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Bladder stones are stones that form in the bladder, or move down from the kidney. If not properly treated, bladder stones will cause complications such as recurrent urinary tract infections or cause symptoms of urinary disorders, affecting the health and quality of life of the patient. Laparoscopic lithotripsy is a method used to treat bladder stones for patients that is both effective and pain-relieving.
1. Symptoms of bladder stones need treatment
Bladder stones can pass out automatically when urinating, but large stones will not go out on their own and will cause a lot of symptoms for the patient:
Dull or severe lower abdominal pain when bladder stones rolling back and forth in the bladder; Penile pain or discomfort in men; Difficulty urinating, painful urination, interrupting the flow of urine; Urinary incontinence, frequent urination due to the existence of stones in the bladder causing urinary tract obstruction; Hematuria or dark urine. Bladder stones are more common in men and tend to be in people over the age of 50. People with prostate enlargement, prostate cancer, prostate cancer, urethral stricture due to infection or surgery that obstruct the bladder outlet are at high risk of bladder stones. People with sequelae of stroke, spinal cord injury, Parkinson's disease, herniated disc, diabetes have a high risk of bladder stones.
If left untreated, bladder stones can damage the bladder lining when contracted, stones rub repeatedly against the mucosa causing inflammation, ulcers and infection or bleeding. Even nephritis caused by retrograde infection, kidney failure, bladder, perineal or vaginal fistula (women), causing urine to leak through the vagina or anus, causing many inconveniences in daily activities. and cause infection...
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2. Laparoscopic lithotripsy
Laparoscopic lithotripsy is an effective method of treating bladder stones. The patient is indicated for laparoscopic lithotripsy when the stone exists in the bladder lumen and cannot be expelled spontaneously. However, some cases are contraindicated with laparoscopic lithotripsy, namely:
Patients with medical comorbidities with contraindications to anesthesia, surgery; Unstable urinary tract infections; Bladder stones > 5cm in size, or with many stones (in this case, cystectomy should be performed to remove stones); Pathological narrowing of the urethra. Patients with bladder stones before performing laparoscopic lithotripsy are fully prepared such as preoperative tests, abdominal ultrasound, non-contrast abdominal X-ray, bladder stones, and radiographs. Multi-slice computed tomography of the abdomen and pelvis. Besides, the patient is cleaned the pubic area to make the endoscopic process easier and more hygienic.
3. Conduct cystoscopy for lithotripsy
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After examining the patient who is fully prepared to perform laparoscopic lithotripsy, the urologist will perform the laparoscopy according to the following techniques: spinal anesthesia or general anesthesia.
Posture: lithotomy; Disinfect the external genitalia; Insert the cystoscope into the bladder through the urethra; Check for comorbidities of: urethra, prostate gland, bladder neck, bladder mucosa and 2 ureters; Determine the number and size of stones; Lithotripsy with ultrasound or laser energy; Remove the debris, install urethral drainage.
After surgery, the patient was drained of the urethra after 1 day. For laparoscopic lithotripsy, there are usually no serious complications.
Laparoscopic cystectomy should be performed in a medical facility with modern equipment to best support diagnosis and treatment. Currently, Vinmec International General Hospital is the first hospital to fully apply the treatment methods of bladder stone disease in stages. In addition, the hospital also has a Urology Screening Package - Stones, which helps patients detect urinary diseases and stones early even when there are no symptoms. The package of Urology Screening - Stones at Vinmec Hospital includes many utilities such as:
Customers are examined and consulted by urologists. Perform diagnostic X-ray and ultrasound services. Early detection of urinary diseases, stones and timely treatment advice.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
