Overview
Bladder stones or bladder calculi are urine minerals that crystallize and form in the bladder. This is common when some urine remains in the bladder even after peeing. Untreated bladder stones can cause infections, bleeding, and urinating problems.
Large bladder stones may require treatment, while smaller stones may pass or dissolve on their own. Treatment options typically include medication, minimally invasive procedures, or surgery. Lifestyle changes may also be necessary.
Symptoms
Large bladder stones can irritate the bladder, causing significant pain, bleeding, and urination issues. While some may move through the body with pee and cause no symptoms. If a stone irritates the bladder wall or restricts the passage of urine, the following signs and symptoms may occur:
- Intermittent pain in the lower abdomen
- Pain or burning sensation when urinating
- Frequent need to urinate
- Difficulty urinating
- Interrupted urine flow
- Changes in urine color, such as blood on pee, and murky or dark urine
- Recurring urinary tract infection
Causes
Bladder stones develop when urine remains in the bladder for an extended period. Urine becomes concentrated as it sits in the bladder for a long time, then crystallizes and becomes stones.
Bladder stones can be caused by foreign materials in the bladder. Certain infections can also result in bladder stones. Bladder stone formation can occur due to an underlying disorder that affects the bladder’s ability to contain, store, or remove urine.
Several factors and conditions can cause bladder stones, such as:
- Prostate gland enlargement: An enlarged prostate can block urine flow, preventing the bladder from entirely emptying. As men age, the prostate can enlarge or benign prostatic hyperplasia (BPH) my occur, putting pressure on the urethra making it difficult to entirely empty the bladder.
- Nerve damage: Neurogenic bladder can occur because of a stroke, spinal cord injury, or other medical condition that prevents the bladder from tightening or relaxing, and emptying entirely. People with neurogenic bladder frequently require the use of a catheter to drain their bladder. Catheters cannot always drain all the pee.
Bladder stones may also be caused by:
- Inflammation: Bladder stones may occur as result inflammation induced by urinary tract infections or pelvic radiation therapy.
- Medical equipment: Patients who have bladder devices, such as catheters, may acquire bladder stones because of crystals that accumulate on the device. This is usually the case if the device has remained in the body for a longer amount of time than suggested. Objects that mistakenly move to the bladder, such as a contraceptive device or a urinary stent, can also cause complications.
- Kidney stones: Kidney stones are not the same as bladder stones. A kidney stone can sometimes pass from the kidneys into the bladder. If the stone can pass into the bladder, it is usually simply urinated out of the bladder. In patients who have difficulties peeing, the stone can become lodged and grow larger inside the bladder, causing pain and difficulty urinating.
Risk factors
Bladder stones can occur in anyone, although men over the age of 50 are more likely to get them. Benign prostatic hyperplasia (BPH) affects almost half of males over the age of 50. Several factors may affect one’s risk of bladder stones. The combination of these risk factors is also possible. This includes:
- Obstruction: BPH causes the prostate to enlarge. An enlarged prostate might make bladder drainage harder. This kind of condition prevents urine from flowing from the bladder to the urethra and might result in bladder stone formation.
- Nerve damage: People with impairment of nerve that control bladder function, such as a spinal cord injury, are more likely to develop bladder stones. This also include Parkinson’s disease, diabetes, a herniated disk, and stroke.
Diagnosis
The diagnosis of bladder stones often begins with discussing the symptoms, assessing the medical history, and performing a physical examination. During the physical exam, the doctor is likely to perform a rectal exam to see if the prostate is enlarged or examine the lower part of the abdomen to see whether the bladder is distended.
The doctor may require additional tests, such as:
- Urine test: This test will look for evidence of a urinary tract infection or blood in the urine. A urine sample is taken and analyzed for tiny bladder stones, blood, and bacteria.
- Computed tomography (CT) scan: This is one of the most accurate tests for detecting all types of bladder stones and it may find even the smallest of stones. X-ray and computers, which can provide fast and clear images, are utilized in this procedure.
- Ultrasound: This can provide clear images of the bladder. It can reveal the size, shape, and location of bladder stones. Ultrasound uses sound waves to create comprehensive images of the organs and other structures in the body.
- X-ray: Although not all stones are visible on standard X-rays, it can help confirm the presence of stones in the kidney, ureter, and bladder.
Treatment
There are several ways a bladder stone can be removed. The doctor may recommend surgical removal or other procedures. Lifestyle changes, especially drinking plenty of water, may aid this condition. A person can reduce his or her risk by drinking enough water. Water dilutes the minerals in the urine, making them less prone to clump and form stones. For some small stones, it may naturally pass. However, in most cases, removal is necessary.
- Cystolitholapaxy: This is a surgical technique used to treat bladder stones. During the procedure, a cystoscope is inserted into the bladder to identify the bladder stone or stones. The stone is then broken into little pieces using a laser, ultrasound, or other equipment and then flushed from the bladder. The cystoscope usually requires administering numbing medicine or general anesthesia to render the patient to sleep.
- Surgery: Surgery may be necessary if the bladder stones are caused by a bladder outlet obstruction or an enlarged prostate. These issues must be addressed concurrently. Open surgery may also be recommended for large stones and those that are too difficult to break up by cystolitholapaxy. During surgery, an incision in the abdomen is done to remove the stones.
