How to effectively treat bladder stones?

Written by Zeng Zhong
Urology
Updated on September 15, 2024
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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.

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Written by Zeng Zhong
Urology
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Do bladder stones cause nausea?

Patients with bladder stones will not experience nausea symptoms; a systemic examination is needed to identify the specific cause of the nausea. The main symptoms of bladder stones include frequent urination, urgent urination, and painful urination, and some patients may also experience visible blood in the urine. If the size of the bladder stone is less than 2 centimeters, it can be treated with extracorporeal shock wave lithotripsy. If the stone is larger, over 2 centimeters, minimally invasive surgery is required for treatment.

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Written by Zou De Bo
Urology
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Clinical manifestations of bladder stones

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).

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Written by Zeng Zhong
Urology
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Minimally Invasive Surgery Procedure for Bladder Stones

Before the surgery, the patient enters the operating room where the doctor administers anesthesia to ensure that the patient will not feel any pain during the procedure. Once the anesthesia takes effect, the patient is positioned in the lithotomy position. The surgeon then sterilizes the surgical area and inserts a ureteroscope through the urethra into the bladder. Once the bladder stones are identified with the help of a monitor, the patient does not feel any discomfort, and the doctor uses a Holmium laser fiber to directly break up the stones in the bladder.

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Written by Zeng Zhong
Urology
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Are bladder stones easy to pass?

Patients with bladder stones, if the stones are less than 0.5 cm in size, can promote the natural expulsion of the stones by drinking more water and urinating frequently. If the stones are larger, over 0.5 cm in size, treatment may require extracorporeal shock wave lithotripsy or surgery. For patients undergoing extracorporeal shock wave lithotripsy, generally, if the stones are between 0.5-1.5 cm in size, this treatment can be performed. After the treatment, it is also necessary to drink more water and urinate frequently to facilitate the expulsion of the stones. For larger stones, over 1.5 cm, surgical treatment is required.

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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.