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KMID : 0363320210420020131
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Journal of Korean Oriental Internal Medicine
2021 Volume.42 No. 2 p.131 ~ p.139
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Case Report of Combined Herbal Medicine Treatment for Nocturia and Perineal Discomfort Before Bladder Calculi Removal Surgery
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Bae In-Hu
Seo Yu-Na
Lee Young-Seon
Cho Ki-Ho
Mun Sang-Kwan
Jung Woo-Sang
Kwon Seung-Won
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Abstract
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Background: Bladder calculi greater than 10 mm should be managed via surgical treatment, such as cystolithotomy or percutaneous removal. Because risk evaluation for underlying disease must precede operation, patients are medicated with uroselective alpha blockers or analgesics until the operation occurs. However, disagreement exists about the success of these treatments.
Case report: We present a case of a male patient who was hospitalized for sequelae of internal cerebral hemorrhage with complaints of nocturia and perineal discomfort. Abdominal computed tomography showed large bladder calculi. However, because of suspected pheochromocytoma, immediate surgery could not be performed, so we treated him with Korean medicine for 27 days (Daesiho-tang for 27 days and Jakyakgamcho-tang was started at 14th day of treatment, treated till 27th day.) until a cystolithotomy could be performed. Nocturia and perineal discomfort improved after 9 days, and the patient stopped taking acetaminophen.
Conclusion: The administration of Daesiho-tang and Jakyakgamcho-tang to a patient with bladder calculi successfully controlled symptoms of nocturia and perineal discomfort until cystolithotomy could be performed.
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KEYWORD
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Daesiho-tang, Jakyakgamcho-tang, large bladder calculi, nocturia, perineal discomfort
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