Can bladder stones be crushed?

Written by Zeng Zhong
Urology
Updated on September 04, 2024
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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.

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Written by Zeng Zhong
Urology
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Postoperative care for minimally invasive bladder stone surgery

Minimally invasive surgery for bladder stones primarily involves performing a holmium laser lithotripsy through a ureteroscope via the urethra. During the procedure, some of the fragmented stones are flushed out of the body. After the surgery, a urinary catheter is installed to assist with urination. On the first day after surgery, patients are not allowed to eat due to the effects of anesthesia. On the second day, patients can consume a light liquid diet. In terms of care, it is important to monitor whether the urinary catheter is clear and unobstructed.

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Written by Wang Shuai
Urology
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What department should I go to for bladder stones?

Bladder stones are a condition treated by the urology department, requiring medical examination and treatment at a hospital. The treatment method chosen depends on the specific size of the stones. If the diameter of the stone is less than 7 millimeters, conservative treatment can be adopted, which involves drinking more water and urinating frequently to flush the stones out of the body. If the stones are larger, they need to be crushed before being expelled or directly removed through the use of a cystoscope. Under cystoscopy, stones can be crushed using a Holmium laser and then removed. After surgery, drinking plenty of water and urinating frequently can help prevent the recurrence of stones.

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Written by Guan Hai Fang
Urology
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Bladder stone symptoms in women

The most common symptom of bladder stones is pain, often episodic pain in the lower back or upper abdomen, severe and unbearable. The pain can travel along the ureter, radiating to the lateral abdomen and can also involve the labia. Then, there may also be hematuria; usually, it is microscopic hematuria, but a few patients may have gross hematuria, meaning that the urine visibly turns red during urination. Additionally, there may be symptoms of nausea and vomiting, possibly due to the stones causing mucosal ruptures in the kidney, ureter, or bladder, leading to inflammation. Furthermore, the stones might press on the intrinsic nerves of the ureter and intestines, causing nausea and vomiting, often accompanying renal colic. Another typical sign is bladder irritation, characterized by symptoms such as frequent urination, urgent urination, and painful urination.

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Written by Zeng Zhong
Urology
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Where does bladder stones hurt?

Patients with bladder stones experience lower abdominal pain and pain during urination. Bladder stones primarily form when kidney stones move down into the bladder, or due to urinary obstruction that prevents urine from being completely expelled, accumulating in the bladder and forming stones. The treatment of bladder stones depends on their specific size, and options include extracorporeal shock wave lithotripsy or surgical treatment.

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Written by Zeng Zhong
Urology
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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.