Urinary Bladder conditions 3 stones

8. VESICAL CALCULUS

      This condition is still met within India among the poor and malnutrioned population (Vitamin A defeciency)

*     Primary stones occur in sterile urine

*     Secondary stones occur in presence of infection and

      obstruction

*     Obstruction to outlog can also cause stones.

8.1 SYMPTOMS

1.    Frequency

2.    Pain (Strangury) on pressing

3.    Haematuria

4.    Stoppage of stream in micturating

5.    Investigation

8.2 Treatment

1.    Removed Stone (open) Cystolithotomy

2.    Litholapaxy removal of stone by crushing with lithotrite

Fig.26.3

Gystostomy Cystolithotomy

This is required to relieve acute retention in impassable strictures also in cases of stone in the bladder to remove the stone.

-        A low transverse suprapubic incision

-        The rectus muscle on both side is mobilized aand retracted

-        Bladder identified

-        Peritoneum reflected off the bladder by blunt dissection

-        Longitudinal incision into the bladder

-        Bladder finger explored

-        Stone removed

-        Bladder closed around a catheter

-        Retro-public space drained

-        Wound closed

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.otmanage.blogspot.com

www.surginstruatlas.blogspot.com           www.drmmkapur.blogspot.com

Also available now on android & smartphones same  internet address