Treatment Duration
30 Minutes
------ To ------60 Minutes
Treatment Cost
₹ 70,000
------ To ------₹ 45,000
Table of Contents
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If a person is experiencing lower abdominal pain or difficulty and pain during urination, these may be the signs of a urinary bladder stone. What are bladder stones? They are hard masses of minerals that form in the bladder as a result of the minerals in urine that crystallise and clump together. Bladder stones usually develop when a person has difficulty emptying the bladder.
Small stones may usually pass on their own without treatment. However, sometimes they may need medical or surgical intervention. Cystolitholapaxy is one such bladder stone removal surgery that uses a laser to break bladder stones into smaller pieces before removing them. Continue reading to learn more about Cystolitholapaxy’s meaning, procedure, treatment, and more.
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Cystolitholapaxy is the most common surgical procedure to remove bladder stones without external incisions. It is an outpatient procedure where the patient can return home the same day. During a Cystolitholapaxy, the surgeon uses a cystoscope to locate the bladder stone. Next, they use a laser to break the stones into smaller fragments that are cleared from the bladder. However, in some cases, the surgeon may need to make small incisions in the lower abdomen and bladder to remove stones.
The urinary bladder plays two main roles, which include:-
Cystolitholapaxy is performed to treat urinary bladder stones that may not pass by drinking extra water. It is a procedure that requires no external incisions.
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Patients unable to pass stones naturally by drinking lots of water may require Cystolitholapaxy. The candidates for this procedure include patients who:-
Percutaneous suprapubic Cystolitholapaxy (a type of Cystolitholapaxy) is also preferred for children with urinary bladder stones to prevent damaging their urethra.
Those who have the following conditions are not the ideal candidate for Cystolitholapaxy:-
Cystolitholapaxy is an outpatient procedure, i.e., the patient can return home on the same day of their surgery. Depending on the stone size, the procedure can take 30-60 minutes. The steps involved in the surgery include:-
Preparation for the Final Surgery
The Final Surgery
Types of Cystolitholapaxy
There are two types of Cystolitholapaxy procedures:-
But why is percutaneous suprapubic Cystolitholapaxy preferred over transurethral Cystolitholapaxy for children? Because children have a narrower urethra, making the insertion of cystoscopes more difficult.
The following table compares transurethral and percutaneous suprapubic Cystolitholapaxy:-
Before the bladder stone removal surgery, the doctor will perform a physical test and evaluate the patient’s medical history. During the physical test, he/she will feel the lower abdomen to check for an enlarged bladder or perform a rectal exam to check for enlarged prostate. He/she will perform a series of tests before the surgery, which includes:-
Here’s what the patient can expect in preparation for surgery:-
On the Day of Cystolitholapaxy Surgery
Generally, the patient is admitted to the hospital on the same day of the surgery. Here’s what he/she can expect on the day of surgery:-
For 24 hours to one week after the procedure, the patient may:-
Cystolitholapaxy is an outpatient procedure, so the patient may not need to stay overnight in the hospital. However, he/she will be under anaesthetic effect after the procedure and may expect the following in the hospital:-
Recovery at Home
Diet
Activity
Work
Restrictions
Medicine
Catheter
First Follow-Up Appointment
The doctor will schedule a follow-up appointment 4-6 weeks after the procedure or earlier in case of complications. During the visit, the doctor will perform X-rays or a CT scan to check whether the bladder stones have been removed completely. He/she will provide further follow-up instructions if required.
There are several benefits of Cystolitholapaxy compared to other stone treatments:-
Though rare, Cystolitholapaxy has some potential complications like any other procedure. The side effects of the procedure include:-
Complications specific to Cystolitholapaxy include:-
Occasional (approximately 1 in 10)
Rare (1 in 100 or 1 in 250)
Sequelae of Complications If Not Treated in Time
Complications like urethral injury and bladder perforation may require additional surgery. If left untreated, it may have the following sequelae:-
When to Consult a Doctor?
The patient should call the healthcare professional if he/she experiences:-
Risks of Delaying Cystolitholapaxy
Last Updated on: 4 April 2024
HexaHealth Care Team brings you medical content covering many important conditions, procedures falling under different medical specialities. The content published is thoroughly reviewed by our panel of qualified doctors for its accuracy and relevance.
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