Bladder Stones

Also called bladder calculi, bladder stones are mineral build-ups that form in the bladder, usually as a secondary urologic condition caused by a urinary tract infection or enlarged prostate. Bladder stones form when stagnated urine in the bladder becomes concentrated. Minerals in the concentrated urine then crystallize into a mass. When the mass rubs against the lining of the bladder or obstructs urination, the symptoms become recognizable. Bladder stones mainly affect men.

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Symptoms

Although some people may not experience any symptoms of bladder stones, the most common include:

  • Need to urinate frequently
  • Pain during urination
  • Urine flow interruption
  • Blood in the urine
  • Unusually dark colored urine
  • Urgency or incontinence
  • Fever
  • In men, penile discomfort
  • Pain in the lower abdomen
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Diagnosis

A physician will perform the following tests to diagnose bladder stones:

  • Urinalysis and culture
  • Lower abdominal check for bladder distension
  • Bladder or pelvic X-ray or imaging
  • Cytoscopy (cystolitholapaxy): a small tube with a camera (cytoscope) is inserted into the bladder through the urethra to see inside the bladder and any stones which might be there. Regional or general anesthesia is usually used.
  • Intravenous pyelogram: dye is used to highlight the urinary organs when an X-ray is taken.
  • Ultrasound
  • Computerized tomography (CT) scan
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Treatments

Although most bladder stones must be removed, the patient can try increasing urinary production by drinking 6 to 8 glasses of water or more per day, which may help the stones pass out of the body naturally.

Removal of bladder stones can be accomplished with a cytoscope, through extracorporeal shock wave lithotripsy (ESWL), which breaks up stones using ultrasonic waves, or by traditional open surgery.

Since bladder stones are generally secondary conditions, if the underlying cause of the stones is not addressed, the problem may recur. Untreated stones may also cause urinary tract infections or damage to the kidneys or bladder.

 

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