Bladder Stone Symptoms and Treatment – Dr. Kadir Tepeler

Bladder Stones

Urinary bladder or bladder is the region where urinary tract stones are less common than kidney and ureter. However, bladder stones are seen especially in some patients.

Since the urethra (outer urethra) where urine is discharged after the bladder is relatively wider, the stones coming from the kidney or ureter to the bladder can be thrown out more easily.


Why Do Bladder Stones Occur?

In addition to metabolic causes such as kidney stones, the conditions that cause bladder stones can be counted as mechanical obstruction or other causes in urinary excretion. The bladder is where urine is stored and emptied. Obstructions that cause urine flow (benign prostate enlargement, prostate cancer, urethral strictures (urethral stricture)), conditions that disrupt the discharge of the bladder (neurogenous bladder, spinal cord injuries, diabetes, orthotopic bladder), foreign bodies in the bladder (stents, sutures or post-surgery) remaining hemorrhoids-clips), pockets (diverticulum) formed in the bladder may cause stones in the bladder.

What Complaints Do Bladder Stones Cause?

Bleeding in the urine, inguinal pain, weakening of the urine stream and even sudden inability to urinate are the most common complaints. It is also one of the situations we encounter while doing research on patients with urinary tract infections.

How to Diagnose Bladder Stones?

The diagnosis of bladder stones is made by imaging methods in patients who come with urinary complaints. This imaging method is usually ultrasound. In the preliminary evaluation of the patients, urinalysis, kidney functions, PSA examination and uroflowmetry if the patient is over 40 years old. Tomography may be requested in cases where ultrasound is not sufficient and because it is necessary to evaluate the kidneys in detail. More extensive investigations (pressure flow study?) may be required in patients with suspected bladder emptying problem (neurogenous bladder).

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What is the Treatment for Bladder Stones? Which Methods Are Used?

During the treatment of bladder stone, the underlying problem can be determined and if possible, treatment can be performed in the same session. Bladder stones develop as a complication of benign prostate enlargement. Therefore, in this case, solutions for prostate-related obstruction are presented to our patient in the same session as stone treatment.

Closed methods are generally preferred in the treatment of bladder stones. Under general or spinal (anesthetizing with a needle from the waist) anesthesia, it is entered through the external urinary canal with a camera device and the urinary bladder is reached. Meanwhile, if there is a narrowing in the urethra, this narrow area can be opened with a laser or a cold knife. The stone in the bladder is powdered by laser and cleaned, and the operation is completed. This method is called endoscopic cystolithotomy.

In larger (3cm) bladder stones, it takes time to remove the stones from the urethra with laser, and it is desirable not to damage the urethra during this time. Therefore, in large bladder stones, under anesthesia, the urinary bladder is entered with a camera device with a 1 cm incision from the skin area above the patient's bladder, and the stone is fragmented and removed. This method is called percutaneous cystolithotomy.

Open surgery is preferred for larger bladder stones, if open surgery is planned for the prostate in the same session, or if there are no technical possibilities for closed methods.

How is the Post-Operative Period?

After closed methods, patients can return home after 1 day. He can take a bath and return to his normal activities after a few days. If concomitant urethral stenosis or prostate enlargement has also been intervened, if open surgery has been performed, hospitalization and return to social life may be prolonged.

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2 Comments to “ Bladder Stone Symptoms and Treatment”

  1. Dushyant Pawar says :Reply

    thank you for giving useful information about Stones removal treatment .this blog is very important for reader.

  2. Dr. Dushyant Pawar says :Reply

    thank you for giving useful information about Bladder Stone treatment .this blog is very important for reader.

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