カテゴリー: 腫瘍学

ロボット泌尿器科手術の時代

Robotic Urology surgery had been gained more reputation now a day, which is already claiming as a gold standard in many urological surgeries; such as robotic prostatectomy. Today we will be diving in the whole story of robotic urology surgery – history, utilization, pros, and cons and projecting the future of robotic urology surgery. Let’s start back to the history of robotic urology surgery. Everything had been started since 1980s after President George W. Bush’s speech who would like to bring the human to the Mars – first key item was invented; 3-dimension head-mount display. The second key item, telemanipulation instrument was invented incidentally by Stanford researchers who aimed in […]

MRIフュージョン経会陰前立腺生検 - 前立腺癌検出のソリューション

Today, we will dive deep into the new procedure which been called the “MRI-fusion transperineal prostate biopsy”. Prostate cancer is the second most common solid tumor occur among gentleman worldwide. In the past, for suspecting prostate cancer a patient was needs to do the biopsy procedure called the “Transrectal random prostate biopsy” at that time the quality of that procedure which is less in accuracy and easily to get to get infected from the feces that contaminated during the biopsy that needle punched through the rectal wall for reaching the prostate tissue. This is the reason that the new technique is being invented. This new technique took advantage and virtually […]

尿管狭窄：原因と治療

Ureteral stricture is a condition that spin around my urology clinic. Most of patients have been sent from the other clinics by various causes of etiology, some are symptomatic, and some are not. This kind of condition need a carefully history taking as well as physical examination along with a proper imaging investigation before discussion of the root cause and treatment options to the patients. Today we are going to talk about this problem, ureteral stricture. Causing of ureteral stricture 2 essential questions that we must keep in mind when dealing with ureteral stricture. After we make a provisional diagnosis, then we will choose the proper investigation to clarify our […]

リコピン: 前立腺がんの予防にはどのくらい摂取する必要がありますか?

Lycopene, the antioxidant which rich in tomato, carrot, watermelon, and papaya widely being mentioned in general audiences for the prevention of prostate cancer’s supplements. This topic will give you more detail related to the magic-like antioxidant. Q&A on Lycopene Q: What is Lycopene? A: It is a pigment that we can find in plants known as carotenoids. Carotenoids produce colors ranging from yellow, orange, and red colors. Q: Hit-to-the-point question, dose it scientifically help preventing of a prostate cancer? A: Yes, it is but it’s only helps when it will be taken at least 9 mg daily. Q: How much prostate cancer risk lowering while getting over 9 mg of […]

多発性嚢胞腎：私たちは何をすべきですか？

For me as a urologist who’s dealing with kidney problems in every single day. There is one genetic-related kidney condition which happen in young population and always terrifying the one whom experienced, so-called “Polycystic kidney disease”. It is a state of several cystic lesions all over the kidney organ. Today, I will clarify everything you must know about this disease. Polycystic kidney disease has prevalence rate between 1 in 500 to 1 in 4,000. It is the most frequent genetic-related cause of renal failure. At the age of 60 years, 50% of patients need a renal replacement therapy (either hemodialysis or kidney transplantation). It is mostly asymptomatic in childhood and […]

6前立腺がん予防に関する修正可能な危険因子

Whereas the patients at my office asking lots on prostate cancer prevention so in this topic, I will show you the 6 modifiable risk factors prostate cancer prevention strategy that you may consider and try to make it possible for your own. But in the meantime, you must know that prostate cancer also mainly related with ethnicity and family history which cannot be modified. Here we go! (The reference was from World Journal of Oncology 2019) Evidence-based prostate cancer prevention Prostate cancer is one of the most common malignancies in male generally; it’s being shown at general health checkup screening. Prostate cancer prevention strategy is also the important tool in […]

事前の前立腺癌患者のアンドロゲン除去療法

In this topic, we will remain focusing on an androgen deprivation therapy in advance prostate cancer patient. I have been practicing in Cambodia for more than 5 years. I was founding that the prostate cancer patients more likely getting higher rate in each year and more common for both local and foreigners, they have tried to seek for a good quality service with an up-to-date management in prostate cancer treatment. First of all, you must know that the male hormone- testosterone plays a major role in prostate cancer aggressiveness activity; therefore, we try in every way to suppress this hormone. In the past, in order to do androgen deprivation therapy, […]

MRI前立腺結果の解釈

Due to the medical concern and health promotion program very actively in now a day, lots of gentlemen more likely suspicious on prostate cancer will refer seeing me at the Urology office. In the past, when we suspected prostate cancer, we only have one method to recommend them; we always introduce them to do prostate tissue biopsy procedure though. Since then, not all the patients get the positive prostate cancer result from the biopsy! It took us really upset for someone who doesn’t have prostate cancer instead of receiving an unnecessary biopsy and consequently suffering very unfair with these complications. Currently, MRI prostate is the essential tool to clarify the […]

TURBT - ホルミウムレーザー膀胱腫瘍一括切除術(Ho-ERBT)

Since Royal Phnom Penh hospital is the first ever hospital in Cambodia which succeed preforming in Ho-ERBT operation, so this topic, I’m going to mention and classify over the Pros and the Cons of the Ho-ERBT. First, let’s start with endoscopic TUR-BT, which is the conventional operation in endoscopic bladder tumor removal. TURBT is abbreviation from “Transurethral resection of the bladder tumor”  The methodology of the conventional TURBT is passing the scope via urethra and then use a small electrical surgical knife for scooping bladder mass. Imagine you’re now scooping an ice cream, there could be a hundred scoops in a single TURBT operation which is any scoop possibly makes the surgical field bleeding, another con is a risk of bladder perforation, due to TURBT procedure needs electrical power to do cutting method and this electrical activity can naturally […]

腎がん生検：いつ、どのように？

Renal cancer is a silent cancer though but due to an increasing utility of ultrasonography and CT scan in routine over the medical checkup’s result in incidentally detected a small renal mass or (SRMs). The definition of SRMs is a solid kidney lesion which is less than 4 cm. These SRMs has 80% chance to be a cancer and 20% to be a benign lesion. Traditionally, urologists always encouraging everyone who had SRMs undergoing the operation which will sometimes surprise both surgeon and patients when the pathological result come out just benign. That’s why renal mass biopsy was suggested and increased usage overtime. Renal cancer biopsy was invented due to […]