If v.large/obstructs. Very unusual to die from bladder stone. Would have to remain untreated with huge bladder stone occupy the entire bladder and obstructingt inflow of urine. Or stone in a bladder diverticulum (outpouching) and obstructing ureter from single functioning kidney. I had a patient with neurogenic bladder + large grapefruit size bladder stone, weighing >2lbs, which would have killed her if left untreated.
Can you die from bladder stone that can't be removed due to the pain it is causing, and that also keeps causing infections?
It should be removed. Bladder stone removal surgery is not difficult. Why can't it be removed?
Blood in urine. Bladder stones are uncommon. They are usually due to chronic obstruction of the urinary tract. They can produce blood in the urine, frequent and urgent urination, and sudden difficulty emptying or pain while urinating.
Water intake. Not drinking enough water makes the urine more concentrated and facilitates the formation of urinary stones in the kidney and bladder. Depending on the type of stone, altering the pH or urine may affect stone formation.
A tough question. Yes, but these habits may be significant for some and not for others since people vary in food/fluid intake mix. Being chronically dehydrated, lots of dairy intake with recurrent utis and lots of ice tea is one example since the phosphate from dairy precipitates in alkaline urine. In short, adequate hydration and moderation in meals + citrus intake e.g. Limeade are good habits to fend off stones.
Good Question. It has to start somewhere. All the time I hear people tell me, "no one else in my family had diabetes or high blood pressure or asthma..." but sadly, sometimes diseases start in a healthy person. Tough to know why. Definitely catch a stone and have the urologoist evaluate the type of stone.
Very curable. Most bladder stones can be broken up into little pieces or dust by endoscopic laser or lithoclast lithotripsy (breaking up stone by laser or "jackhammer" type instrument passed via cystoscope). Broken pieces or "dust" can be irrigated, juctioned out or remaining small pieces grasped. Very large stones (> than an egg) are sometimes best removed by open surgery. Patient cured then prevent new ones.
Kidney stone. Kidney stones up to 5mm in size will predictably pass on their own. Just drink plenty of water so you produce a lot of urine, dilate those ureters and allow the stone to pass. It may hurt while it's on its way out, but it'll pass. Bigger stones will likely get stuck and will cause tremendous pain and will have to be removed by lithotripsy or cystoscopy. Stones in bladder should pass.
Yes. Bladder stones can be visualized by cystoscopy. Stone removal, however, is more involved, requiring a procedure called cystolithalopaxy. It is similar to a cystoscopy, but requires general or spinal anesthesia since a larger rigid scope is required, and instruments to break up the stone may be needed. Very large stone may not be amenable to cystolithalopaxy, and require surgery.
Needs surgery. Bladder stones are treated with surgery. A urologist looks into the bladder with a cystoscope (telescope) and can use a laser to fragment the stone into small pieces. These are then removed via the cystoscope. He/she will also determine the cause of the stone - usually obstruction or a foreign body in the bladder and offer appropriate treatment.
67 years old male with bladder stone measuring 2.8 CM or 28 mm. What are the consequences if does not get a cystolithotripsy done and live with it?
Here are some. .. If he has not had much problem in urination or recurrent UTI, is able to empty bladder reasonable well, and has no suspicion of bladder tumor on imaging studies (CT or US), it's reasonable to just watch if he and his family understand the facts and are willing to wait. If not or in concern, remove it and perform other procedures to help bladder emptying as needed after checking residual urine, etc.