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[Voh] urology and anorectal fa qs
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All for yourhealth talk show- Urology&
Anorectal Anomalies FAQs
Duringa radio talk show on VOH,Dr.Cao HungPhu,CMOofTam Tri Sai GonGeneral Hospital, a
member ofTMMC Healthcare, disseminated firsthand knowledge aboutcommom health problems
Nguyen Thi Suong – 50 yearsold, Ca Mau
Q: I’ve been havinggallstones forages. Recently, I wentthroughan ultrasoundsession and was
diagnosed with ureteral stones to my right (over1.5cm in size, fluid builduplevel 1).I have high
blood pressure.I’m reluctant to undergosurgeryas the hospitals in my hometownonly apply open
surgery.Can my conditionbe curedby medication? What is the most effective treatment in this
case? Thanks.
A: Hi Ms. Suong.Thanks forjoiningour programtoday. I’m CaoHungPhu, a urologist fromTam Tri
Sai GonGeneral Hospital.
To address yourconcerns,there are twomethods of ureteral stones treatment: Medical treatment
and surgicaltreatment. Inyour case,since the stones are exceptionally large, medical treatments
alone won’t cureyouof the symptoms. Infact,if left neglected, your conditionwill deteriorate
leading tourinary tract infectionand extreme fluid retention, thuswill result in kidney failure.
Inmy opinion, youshould visit prestigious hospitals specialized in urology.These hospitals are
equipped withcutting-edge equipment.They will perform a ureteroscopywithlaser lithotripsy, a
non-evasive surgicalprocedurewhichhas provedto be highly effective.The patient canbe
dischargedwithin 24hoursafter the surgery.
Youmay come to Tam Tri Sai Gon General Hospital forfurtherexplanation and to be treated by
laser lithotripsy.
Nguyen Van Cao – Male, 70 yearsold,Ben Tre
Q: I’m 70.I urinate very often throughouttheday (over10 times), thus I usually feel extreme
discomfortand sufferfromsleep deprivation making me relentlessly tired and Ican’t focusonmy
work.I wentto the local hospital andwas diagnosed with benignprostatic hyperplasia (BPH).I’ve
been taking a lot ofmedicine since thenbut my conditionhas remained unchanged.Please advise
me on the treatments. Thanks.
A: Hi. Onbehalf of Tam Tri Sai Gon General Hospital, thanks for joiningthe show. I’m CaoHung
Phu,a urologistcurrently workingat the hospital.
Judgingbyyour symptoms,I’m convincedthat youhave BPH.Ifthe medical treatments are not
working,youshould visit the hospital to get a thoroughcheck.Incase yourprostate is too large, you
need to undergoa surgery.
Plenty ofminor surgeries are performedat some particular hospitals. Inmy opinion, as you’re a
senior, youshould considerthese procedures.
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Youmay visit Tam Tri Sai gon General Hospital forfurtherexplanation. We will apply endoscopic
ablation therapy in yourcase. This is a highly effectivemethod with little chancesofcomplications.
The patient canbe discharged within24-48hours.
Hoang Kim Hao – Male, 35 years old, Binh Duong
Q: I’m 23years old. I sometimes experience rectal bleeding, pain and swelling aroundmy anus,
whichdisappear after each bowel movement. DoI need to receive treatment soon? How to curemy
condition? Thanks
A: Hi Hoang.Thanks forjoining ourprogram today.I’m Cao HungPhu,aurologist from Tam Tri Sai
GonGeneral Hospital.
Ifyou experience rectal bleeding andpain but there’s no sign ofa skin tag, it is positive that you
have internal hemorrhoidgrade 1 or 2 whichcanbe curedby medication withoutsurgical
intervention. Ifyou experience prolapse uponbearing downrequiringmanual reduction orprolapse
with inability to be manually reduced,youmay be facingwithinternal hemorrhoid grade 3 -4.
Nowadays,there are lots of effective surgicalprocedureincludingLongoprocedurewhichallows
the patient to be dischargedwithin 24hours.
I believe that withoutproper treatment, you conditionwill worsenandgrow more complex thuswill
raise the risk of recurrence.Tryto eat more fiber to prevent constipation.Try to avoid recurrence.
Youshouldvisit the hospitals specialized in anorectal anomalies. Youmay visit Tam Tri Sai Gon
General Hospital to get thoroughconsultationandeffective treatment.
Nguyen Thi Kieu My, Dong Nai
Q: My mother is 60 years old. She usually experiences rectal bleeding anddefecates a lot
throughouttheday (5 – 7 times/day). She hasbeen eating poorly lately. Arethese the symptoms of
hemorrhoid? Ifso, whereshould she goto get treated? Andwhat method is goodforher? Thanks
A:Hi Ms. My. Thanks forjoining ourprogramtoday. I’m Cao HungPhu,aurologist fromTam Tri Sai
GonGeneral Hospital.
Inthis case, yourmother’s symptomsare notapparent enoughthus the doctorwouldn’tthink she
has hemorrhoid buta digestive disorder instead. She should be examined by proctologists at
reliable hospitals. She may be instructed to have gastrointestinal endoscopyforbetter diagnosis. If
she is diagnosed with hemorrhoid,she can receive either medical orsurgical treatment. You may
visit Tam Sai Gonto have yourmother examined andtreated.