• Latest
  • Trending
  • All
  • Featured Urology
  • Female Urology
  • Urologic Oncology
  • What is Urology?
  • Pediatric Urology
  • Urology

Bladder Stones

September 8, 2020
Yoga for Prostate Cancer: Best Yoga exercises to combat prostate growth in men

Yoga for Prostate Cancer: Best Yoga exercises to combat prostate growth in men

November 14, 2022
New treatment can more than double life expectancy for people with prostate cancer: doctor

New treatment can more than double life expectancy for people with prostate cancer

November 14, 2022
Study finds that use of yoga app can reduce urinary incontinence

Study finds that use of yoga app can reduce urinary incontinence

November 9, 2022
Urinary Incontinence: Types and Treatments

Urinary Incontinence: Types and Treatments

November 9, 2022
Low Rates of PSA Screening Linked to Increase in Metastatic Prostate Cancer

Low Rates of PSA Screening Linked to Increase in Metastatic Prostate Cancer

November 4, 2022
Can Erectile Dysfunction Drugs Reduce Dementia Risk?

Can Erectile Dysfunction Drugs Reduce Dementia Risk?

November 4, 2022
New PSA test examines protein structures to detect prostate cancers

New PSA test examines protein structures to detect prostate cancers

November 2, 2022
A better way to image metastatic prostate cancer

A better way to image metastatic prostate cancer

November 2, 2022
Newly discovered protein may protect kidney cells from injury

Newly discovered protein may protect kidney cells from injury

November 2, 2022
A person’s diet, acidity of urine may affect susceptibility to UTIs

A person’s diet, acidity of urine may affect susceptibility to UTIs

November 2, 2022
Award-winning agent developed for prostate cancer diagnosis and treatment

Award-winning agent developed for prostate cancer diagnosis and treatment

November 2, 2022
New treatment for polycystic kidney disease

New treatment for polycystic kidney disease

November 2, 2022
Thursday, December 1, 2022
Urology Today
  • Home
  • Featured Urology
    Yoga for Prostate Cancer: Best Yoga exercises to combat prostate growth in men

    Yoga for Prostate Cancer: Best Yoga exercises to combat prostate growth in men

    Study finds that use of yoga app can reduce urinary incontinence

    Study finds that use of yoga app can reduce urinary incontinence

    Urinary Incontinence: Types and Treatments

    Urinary Incontinence: Types and Treatments

    Low Rates of PSA Screening Linked to Increase in Metastatic Prostate Cancer

    Low Rates of PSA Screening Linked to Increase in Metastatic Prostate Cancer

    Kidney failure impacts survival of sepsis patients

    Kidney failure impacts survival of sepsis patients

    Urine-based test improves on PSA for detecting prostate cancer

    Urine-based test improves on PSA for detecting prostate cancer

    Unemployment linked to rise in prostate cancer deaths

    Unemployment linked to rise in prostate cancer deaths

    Unemployment linked to rise in prostate cancer deaths

    Advanced viral gene therapy eradicates prostate cancer in preclinical experiments

    prostate cancer

    Recurrence of prostate cancer detected earlier with innovative PSMA-ligand PET/CT

    Two major studies strengthen case for prostate cancer drug before chemotherapy

    Two major studies strengthen case for prostate cancer drug before chemotherapy

    Trending Tags

    • Donald Trump
    • Future of News
    • Climate Change
    • Market Stories
    • Election Results
    • Flat Earth
  • Lifestyle
    • All
    • Female Urology
    • Male Urology
    • Pediatric Urology
    Yoga for Prostate Cancer: Best Yoga exercises to combat prostate growth in men

    Yoga for Prostate Cancer: Best Yoga exercises to combat prostate growth in men

    Study finds that use of yoga app can reduce urinary incontinence

    Study finds that use of yoga app can reduce urinary incontinence

    Urinary Incontinence: Types and Treatments

    Urinary Incontinence: Types and Treatments

    New PSA test examines protein structures to detect prostate cancers

    New PSA test examines protein structures to detect prostate cancers

    A better way to image metastatic prostate cancer

    A better way to image metastatic prostate cancer

    Award-winning agent developed for prostate cancer diagnosis and treatment

    Award-winning agent developed for prostate cancer diagnosis and treatment

    New treatment for polycystic kidney disease

    New treatment for polycystic kidney disease

    Urine-based test improves on PSA for detecting prostate cancer

    Urine-based test improves on PSA for detecting prostate cancer

    Unemployment linked to rise in prostate cancer deaths

    Advanced viral gene therapy eradicates prostate cancer in preclinical experiments

    Two major studies strengthen case for prostate cancer drug before chemotherapy

    Two major studies strengthen case for prostate cancer drug before chemotherapy

    Trending Tags

    • Golden Globes
    • Mr. Robot
    • MotoGP 2017
    • Climate Change
    • Flat Earth
No Result
View All Result
Urology Today
No Result
View All Result
Home General Urology - Common Urological Problems

Bladder Stones

by Urology Today
September 8, 2020
in General Urology - Common Urological Problems, Urinary Stone Disease
0
491
SHARES
1.4k
VIEWS
Share on FacebookShare on Twitter

Bladder calculi usually are a manifestation of an underlying pathologic condition, including voiding dysfunction or a foreign body. Voiding dysfunction may be due to a urethral stricture,  benign prostatic hyperplasia,  bladder neck contracture,  or flaccid or spastic neurogenic bladder,  all of which result in static urine.  Foreign bodies such as Foley catheters and forgotten double-J ureteral catheters can serve as nidi for stones (Figure 16–-22).

