Overview
Cystolithotomy is a surgical procedure used to remove stones from the urinary bladder. It is typically performed when stones are too large to pass naturally or cannot be removed via less invasive endoscopic methods.
Indications
- Large bladder stones causing pain or obstruction
- Recurrent urinary tract infections due to stones
- Failure of endoscopic stone removal
The Procedure
The surgery can be performed as an open procedure (through an incision in the lower abdomen) or endoscopically. The bladder is opened, the stones are removed, and the bladder is then sutured closed.
Recovery
Recovery time varies depending on the approach (open vs. endoscopic). A catheter is usually left in place for a few days to allow the bladder to heal. Most patients can return to normal activities within a few weeks.