What is Cystolithoplaxy or Cystolithotripsy?

Cystolithoplaxy or Cystolithotripsy is a minimally invasive urological procedure that breaks bladder stones and allows their removal through a smaller incision. Bladder stones can form from crystallisation of minerals that occur in the bladder. If untreated, bladder stones become a source of discomfort, an obstruction to urination, and recurrent infections. These advanced modalities of laser lithotripsy and endoscopic techniques have kept Cystolithoplaxy a much safer, quicker, and highly efficient procedure.

Why does Cystolithoplaxy need?

Not all stones can be passed naturally by the bladder, especially large or multiple stones, as they cause:-

Severe urinary symptoms such as pain, urgency, frequency, and difficulty in passing urine
Recurrent UTIs - These would include persistent infections resulting from stones.
Blood in urine (hematuria) - most likely resulting from bladder lining irritation.
Urinary obstruction - stones block urine flow and damage the bladder or kidneys.

Related conditions include an enlarged prostate, urethral strictures, or neurogenic bladder. If untreated, bladder stones may cause serious complications such as chronic infections, bladder damage, and kidney dysfunction.

Before Surgery

Proper preparation ensures safety and smooth recovery:-

Diagnostic Tests - Ultrasound, X-ray, or CT scan to define stone size, number, and location.
Urine Analysis & Culture - to check for infection.
Blood Tests - to examine for kidney function and to rule out other issues.
Fasting Instructions - If the doctor plans general anaesthesia.
Medicines - All current medications come to the physician's notice; blood thinners stop.
Guidance on Hydration - Drink adequate fluids before fasting begins.

What Exactly Can I Expect from the Procedure?

Anaesthesia
Technique - A cystoscope goes into the bladder through the urethra.
Stone Fragmentation - broken pieces of stone using:-
- Holmium Laser Lithotripsy.
- Ultrasonic or pneumatic devices.
Fragment Removal - suction or flushing out.
Time - usually 30 to 90 minutes, depending on the size and number of stones.
Catheter Placement - possible placement of a temporary urinary catheter for drainage.

After the Surgery

Recovery Room Stay - Monitored until anaesthesia wears off.
Catheter Care - Most patients require a catheter for 24-48 hours.
Hydration - intake of fluids to flush residual fragments.
Medications - Antibiotics to prevent infection; pain relievers for comfort.
Follow-Up - imaging studies may also become necessary to ensure complete stone clearance.
Return to Work - Most resume regular activity within 3-5 days.

Benefits of Cystolithoplaxy

Minimally invasive - No external incision.
Fast Recovery - hospital stay and quick return to routine.
Efficiency in stone clearance - There is a higher success rate even against larger stones.
The infection rate is lower compared to that of open surgery.
Cosmetic Advantage - No visible scars.

Risks/Complications

Safe for conditions, the following are risks:-

Mild bleeding or blood in urine (temporary).
Urinary tract infection.
Injury to the bladder or urethra (rare).
Formation of urethral stricture (infrequent).
Recurrence of stones in the absence of preventive measures.

Precautions after Surgery

Drink much water to dilute urine and prevent new stone formation.
Take medications as instructed by the doctor regularly.
Avoid all heavy physical activities for a minimum of 1 week.
Follow dietary guidelines - restrict intake of oxalate, sodium, and animal protein.
Regular follow-up visits for urine analysis and imaging.

Is Cystolithoplaxy painful?

The procedure will be painless since anaesthesia is employed. Some mild discomfort or burning sensation during urination may occur for a few days.

Will I need to be admitted to a hospital?

Yes, usually admitted within 1-2 days for observation and catheter management.

Do stones in the bladder come back after surgery?

Yes, if inadequate treatment of underlying causes, such as prostate enlargement or chronic infections, exists. Preventive measures and regular check-ups usually reduce recurrence risk.

Is there any alternative to Cystolithoplaxy?

Small stones pass naturally, but larger ones usually need intervention. For particularly large or complicated stones, open surgery or Percutaneous cystolithotomy might be an alternative.

Is Cystolithoplaxy safe for old patients?

Yes, it is considered safe for old patients and is regarded as one of the most suitable methods for elderly patients, as it is less invasive and provides a quicker recovery time.

Why Tender Palm Super Speciality Hospital for Cystolithoplaxy in Lucknow, India?

Tender Palm Super-Speciality Hospital is one of the best hospitals for Cystolithoplaxy in Lucknow, India. Our experienced Urologists uses advanced technology, and provides patient-focused care, the hospital ensures safer procedures, quicker recovery, and improved long-term outcomes.