Clinical manifestations of bladder stones

Written by Zou De Bo
Urology
Updated on September 20, 2024
00:00
00:00

Generally speaking, a typical clinical manifestation of bladder stones is the sudden interruption of urination. That is, the patient may start to urinate normally, but then suddenly becomes unable to urinate midway through. Urination can resume once the patient changes position. Therefore, this sudden interruption of urination is a classic symptom of bladder stones. Of course, bladder stones can also cause other urinary tract irritation symptoms, such as frequent urination, urgency, pain during urination, and hematuria (blood in urine).

Other Voices

doctor image
home-news-image
Written by Zeng Zhong
Urology
41sec home-news-image

How to treat bladder stones?

For the treatment of bladder stones, a treatment plan should be developed based on the specific size of the stones. For smaller stones with a diameter of less than 1.5 centimeters, extracorporeal shock wave lithotripsy can be used. After the treatment, patients should go home, drink plenty of water, and urinate frequently to help expel the stones from the bladder. For larger bladder stones, surgical treatment is required. Currently, surgeries are minimally invasive; there are no incisions on the abdomen. The procedure mainly involves inserting a ureteroscope through the urethra, then locating and breaking the stones using a holmium laser and flushing them out of the body.

doctor image
home-news-image
Written by Zeng Zhong
Urology
31sec home-news-image

How big must a bladder stone be to require surgery?

Bladder stones are a common type of urinary system calculus. Generally, stones with a diameter greater than 1.5 centimeters require surgical treatment. Currently, minimally invasive surgery is performed, which is transurethral ureteroscopic holmium laser lithotripsy. This involves inserting a ureteroscope through the urethra into the bladder, locating the bladder stones under direct vision, and using a holmium laser fiber to fragment them, while simultaneously extracting the broken pieces.

doctor image
home-news-image
Written by Zeng Zhong
Urology
37sec home-news-image

Can bladder stones be crushed?

Whether bladder stones can be treated with lithotripsy depends on their size. If the stone is relatively small, less than 1.5 cm, it can be treated with extracorporeal shock wave lithotripsy. For larger stones, the effectiveness of extracorporeal shock wave lithotripsy is often not very good, and surgical treatment is required, generally for stones larger than 1.5 cm. Currently, the surgical approach involves a minimally invasive procedure using ureteroscopy with holmium laser lithotripsy, and the typical hospital stay is usually less than a week.

doctor image
home-news-image
Written by Zeng Zhong
Urology
34sec home-news-image

How to effectively treat bladder stones?

The treatment of bladder stones should be based on the specific size and volume of the stones in the patient. For bladder stones smaller than 1.5 centimeters, extracorporeal shock wave lithotripsy can be used. After the treatment, the patient should drink plenty of water and urinate frequently at home to facilitate the expulsion of the stones. One week later, the patient should return to the hospital for a follow-up ultrasound to observe the condition of the stone expulsion. For bladder stones larger than 1.5 centimeters, surgery is often required.

doctor image
home-news-image
Written by Zeng Zhong
Urology
31sec home-news-image

Is minimally invasive surgery for bladder stones painful?

Minimally invasive surgery for bladder stones is primarily performed through the urethra, using a laser lithotripsy technique. During the surgery, anesthesia is administered, so the patient does not feel any pain. After the surgery, once the anesthesia has metabolized, the patient generally does not experience intense pain. Since the minimally invasive surgery does not involve any abdominal incisions, the patient only needs a catheter to help with urination, which generally does not cause pain.