Cystolithotripsy

What are Bladder stones and how do they form?

Bladder stones are a common cause of urinary problems and urinary blockage. Stones are usually seen in small children an elderly men who have obstruction in the urinary pipe. This obstruction may be due to enlarged prostate or a stricture in the urethra. Among children bladder stones may formed due to deficiency is in the diet and these stones are called endemic bladder stones.

A case of stone within the bladder

What is cystolithotripsy ?

Bladder stones are removed by a procedure called as cystolithotripsy. In this procedure an endoscope is introduced into the urinary pipe to visualise the bladder stone. Using laser or a pneumatic lithoclast the stone is fragmented into pieces which are then extracted through the urinary pipe. Once the fragments have been removed completely urinary catheter is placed for 24 to 48 hours.

1.Duration

The duration of cystolithotripsy depend upon the size of the stone. All stones which are less than a centimetre can be removed as early as 5 minutes however largest stones may require a lengthy a procedure of about 30 to 60 minutes

2. Anesthesia

Small stones can be removed under local anaesthesia however stones more than 2 centimetres usually require spinal or regional anaesthesia

Pre Procedural preparations

If your procedure is being performed under spinal or general anaesthesia it is advised that a fasting of 6 – 8 hours should be followed.

For procedure that are being done under local anaesthesia the patient can have light meals before the procedure

To reduce infection and contamination it is advisable that the p**** hairs should be shaved or trimmed

You must arrive at least half an hour before the designated time of the procedure

Procedure details.

After your arrival be preoperative investigations will be checked and entered in a file

You will be allotted a private room and informed consent will be taken by our staff

You will be requested to change into a gown and an intravenous line maybe setup

Protesting for any allergies with the antibiotic and the local anaesthesia will be done

You will be shifted to the operating room to conduct the procedure

You will be made to lie down on the operating table and the legs will be elevated with stirrups

Local anaesthesia may be administered into the urinary pipe which may lead to mild burning

The cystoscope will then be introduced and the stone visualised in fragmented into pieces

The fragments of the stone will then be retrieved

Urinary catheter will be placed

You will be shifted back to your room on a wheelchair or trolley

Course after the cystolithotripsy

For procedures that are done under General or regional anaesthesia the patient is monitored for 24 hours before discharge can be given

The foley’s catheter is usually removed after 6-8 hours of the procedure

Corporation to undergo the surgery under local anaesthesia discharge can be given in 2 to 4 hours

Once the patient has been discharged the routine work can be followed

The patient can join work on the following day of the discharge