Can bladder stones cause frequent and urgent urination?

Written by Zeng Zhong
Urology
Updated on September 14, 2024
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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 Zeng Zhong
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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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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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.

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Urology
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Is it normal to have blood in urine with bladder stones?

Patients with bladder stones may experience frequent urination, painful urination, and even hematuria. These all belong to the symptoms of bladder stones, therefore, it is normal for bladder stones to cause blood in urine. The main treatment for patients with bladder stones is based on the size of the stones. For smaller bladder stones, extracorporeal shock wave lithotripsy can be used for treatment. After treatment, patients should drink plenty of water and urinate frequently at home to facilitate the expulsion of the stones, and then return to the hospital for a follow-up. For larger bladder stones, surgery is required for treatment.

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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.