Bladder Tumour Surgery: Conventional TURBT and Laser En-Bloc Resection Compared

Two ways of removing a bladder tumour through a telescope. The laser en-bloc technique gives the pathologist a better specimen and removes one specific danger — but it does not suit every tumour, and the operation is only the first part of the treatment.
Biopsy of a Small Kidney Mass: When It Helps, and When It Does Not

A needle sample of a kidney lesion found by chance on a scan. It can spare an unnecessary operation — but roughly one in ten comes back with no answer at all, and a benign result is not the same as a final one.
A Positive Syphilis Screening Test That Isn’t Syphilis: The Biological False Positive

A reactive VDRL or RPR in someone with no risk and no symptoms is often not syphilis at all. Dr. Soarawee Weerasopone explains what a biological false positive is, the one cause that matters more than the rest, and why a persistent one should never simply be dismissed.
Gonorrhea Treatment: What Actually Cures It, and What Happens Next

Gonorrhoea is curable with the right injection — but the treatment is only half of it. Dr. Soarawee Weerasopone explains why the tablets sold over the counter no longer work, why your partner must be treated too, and the symptoms that mean the infection has spread.
Syphilis Treatment: How It Is Cured, and How You Know It Worked

Syphilis is cured by an injection that has not changed in seventy years. What confuses almost everyone is what happens to the blood test afterwards. Dr. Soarawee Weerasopone explains why a positive test does not mean failed treatment, and the symptoms that mean the infection has reached the nerves or the eye.
石が流れるのを待つ:薬は本当に効果があるのか?

ほとんどの小さな尿管結石は自然に排出されますが、その経過を助けるために薬が処方されることがよくあります。ソラウィ・ウェラソポネ医師は、その薬について大規模臨床試験が実際に何を示したのか、男性が滅多に警告されない副作用、そして通常は見落とされがちな「安全に待ち続けられる期間」について解説します。.
尿管結石の痛み:効果的な対処法と、決して放置してはならない症状

尿管仙痛は最も激しい痛みのひとつであり、危険なものは痛みがさらに強いわけではなく、発熱を伴います。ソラウィ・ウェラソポネ医師は、医師の診察を受けるまでに実際に効果のある対処法を説明し、発作中に水分を大量に摂取するというアドバイスを訂正し、今夜すぐに救急外来を受診すべき状況について解説します。.
Radiation Cystitis: Bleeding From the Bladder Years After Pelvic Radiotherapy

Blood in the urine long after radiotherapy is often radiation damage to the bladder — but it must not be assumed to be, because radiation itself raises the risk of a second cancer. What is checked first, and what actually helps.
Residual Urine: What the Number Means, and What It Cannot Tell You

A scan after you have emptied your bladder, measuring what is left. Useful — but it varies hugely between visits, a single reading should not decide anything, and it never explains why the bladder is not emptying.
腎結石に対するクエン酸カリウム:その効果と限界

患者はしばしば、錠剤を服用すれば腎臓結石が消えることを期待する。バンコク病院の泌尿器科医、ソアラウィー・ウィーラソポン医師は、クエン酸カリウムが実際にどのような作用を持つのか(ある種の結石を溶解し、別の種類の結石の形成を予防する)、そしてその限界について解説する。.
