Bladder Stones - Cystoliths

 


Definition
Bladder Stones - Cystoliths
 
Radiographic Appearance
Usually large round and laminated high denity stones in the bladder region.

UIltrasonically bright reflections usually mobile relative to position of the patient.
 

Pathology
Bladder stones occur when materials crystallize in concentrated urine in the bladder. They may irritate the bladder lining and obstruct the flow of urine out of the bladder. Most bladder stones pass out of the body without medical treatment. Those that don't should be removed, and the underlying causes of the stones should be identified and treated to prevent future stones. Rarely do bladder stones cause any lasting bladder damage. Bladder stones are different from, and usually larger than, the far more common kidney stones — though kidney stones that are passed out of the body in urine do travel through the bladder. Ninety-five percent of all bladder stones occur in men.

The size and shape are variable from multiple 1-5 mm up to single 2 cm in size.

SYMPTOMS
Frequent urge to urinate
Interrupted urine stream
Difficulty urinating
Inability to urinate except in certain positions
Blood in the urine
Lower abdominal pain
Abnormal urine color
In men, pain or discomfort in the penis.

 

Treatment:
Removal by trans urethral crushing and washout if problematic.
 
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