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Treatments and drugs
By Mayo Clinic staffMost bladder stones should be removed. If the stone is small, your doctor may recommend that you drink an increased amount of water each day to help the stone pass. If the stone is large or doesn't pass on its own, your doctor may need to remove the stone.
Breaking stones apart
Bladder stones are often removed during a procedure called a cystolitholapaxy. A small tube with a camera at the end (cystoscope) is inserted through your urethra and into your bladder to view the stone. Your doctor then uses a laser, ultrasound or mechanical device to break the stone into small pieces and flushes the pieces from your bladder.
You'll likely have regional or general anesthesia prior to the procedure to make you comfortable. Complications from a cystolitholapaxy aren't common, but urinary tract infections, fever, a tear in your bladder and bleeding can occur. Your doctor may give you antibiotics before the procedure to reduce the risk of infections. About a month after the cystolitholapaxy, your doctor will likely check to make sure that no stone fragments remain in your bladder.
Occasionally, bladder stones that are large or too hard to fragment are removed through open surgery. In these cases, your doctor makes an incision in your bladder and directly removes the stones. Any underlying condition causing the stones, such as an enlarged prostate, may be corrected at the same time.
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- Weinstein AJ. Urinary calculi (stones/urolithiasis/nephrolithiasis). In: Weber CG. The Clinical Medicine Consult. Pacific Primary Care; 2008. http://clinicalmedconsult.com. Accessed Oct. 4, 2008.
- Pearle MS, et al. Urologic diseases in America: Urolithiasis. National Kidney and Urologic Diseases Information Clearinghouse.http://kidney.niddk.nih.gov/statistics/uda/Urolithiasis-Chapter08.pdf. Accessed Oct. 4, 2008.
- Medical management of stone disease. American Urological Association. http://www.urologyhealth.org/search/index.cfm?topic=102&search=bladder%20AND%20stones&searchtype=and. Accessed Oct. 4, 2008.
- Hammad FT, et al. Bladder calculi: Did the clinical picture change? Urology. 2006;67(6):1154-1158.
- Garcia Cardozo JV, et al. Bladder calculi: Is extracorporeal shock wave lithotripsy the first treatment choice? Archives of Spanish Urology. 2003;56(10):1111-1116.
- Gravel root. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Oct. 5, 2008.
- Stone root. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Oct. 5, 2008.
- Hydrangea arborescens. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Oct. 5, 2008.
- Ellis H. A history of bladder stone. Journal of the Royal Society of Medicine. 1979;72(4):248-251.
