smelled like urine.
Based on Ms. Li’s symptoms, and after detailed questioning of her past medical history, it was determined that a “vesicovaginal fistula” was the culprit for the urine flowing out of her vagina. A cystoscopy confirmed this determination, as there was a fistula at the base of Ms. Lee’s bladder that was connected to the vagina and needed to be repaired surgically. In view of the large vaginal fistula, we decided to use a new combined transvaginal and bladder procedure to repair the vesicovaginal fistula for Ms. Li. Ms. Li was discharged from the hospital in just three days.
Compared with transvaginal and transabdominal repair, this combined repair is much more difficult and complex, and requires a high level of operator, but with good surgical results and high quality recovery. The main symptom of vesico-vaginal fistula is urine leakage. The skin of the vulva, inner thighs and buttocks is impregnated with urine for a long time, which can lead to different degrees of dermatitis, rash and eczema, and if scratched, can cause secondary infections. To add to the headache, this condition can cause serious psychological disorders. The actual fact is that you will be able to get rid of the problem by using the actual web site.
This is a great way to get the most out of your life.
The actual “faucet rust”
If you are over 50 and have an increased number of nocturnal urination, frequent urination, urgency, weak urine flow, and wet underwear, you may have developed benign prostatic hyperplasia. This is actually a common disease among middle-aged and elderly men, so there is no need to be overly alarmed, but because it affects the physical activity and social ability of the patient, causing both physical and mental stress to the patient, it cannot be ignored. Patients must properly assess their condition before receiving treatment, and then the doctor will choose the most appropriate treatment method.
Among the patients treated by Ren, there is a situation that is more typical of Master Zhang: Master Zhang has been urinating less smoothly in the past few years, dripping and always taking several times to get clean. The old man recently encountered another annoying thing, the poor urination of his own at night will be like a child bedwetting, his partner thought that people inevitably will not be older this condition, help Zhang moncler clean up, change the sheets, and did not care too much. The next night, the old man wet the bed again, the family panicked, worried that the old man had urinary incontinence, rushed to take the old man to the hospital for treatment. The company’s main business is to provide a wide range of products and services to the public. The actual incontinence of the old man was decided to be treated with transurethral resection of the prostate, and after the operation, the old man’s condition improved significantly compared to before the operation, and he urinated smoothly and no longer “wet the bed” at night.
The actual incontinence is not the same as the real incontinence, but it is a kind of “pseudo” incontinence, also known as “filling incontinence”, which is actually the trouble of prostate enlargement.
Minimally invasive lumpectomy
Elimination of urinary stones
For patients with urinary stones, there is always a desire to remove stones from the body in the least invasive and most economical way to restore health. Currently, lumpectomy and intracorporeal shock wave lithotripsy have become the advanced representatives of minimally invasive surgery, allowing 95% of patients to avoid the damage of open surgery and easily remove stones with minimum pain.
Since the late 1980s, tens of thousands of patients have been treated with the internal shock wave lithotripsy (ESWL) technique, which is the best choice for renal pelvic and ureteral stones up to 2 cm, with an overall success rate of about 70-90%; and for smaller lower ureteral stones that cannot be broken in place with ESWL, opaque negative stones in the ureter, and patients with inflammatory polyp lesions below the stones, ureteral Ureteroscopic lithotripsy is a good choice, especially for patients with renal colic, emergency ureteroscopic lithotripsy can achieve immediate results and quickly and effectively relieve the patient’s pain; and percutaneous nephrolithotomy (PCNL) has special effects for the treatment of complex intra-pelvic multiple stones keratolite cystine stones.
The patient under anesthesia in the lumbar percutaneous puncture into the kidney, after expansion to form a manual cavity to place the nephrostomy, under the scope with lithotripsy apparatus to break the stone, and at the same time flush out the broken stone, if due to bleeding operation time is too long, can retain the nephrostomy tube, 48 hours later from the original fistula channel to insert the nephrostomy again lithotripsy, can achieve 93.6% complete stone removal rate, this method is less traumatic, recovery This method is less traumatic, faster recovery, and more effective for stones larger than 2 cm in the lower renal calyces.
The specific type of lithotripsy used depends on the equipment available at the hospital and the experience of the surgeon. The current ultrasound lithotripters are more effective in breaking up stones and suctioning them out, while the holmium laser is more efficient and more suitable for soft ureteroscopy. Over the years of clinical practice, we have witnessed the development of lithotripsy technology from “open stone extraction shock wave lithotripsy minimally invasive lithotripsy non-invasive lithotripsy”, modern minimally invasive surgery to achieve high efficiency, accurate, complete, easy to drain the purpose, generally the patient can get out of bed the next day after surgery, 3-4 days can be discharged. It is worth mentioning that after successful treatment of stones, prevention of recurrence is still important.