As before, the international community does not have unified guidelines for the treatment of neurogenic bladder.

There are a lot of clinical procedures.

For example, "bladder enlargement surgery", "urethral sling surgery" and "artificial urethral sphincter implantation" to rebuild urinary storage function;

Surgery to reconstruct urinary function, as well as combined surgery to take into account urinary storage and urinary dysfunction.

But the problem is that these surgeries are very difficult, and there is no evidence-based medicine for their efficacy. They are only carried out in a few countries and on a small number of patients, and there is no strict data support.

The most commonly used procedure in China is urethral diversion. To put it simply, a fistula is created in the suprapubic bladder, and urine is then discharged through the catheter in the abdomen.

"Then...then I might as well die!" Xun Yu's face was ashen.

For a girl in her twenties, she would have to have a tube inserted into her abdomen for the rest of her life, with the other end connected to a urine bag... She couldn't imagine this scene. This would be like having urinary incontinence at any time without treatment.

What's the difference?

"Treat her first. Maybe taking medicine will help?" Xun's father spoke, while Xun's mother hugged her daughter and comforted her softly.

Outside the screen, laughter came from another hospital bed. They had recovered after a week of treatment, and today happened to be the day they were discharged.

When he saw Xu Qiu walking out of the screen and preparing to leave the hospital, the sharp-eyed patient recognized Xu Qiu and immediately chased after him happily: "Doctor Xu, Doctor Xu!"

Xu Qiu stopped at the door.

This patient was sent here by Wang Fan. It was a case of "effective help". It was indeed a difficult-to-diagnose disease.

The patient was admitted to the hospital complaining of chest tightness, fatigue, and occasional throat discomfort. Chest CT revealed mixed ground-glass nodules in the left lower lung.

Several previous hospitals have given "follow-up" suggestions.

Many doctors believe that the "chest tightness and shortness of breath" described by patients are psychological effects.

After all, although the mixed ground-glass nodule with a diameter of 12×9mm is relatively large, the risk level is still below medium risk, so it has no therapeutic significance. It may be a small infection that will heal itself after a while.

The subsequent referral hospital successively gave me amoxicillin and clavulanate potassium tablets, cefaclor capsules, etc., but the patient's symptoms still did not alleviate, and he even suffered from "shortness of breath".

After that, the patient came to the clinic.

Xu Qiu considered that the anti-inflammatory treatment for the patient's pulmonary nodules was ineffective, so he performed a CT reexamination. This time, the results were different.

Imaging diagnosis: There is a mixed-density ground-glass nodule near the subpleura in the dorsal segment of the left lower lobe of the left lung. The average CT value is about -429Hu, and the CT value of the solid component is about -355Hu. Two drainage blood vessels can be seen.

The first time Xu Qiu saw this image, he thought of early stage lung cancer, ranging from minimally invasive adenocarcinoma to invasive adenocarcinoma, and immediately decided to undergo surgical treatment.

Postoperative pathological analysis gave the diagnosis of mucinous adenoma.

However, Xu Qiu overturned this conclusion after reading the report and determined that it was BA tumor.

This kind of tumor is easily confused with malignant tumors such as mucinous adenoma and alveolar adenocarcinoma. Finally, Xu Qiu’s diagnosis was confirmed by the continuous p63, p40, and CK5/6-positive basal cell layer...

This twists and turns of the disease caused by the inconspicuous "chest tightness" have come to an end.

The patient was very happy: "Dr. Xu, you are really a miracle doctor. I went to no less than ten hospitals in Baiyun Province for my disease. I was completely cured after a week of treatment here. I will definitely give you a big banner when I go back!"

"

Xu Qiu was freed from the depression of Xun Yu's diagnosis, and a smile appeared on his face: "Congratulations on the recovery. I will check again in a month. If there are no problems, the probability of recurrence will be very small."

"Yeah, I'm not afraid of a recurrence. Doctor Xu is here, and I'll get rid of it if it recurs!"

Xu Qiu was not good at taking such jokes. He shook his head seriously: "It is not a good thing to have a recurrence of the disease. You must take medicine on time."

With Xu Qiu's departure, the ward became quiet again, and the family quickly packed their things and left chatting and laughing.

In the screen, Xun Yu sobbed softly, and soon her tears wet Xun's mother's arms.

"Is Dr. Xu really that good?" Xun's mother felt sad, but listening to the words of the patient who just left, a trace of expectation inevitably arose in her heart.

Father Xun sighed and shook his head. He had carefully checked the information just now and confirmed that neurogenic bladder is indeed incurable.

The mainstream method at home and abroad is to create a fistula on the pubic bone to create an external urethra.

Faced with this disease for which there is no definite treatment plan, even Xu Qiu should be powerless.

…

The next morning.

Clinics are crowded with people. In addition to patients, there are also a large number of fellow doctors, media reporters, etc.

The entire hospital has been put up with new promotional posters, and the words "Xu Qiu" and "Paracarpal Regeneration Surgery" are all over the place. Everyone who comes here is shocked. Even laymen finally realize that this surgery has great potential.

The status of hand surgery.

It is not an exaggeration to describe it as "a major earthquake in the field of replantation of severed hands"!

"The advanced training class has finally started!"

"This afternoon, "Linhai Great Doctor" will also be released simultaneously, but it is said that only training doctors can get first-hand tutorials on metacarpophalangeal regeneration, and it will be slowly released in "Linhai Great Doctor" in the future!"
Chapter completed!