10 March 2020 City International Hospital held an online consultation live on kidney and urological pathology. Accompanying with the program, honored to receive the sharing participation of Assoc.Prof.Dr. Nguyen Tuan Vinh - President of Ho Chi Minh Urological Association, City Advisor, Department of Urology, City International Hospital.

Nowadays, the rate of people suffering from kidney and urinary diseases is increasing due to their living habits, lifestyles ... To better understand the signs of common urological pathologies as well as methods of treatment ... let's find out through the consultation by Assoc. Prof. Dr. Nguyen Tuan Vinh.

Assoc. Prof. Dr. Nguyen Tuan Vinh giving advice on kidney and urological pathologies: Common Diseases & Disorders

Dear Doctors, the incidence of urinary diseases is increasing, especially kidney stones, urinary tract infections ... From the perspective of leading specialists, doctors can share common diseases in the system. What is urology?

Assoc. Prof. Dr. Nguyen Tuan Vinh: The urinary system is a very large system spanning the adrenal glands, bladder, prostate gland, urethra, testes, genitals ... Because so many organs have diseases that have a high incidence of disease. such as urinary tract infections (up to 45%). Especially in the elderly can up to 50% of people with the disease. In addition, urolithiasis has a high incidence, Vietnam is in the "gravel belt". Caused by diet, climate, weather, lifestyle ...

Benign prostatic hyperplasia also has the third highest incidence. For people over 40, the rate of 7% and the elderly over 90 years old is 90%. This disease only appears in older men. Generally, the number of patients suffering from urological diseases is still the leading urinary tract infection.

Signs identify urinary tract infections, when patients need to go to the hospital for examination and treatment?

Assoc. Prof. Dr. Nguyen Tuan Vinh:  For the urinary tract any problems related to the urinary tract, the patient should be alert. The urinary tract is the upper and lower urinary tract and the disease groups of these 2 groups are also different. Signs that the patient sees severe urination, painful urination, painful urination, hematuria, cloudiness, painful urination ... Symptoms of lower urinary tract will be painful, severe in the lower part of the stomach. Urinary tract on the back will have back pain, fever ... All the above signs should be examined promptly.

Mechanism of formation What is kidney stones?

Assoc. Prof. Dr. Nguyen Tuan Vinh: Kidney stones are part of the urinary tract stone. In addition to kidney stones there are bladder stones, urethral stones. When there are small crystals combine to form stones. The reason is that the patient consumes too much of the substances that make up stones and there is the opposite. Second, the patient must have an insoluble concentrated urine state. Condition:

Patients drink less water, urinate more. Eat less metabolized foods. Patients with adhesions such as urinary tract infections, pus-like particles, adhesives, etc. Specialists are divided into two types: body stones and organ stones.

Can you share what is the current treatment for kidney stones?

Assoc. Prof. Dr. Nguyen Tuan Vinh: For kidney stones 2-stage treatment: if any stones will remove stones. Step 2 is to cure the kidneys for recovery. Most people initially remove the stone by several methods depending on the size of the gravel. If small stones can take medicine. If large stones can endoscopy break stones or extracorporeal stones. The case can not be laparoscopic due to abnormalities of the urinary organs, or due to too large stones can surgically remove stones and cure urinary tract diseases.

What is the risk of reinfection with patients with kidney stones?

Assoc. Prof. Dr. Nguyen Tuan Vinh: We need 2 steps of treatment: Step 1 of taking gravel is the first step. After that must continue treatment. If treated, the possibility of recurrence is very high. Where each lithotripsy, but every year surgery to remove stones is due to incomplete treatment. Therefore, there should be a urologist specialist. It is not necessary to remove all the stones and treat them. You need to follow the second step to get tested to prevent the disease.

For men who go out and drink, does eating and drinking affect urinary tract diseases?

Assoc. Prof. Dr. Nguyen Tuan Vinh: We know from mouth disease so eating without science can cause disease. The food we have to hygienic, selective but varied in accordance with the nutrition scale: Protein sugars should be in the right proportion. To form a gravel, there must be a lot of accumulation so if you use too much sugar will also be stagnated into a stone. The urinary system is like an excretory organ like "sanitation". So you need to drink enough water to get rid of waste and concentrates.

