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Bladder Stone

Secondary Stones from Outlet Obstruction

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Bladder Stone?

Bladder stones are concretions formed within the bladder, most often in adults as a secondary phenomenon to outlet obstruction and incomplete emptying.

Struvite, calcium oxalate, and uric acid compositions are common; chronic catheters favor struvite and infection stones.

Primary (idiopathic) endemic bladder stones in children remain prevalent in some developing regions.

Diagnosis is by KUB ultrasound, low-dose CT, or cystoscopy; all bladder stones warrant evaluation of outlet obstruction.

Symptoms

Intermittent lower-abdominal or suprapubic pain
Urinary frequency, urgency, and dysuria
Gross or microscopic hematuria, often at end of void
Intermittent urinary stream that stops and starts
Recurrent urinary tract infections
Acute urinary retention when a stone impacts the bladder neck

Risk Factors

Bladder outlet obstruction from BPH or urethral stricture
Neurogenic bladder (spinal cord injury, spina bifida, MS)
Chronic indwelling catheter or suprapubic catheter
Bladder diverticula and augmentation cystoplasty
Recurrent urinary tract infections
Low fluid intake and dehydration in endemic populations

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Gross hematuria, recurrent UTI, or intermittent urinary stream
  • Acute urinary retention or severe lower-abdominal pain
  • Fever with suspected stone and infection (emergency)

Treatment Methods

01
Hydration and treat associated UTI with culture-guided antibiotics
02
Cystolitholapaxy: transurethral mechanical or laser fragmentation and extraction
03
Percutaneous suprapubic cystolitholapaxy for very large stones
04
Concomitant treatment of outlet obstruction (TURP, HoLEP, bladder neck incision)
05
Catheter care protocols, periodic change, and bladder washouts for high-risk patients
06
Follow-up ultrasound/KUB 3-6 months after treatment to confirm stone-free status

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.