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.
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.
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
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
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