Regarding drinking water, there is no maximum number because the player needs a lot of water, but for ordinary people just in the house, the amount of water will need less depending on demand. However, do not let thirsty, dry state to drink water. When urine is dark, you have not enough water to drink.

What food is good for patients with kidney and urological problems?

Assoc. Prof. Dr. Nguyen Tuan Vinh: Patients with urinary tract infections should drink more water than usual to help flush out toxins. So diverse foods should not eat a food.

Here are your questions answered by Assoc. Prof. Dr. Nguyen Tuan Vinh.

I used to have kidney stones and had a laser dispersion but I still had the phenomenon of drinking lots of water, then urinating a lot, hematuria, severe urination. Looking forward to your advice on that!

(Nguyễn Thành An, HCMC)

Assoc. Prof. Dr. Nguyen Tuan Vinh: It is not enough if you are just pebble Not to mention the end of the canopy has not all stones and associated pathology of the urinary tract? Sometimes people have reflexes, the habit is to drink water and take advantage of urinating first. Such a habit is not good. In order to have an accurate diagnosis, patients should have a general examination for damage in the urinary system, from which appropriate treatment is available.

Kidney patients should not exercise so strongly right. What is the appropriate sport mode?

(Ngọc Thảo D10)

Assoc. Prof. Dr. Nguyen Tuan Vinh: Kidney failure patients cannot flush toxins due to poor metabolism. People with kidney failure may be anemic so tired when working hard. Patients need to have adequate nutrition and more diverse substance groups. The working regime should be suitable for each stage of renal failure. For an accurate diagnosis, a specialist should be consulted so that the doctor can advise on motor activities, eating and drinking scientific activities.

My mother has had a urine infection that has been examined for a long time. How to stop this disease?

(Trâm Quyên D11)

Assoc. Prof. Dr. Nguyen Tuan Vinh: To know exactly which pathology in the urinary system needs to know the cause. Recurrent urinary tract infections or recurrent urinary infections. Recurrent urinary infection is preceded by an infection but not treated properly. A recurrent UTI may have already been treated but the body has an impact due to certain factors that lead to re-infection. So depending on the disease that there are different treatments..

Urinary incontinence can not be stopped and where to go for treatment?

(La Phúc yên, HCMC)

Assoc. Prof. Dr. Nguyen Tuan Vinh: Urinary incontinence or incontinence are symptoms of many diseases. Due to the small bladder, large indifference stimulates the bladder. Each case will cure differently. To find the cause, many tests are required. For accurate treatment, it is necessary to refer to a urologist with deep urology to find the exact and thorough treatment cause. In addition to specialized expertise, modern equipment is needed. Typically City International Hospital is also a good place for patients to send treatment.

Heard a lot about benign prostatic hyperplasia. What is this disease and the mechanism of the disease?

Nguyễn Minh.A  (D5)

Assoc. Prof. Dr. Nguyen Tuan Vinh: This disease has an ongoing process of changing its name to suit each stage. Formerly known as prostate enlargement in men. Later, the researchers took the tumor to investigate whether or not the fibroids detected not only fibroids but also glands and muscles. Later revised names to be suitable for benign prostatic hypertrophy, benign prostatic tumor. The latest is called benign prostatic hyperplasia. Most older men are at risk, but not all older people have to be treated, but it must be accompanied by a symptom of lower urinary tract symptoms. Up to now, there have been many hypotheses that make benign prostatic hyperplasia disease. Firstly due to the influence of hormonal. The second prostate is the male genitalia: there are two types - one that develops in stages. However, it cannot develop forever but there is a change between being born and losing. A number of other mechanisms, such as constant inflammation, cause the prostate to grow. So this is a combination of many factors to develop benign prostatic hyperplasia.

With benign prostatic hyperplasia what is the treatment?

Assoc. Prof. Dr. Nguyen Tuan Vinh: Proliferative benign prostate and symptoms of lower urinary tract, the new treatment. If only the head, then no treatment. The prostate is an extra genital organ in men. We only treat when there are symptoms or when there is cancer. We only treat when there is disease in the lower urinary tract. Therefore benign prostatic hyperplasia is not a disease and does not need to be cured. Not fibroids because there are thnah2 parts of muscle tissue, fibrous tissue, gland tissue ... This is also the principle of treatment of the Urology Association in the world.


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