Clinical manifestations of bladder stones

Written by Zou De Bo
Urology
Updated on September 20, 2024
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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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Is bladder calculus severe?

Bladder stones are not a particularly serious disease. Bladder stones are a common disease in the urinary system, mainly caused by the migration of kidney stones down the ureters into the bladder. Another scenario is that obstructions in the urinary tract prevent urine from being completely expelled from the bladder, leading to the formation of bladder stones over time. The treatment for bladder stones is relatively simple. For bladder stones that are less than two centimeters in size, extracorporeal shock wave lithotripsy can be used. For bladder stones larger than two centimeters, minimally invasive surgery can be performed.

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Urology
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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.

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Urology
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What should you pay attention to with bladder stones?

Patients with bladder stones need to rest more and be less active. This is because frequent movement can cause the stones in the bladder to shift. If the stones move within the bladder, they can rub against the bladder mucosa, leading to abdominal pain, visible blood in the urine, and painful urination. Sometimes, if the bladder stones block the urethra, it can also make urination difficult. Therefore, patients with bladder stones need to rest more and limit their activities.

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Urology
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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.

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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.