Cysto-Lithopaxy

Why is it done?

• To break up a bladder calculus (stone).

Risk factors:

• Bladder outflow obstruction.
• BPH with chronic retention.
• Urethral stricture.
• Neurogenic bladder.
• Renal calculi disease.
• Metabolic disorders.
• Malnutrition.
• Chronic infections.
• Foreign objects in bladder.

How is it done?

• A cystoscopy is performed by placing a camera in the urethra with the help of a lubricant jelly and an irrigate (fluid).
• The bladder is then distended with fluid (saline).
• The inside of the bladder is viewed for pathology.
• If any suspicious lesions are seen, a biopsy will be taken.
• Stone crushing is attempted with a lithotrite (a crushing device).
• If the calculus is too large, laser will be utilized to fragment the stone and the smaller stones evacuated.
• Antibiotics may be given to prevent infection.

What to expect after the procedure?

• Hematuria (blood in your urine)
• You will have a n indwelling catheter (IDC), which will remain in your bladder until your urine is clear.
• You may have a continuous bladder irrigation with Saline to help clear the bleeding.
• Pain on initial passing of urine when the catheter is removed.
• Bladder infection ranging from a burning sensation to, fever, to pus (rare).
• Lower abdominal discomfort which will persist for a few days.
• NB! Each person is unique and for this reason symptoms vary.

What next?

• This all depends on what is found during the procedure. All the options will be discussed in detail.
• You may require further attention to your prostate or bladder outlet to prevent further stone formation.
• There may be some blood in the urine. This can be remedied by drinking plenty of fluids until it clears.
• Patients should schedule a follow-up appointment within 1 month to discuss the etiology of the calculus as well as what other procedures may be involved to prevent this from occurring again.
• Please don’t hesitate to direct all further queries to Dr Schoeman.

Download Information Sheet

Wes Cysto-Lithopaxy Laser