Where does bladder stones hurt?

Written by Zeng Zhong
Urology
Updated on September 03, 2024
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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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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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Can bladder stones be crushed?

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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Can bladder stones cause frequent and urgent urination?

Patients with bladder stones may experience frequent and urgent urination, and some may also experience painful urination or even blood in the urine. This is primarily due to the movement of stones within the bladder, which irritates the mucous membrane. It is essential to treat bladder stones promptly. Treatment can be sought at the urology department of local hospitals, where the choice of treatment method depends on the size of the stones. Options include extracorporeal shock wave lithotripsy or surgical treatment.

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Written by Wang Shuai
Urology
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Can bladder stones be expelled?

Whether bladder stones can be expelled from the body depends on the size of the stones. If the diameter of the bladder stone is less than 7 millimeters, in this case, by drinking more water and urinating frequently, relying on the flushing action of urine, the stones can be expelled from the bladder in most cases. However, if the stone is larger, with a diameter of 1 centimeter or more, it is difficult to expel the stone through conservative treatment and often requires surgical intervention, such as extracorporeal shock wave lithotripsy or holmium laser lithotripsy under cystoscopy to first crush the stone, then expel it through conservative treatment, or remove the crushed stones directly during the surgery.

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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.