Most bladder stones can be remove by the procedure called endoscopic (telescope) procedure, to avoid the usage of a surgical incision. If stones are very big, it is more often best to do an open surgery is as called cystolithotomy. Cystolithotomy is the surgical removal of bladder stones through a lower abdominal incision.
PROCEDURE OF CYSTOLITHOTOMY:
Open removal of bladder stones was performed under general anaesthetic it is a inpatient procedure.
The initial step is called cystoscopy. Once the bladder is been examined, then an incision is made in the lower abdomen part to access the bladder.
The bladder was opened and the stone will be removed.
Then after removal of stone, the bladder is repaired with absorbable stitches, via urethra a catheter is inserted into the bladder.
Occasionally it is essential to gently drip fluid inside and outside of the bladder for a some period of time, as there is frequently some bleeding from the bladder as a result of the operation.
After 7-10 days a cystogram can evaluate to see if there is any leakages
For 7-14 days catheter will be remain in the same place, depending on the size of the incision in the bladder. Pateint will be discharged when it si fitted, and will be suggested to rest at home until they come back to the hospital for the removal of the catheter. Specific advice will be given on discharge.
All procedures have some potential side effects or complications. These complications may include like urinary tract infection, wound infection, postoperative bladder leak, urinoma, fever and urine leakage, thrombosis, pulmonary embolism, burning sensation and/or a small amount of blood in the urine for a short period.
Complications are very less percentage but apart from the complications this procedure is a safe and effective treatment option for bladder stone treatment. It reduces the postoperative complications and shortens the hospital stay.