Most bladder calculi are seen in men.  In developing countries,  they are frequently found in prepubescent boys. Stone analysis frequently reveals ammonium urate, uric acid,  or calcium oxalate stones.  A solitary bladder stone is the rule, but there are numerous stones in 25% of patients (Figure 16–-23).  Patients present with irritative voiding symptoms, intermittent urinary stream, urinary tract infections, hematuria, or pelvic pain. Physical examination is unrevealing. A large percentage of bladder stones are radiolucent (uric acid). Ultrasound of the bladder identifies the stone with its characteristic shadowing.

The stone moves with changing body position.  Stones within a ureterocele do not move with body position (Figure 16–-24) as seen on ultrasound examination. They frequently are nonobstructive.  Endoscopic incision and stone removal rarely result in vesicoureteral reflux. 

{embed=“ref/stat-menu-stone-disease-s”}

The mode of stone removal for other bladder stones should be directed by the underlying cause.

Early instruments used to remove bladder calculi were both clever and bizarre.  Simple mechanical crushing devices are still used today. Mechanical lithotrites should be used with caution to prevent bladder injury when the jaws are closed.

Ensuring partially full bladder and endoscopic   visualization   of   unrestricted   lateral   movement before forceful crushing of the stones helps reduce this troublesome complication.  Cystolitholapaxy allows most stones to be broken and subsequently removed through a cystoscope.  Electrohydraulic,  ultrasonic,  laser,  and pneumatic lithotrites similar to those used through a nephroscope are effective.  Cystolithotomy can be performed through a small abdominal incision.

image Figure 16–22. Genesis and symptoms and signs of vesical calculus.

image Figure 16–23.  A: Plain abdominal radiograph demonstrating 2 bladder calculi. B: Gross picture of removed bladder calculi. Note the characteristic shape of jack-stones typically composed of uric acid.

imageFigure 16–24.  A: Scout abdominal radiograph demonstrating extraosseous calcification in the region of the bladder. B: Intravenous pyelogram demonstrates stone to be within a ureterocele.

Tramadol Indications and Dosage

For the treatment of moderate pain or moderately severe pain including arthralgia, headache, myalgia, dental pain following oral surgery such as extraction of impacted molars or chronic conditions such as low-back pain, bone pain and cancer-related pain.

Tramadol Maximum Dosage Limits:

     

  • Adults: 100 mg/dose PO or 400 mg/day PO.
     

  • Elderly >= 75 years: 100 mg/dose PO or 300 mg/day PO.
  •  

  • Elderly 65 – 74 years: 100 mg/dose PO or 400 mg/day PO.
  •  

  • Adolescents >= 16 years: 100 mg/dose PO or 400 mg/day PO.
  •  

  • Adolescents 13 – 15 years: Maximum dosage has not been determined.
  •  

  • Children: Maximum dosage has not been determined.

###

Marshall L. Stoller, MD

 

Share196Tweet123Share49
Urology Today

Urology Today

  • Trending
  • Comments
  • Latest

Urethral pressure profilometry

September 8, 2020
Low Rates of PSA Screening Linked to Increase in Metastatic Prostate Cancer

Low Rates of PSA Screening Linked to Increase in Metastatic Prostate Cancer

November 4, 2022
Kidney failure impacts survival of sepsis patients

Kidney failure impacts survival of sepsis patients

November 2, 2022

Genetic basis of genitourinary malformations

0
Embryogenesis -Paediatric Urology

Embryogenesis -Paediatric Urology

0
Upper urinary tract

Upper urinary tract

0
Yoga for Prostate Cancer: Best Yoga exercises to combat prostate growth in men

Yoga for Prostate Cancer: Best Yoga exercises to combat prostate growth in men

November 14, 2022
New treatment can more than double life expectancy for people with prostate cancer: doctor

New treatment can more than double life expectancy for people with prostate cancer

November 14, 2022
Study finds that use of yoga app can reduce urinary incontinence

Study finds that use of yoga app can reduce urinary incontinence

November 9, 2022
Urology Today

Copyright © 2022 Urology Today.

Navigate Site

  • About
  • Advertise
  • Privacy & Policy
  • Contact

Follow Us

No Result
View All Result
  • Home
  • Featured Urology
    • Urologic Oncology
    • Female Urology
    • Pediatric Urology
    • What is Urology?
  • Lifestyle

Copyright © 2022 Urology Today.

Welcome Back!

Login to your account below

Forgotten Password?

Retrieve your password

Please enter your username or email address to reset your password.

Log In