Cystolitholapaxy is a surgical treatment that breaks down stones in the urinary bladder into bits. The technique is performed with a cystoscope, which is inserted into the urinary bladder either through the urethra (transurethral cystolitholapaxy) or through an incision in the belly (percutaneous cystolitholapaxy). One can get this procedure at Delhi Urology Hospital, Urology Hospital in Delhi to get rid of bladder stones and improve quality of life.
Urinary tract stones are a prevalent condition. The stones are mineral accumulations resulting from a high concentration of salts in the urine, a blockage to urine outflow, or an infection. Calcium oxalate and calcium phosphate are the most prevalent stones; however, uric acid, cysteine, and struvite stones can also form.
Stones can form in the bladder or in the kidney, where they can travel into the bladder via the ureter and gradually expand in size. It can cause symptoms such as pain while passing pee, increased frequency of urination, obstruction to the free passage of urine, nausea, vomiting, fever, and chills.
Why is Cystolitholapaxy performed?
Cystolitholapaxy is a procedure used to break down big stones in the urinary bladder into smaller fragments that can be easily removed. The treatment is carried out with a cystoscope, a telescope-like tool that can be inserted into the bladder and allows direct visualization of the bladder's contents and the stone. If the stone is huge or there are too many stones, surgery may not be the best option. Open surgery may be preferable in such instances.
Cystolitholapaxy is split into two categories based on how the cystoscope is placed into the urine bladder:
Transurethral cystolitholapaxy: The cystoscope is inserted into the urine bladder via the urethral tube. This method is frequently preferred since it may be conducted under spinal anesthesia and removes the need for surgical incisions, resulting in less postoperative pain and a faster recovery.
Percutaneous cystolitholapaxy: During this surgery, the cystoscope is inserted through tiny incisions in the belly and the urine bladder. The treatment is frequently recommended in young infants whose urethra is too narrow to allow the cystoscope to pass through or in adults with moderately large stones that may be hard to treat with the transurethral procedure. Compared to the transurethral method, this approach is associated with more postoperative pain and a longer recovery.
How do you prepare for Cystolitholapaxy?
Your doctor will perform several tests to confirm the presence of a urinary bladder stone. These could include:
- Ultrasound: An ultrasound is a non-invasive technique that can detect the existence of a urinary stone. Images are shown on a computer screen, but ultrasound cannot identify all types of stones.
- CT scan: A CT scan may help in identifying a kidney stone. You must lie on a table while a doughnut-shaped tool passes over your lower abdomen. Images are captured and examined on the screen before being printed on film.
- Urine test: A high concentration of minerals and crystals in the urine may indicate the existence of stone formation. It may also reveal the presence of blood in the urine. Before the surgery, a urine routine, microscopic inspection, and urine culture should be performed to rule out urinary infections. If a condition exists, it should be treated before treatment.
- Blood test: Certain drugs may be found in high concentrations in the blood.
Procedure of Bladder Stone Removal
A cystoscope, a piece of telescopic equipment that allows vision of the inner aspect of the bladder, is used to perform cystolitholapaxy. It is inserted into the urine bladder via the urethra or an abdominal incision.
During the transurethral operation, the cystoscope is inserted through the urethra, and the inner surface of the bladder and the stone are examined. Through the cystoscope, an instrument that emits radiation, such as a laser or ultrasound waves, or a jaw-like device that grasps and mechanically crushes the stone is entered, and the stone is smashed into fragments. Some fragments can be gripped with the jaw and removed through the cystoscope, while the rest are removed with irrigation and suction. The more significant bits are transported to be chemically examined. When the surgery is finished, the cystoscope is removed, and a Foley catheter is kept in place to drain the urine into a bag that is sometimes tied to your leg so you can move freely. The catheter and bag will be left in place for a few days.
The cystoscope is delivered into the bladder through an incision in the lower abdomen and the urinary bladder during the percutaneous procedure. The stones are subsequently smashed and extracted like a transurethral operation. When the process is finished, the cystoscope is removed, the incisions are closed, and the Foley catheter is placed via the urethra and attached to the urinary bag to drain the urine constantly.
What to expect after the surgery?
An individual will be fitted with a urinary catheter, and the inside of their bladder will be cleaned regularly with an aqueous solution to remove any remnants of blood (normal after this type of surgery).
The presence of the catheter in the bladder might cause discomfort or even spasms. For example, a thigh bag will be used during the day, and a drainage bag will be used at night.
When the urinary catheter is removed, and an individual begins to urinate spontaneously, they may feel a sense of urgency or even pain when passing urine through the urethra; this usually goes away as the inflammation heals and the muscles strengthen.
Postoperative Recovery:
- Once an individual is comfortable, they will be advised to drink plenty of fluids.
- Antibiotics will be provided to prevent infection, and pain medications if the pain is present.
- Following surgery, the urine discharged through the Foley catheter may contain some blood, which usually clears up in time.
- A person will be advised to relocate as quickly as feasible.
- If a person has had transurethral surgery, they may go home on the same day.
- Before leaving the hospital, an individual will be educated on how to empty and care for the bag.
- When a person is comfortable, they can continue most of their activities. Restrict heavy activities until they fully recover, and follow up with their doctor frequently as directed.
- Depending on the type of stone and its likely source, the doctor will also recommend customized dietary and other steps to avoid the creation of additional stones.
Why choose Delhi Urology Hospital in Delhi for bladder stone surgery?
At Delhi Urology Hospital, you will be examined by Dr. Niren Rao, a faculty of international renown at AIIMS, the best institution in India trained.
Dr. Niren Rao possesses more than a decade of experience in Urology.
We employ cutting-edge lasers at the Delhi Urology Hospital to treat stone illnesses.
Patients can leave the Delhi Urology Hospital on the same day as their bladder stone surgery.
We believe in giving our patients great care at reasonable pricing.
The hospital has established rigorous patient-centered care standards.
Comments
Post a Comment