From the Research
Yes, a bladder stone can be 2.5 cm in size, and treatment for such a stone typically involves a procedure called cystolitholapaxy, where a surgeon inserts a scope through the urethra to break up and remove the stone, as supported by the most recent and highest quality study 1.
Bladder Stone Formation and Symptoms
Bladder stones of this size are considered relatively large and typically require medical intervention for removal. These stones form when minerals in concentrated urine crystallize and build up in the bladder, often due to incomplete bladder emptying, urinary tract infections, or foreign bodies in the bladder. A 2.5 cm stone would likely cause symptoms such as:
- Pain during urination
- Frequent urination
- Blood in urine
- Lower abdominal pain
- Interrupted urine flow
Treatment Options
Treatment for a stone this size usually involves a procedure called cystolitholapaxy, where a surgeon inserts a scope through the urethra to break up and remove the stone. In some cases, open surgery might be necessary. According to the study 1, transurethral cystolithotripsy (TUCL) is the intervention of choice for bladder stones in adults and children, where feasible.
Prevention and Complications
Drinking plenty of water, treating underlying conditions, and regular bladder emptying can help prevent future stone formation. If you suspect you have a bladder stone of any size, it's essential to seek medical attention promptly to prevent complications like chronic bladder infections or kidney damage, as highlighted in the study 2.
Recent Guidelines and Recommendations
The European Association of Urology Urolithiasis Guideline Panel recommends TUCL as the primary treatment for bladder stones, with percutaneous cystolithotripsy (PCCL) and open cystolithotomy (CL) being alternative options, as stated in the study 1. The choice of treatment depends on the size and number of stones, as well as the presence of underlying conditions.
Key Takeaways
- Bladder stones can be 2.5 cm in size and require medical intervention for removal.
- Cystolitholapaxy is the typical treatment for stones of this size.
- TUCL is the recommended treatment for bladder stones in adults and children, where feasible.
- Prevention and prompt medical attention are crucial to prevent complications.