Bladder Stone

Stone may form inside the bladder or get deposited in the bladder and grow to enormous sizes. Many times they may lead to symptoms like difficulty in passing urine, blood in urine, pain in the lower abdomen, retention of urine and severe burning in passing urine. Bladder Stone or Vesical calculus needs to be managed essentially by surgery. This surgery is done either without any cut or with a very small cut and is the most effective way of management of these stones.

How does bladder stone form ?

Bladder stone may form in two ways. Most commonly the stone forms in the kidney and pass from the ureter or the urine pipe of the kidney into the urinary bladder. In the bladder these stones grow and become large enough to cause an obstruction to the flow of urine thereby producing symptoms. Stones can also start to develop in the bladder because of severe obstruction or blockage in the flow of urine. This can happen because of an enlarged prostate, contracture of the bladder neck or a stricture or narrowing in the urethra.

What are the symptoms of Bladder Stone ?

bladder stone treatment gurgaon laser scarless without surgery
The appearence varies based on the type of Bladder stone

Bladder stone can cause the following symptoms:

  • Pain in the lower abdomen
  • Straining to pass urine
  • Recurrent urge to pass urine
  • Increase in frequency
  • Getting up many times in the night to pass urine
  • Blood in urine
  • Pain or burning while passing urine
  • Difficulty in emptying the bladder completely
  • Feeling of incomplete emptying of the bladder
  • Retention of urine or inability to pass urine

How are Bladder stones treated ?

Very small bladder stones of less than 10mm may be treated with medicines that open the urethral passage and dissolve the stone. However larger stones need to be removed by surgery. There are various surgeries available for the management of Bladder Stones. These include the minimally invasive Cystolithotripsy, the small incision Percutaneous Cystolithotripsy and the conventional Cystolithotripsy.

Endoscopic scarless surgery done through the urinary passage itself
Percutaneous Cystolithotripsy
Endoscopic Surgery done through the lower abdomen after making a 6 to 8 mm cut in the lower abdomen
Conventional open surgery done through a cut in the lower abdomen which is usually 4 to 5 cms
Applicable for Stones upto 2 cmApplicable for stones up to 4 cmsCan be done for stones of any size
Duration of surgery is 1 hourDuration of Surgery is 30 minutes to 3 hours depending size of stoneDuration of surgery is 1 hours irrespective of size of the stone
No cut or incision is made1 cm cut or incision is made over the lower abdomen4-10 cm incision is made in the lower abdomen depending on the size of stone
Stone is extracted in piecesStone is extracted in large piecesEntire stone is extracted in toto
Recovery time is 24 hoursRecovery time is 48 hoursRecovery time is 48 hours
Catheter is kept after surgery for 24 hoursCatheter is kept after surgery for 7 to 10 daysCatheter is kept after surgery for 10-14 days
Minimal Complications like mild hematuriaMild complications like hematuria and infection

What are the complications of surgery for bladder stone ?

Bladder stone surgery can be associated with complications like:

  • Persistent Hematuria or bleeding in urine
  • Infection
  • Urethral Stricture or narrowing of the urine pipe
  • Bladder rupture
  • Vesico cutaneous fistula

The complications are very rare and can be managed with medication or further surgery.

How to prevent recurrence of bladder stone?

There are many cases who undergo surgery for the bladder stones but the main reason behind the stones is never addressed. Stones form in an obstructed system and it si important to assess where the obstruction is. Usually patients have an enlarged prostate or a urethral stricture which can be managed along with removal of the bladder stone.

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