How long does bladder stone surgery take

Bladder stones are a disease that few people discover in the early stages. This is mainly because when the disease occurs, the patient will not have such serious symptoms, or even no symptoms at all. Therefore, it is easy for people to not know about it, which will delay the actual treatment time. In this case, the only option is to take appropriate surgical resection for treatment.

The principle of treatment for bladder stones is to remove the stones and correct the cause of the stones. Severe bladder infections are treated with antibiotics.

Small stones can be discharged through the urethra on their own, while larger stones that cannot be discharged on their own can be treated with intravesical lithotripsy. The methods of lithotripsy include extracorporeal shock wave lithotripsy, electrohydraulic lithotripsy, ultrasonic lithotripsy and lithotripsy with lithotripsy forceps. For patients with larger stones and no lithotripsy equipment, suprapubic cystolithotomy can be performed. For patients with bladder infection, the inflammation should be actively treated at the same time.

There are many treatments for bladder stones, but they can be roughly divided into two categories: surgical stone removal and non-surgical lithotripsy. Among them, surgical stone removal is the traditional suprapubic cystolithotomy, and the other type of non-surgical lithotripsy can be divided into cystoscopic mechanical lithotripsy (forceps lithotripsy), electrohydraulic lithotripsy, ultrasonic lithotripsy, ballistic pneumatic lithotripsy, etc. There are four main methods:

1. Extracorporeal shock wave lithotripsy (ESWL) bladder lithotripsy method

After the patient empties his bladder, 100 ml of normal saline is injected into it. If the bladder cannot be completely emptied, some urine can be retained and the patient can lie prone. After lithotripsy, the fixation device can be removed. Allow the patient to move left and right and observe the crushing process. The crushed stone particles should be less than 0.5 cm. Three days after surgery, 20 mg of furosemide was injected intramuscularly twice a day, the patient's water intake was increased, and oral antibiotics were taken for 1 week.

2. Cystoscopic lithotripsy

After successful sacral anesthesia, the patient is in the lithotomy position, 5 ml of paraffin oil is injected into the urethra, and the stones are crushed with 24F powerful bladder lithotripsy forceps under direct vision. The operation is repeated until the broken stones can be completely flushed out with a flusher.

3. Cystoscopic electrohydraulic lithotripsy

The method is the same as that of lithotripsy with locking pliers, except that the electrode should be kept at least 2 cm away from the cystoscope and less than 0.5 cm away from the stone. This can effectively crush the lithotripsy while avoiding damage to the cystoscope.

4. Suprapubic cystolithotomy

After successful epidural anesthesia, the bladder was incised layer by layer until all the stones were removed. However, the patient had a severe infection and a suprapubic cystostomy was performed. This surgery is a traditional open surgical method.