A Cystolitholapaxy
A Cystolitholapaxy
A Cystolitholapaxy
After Surgery
You may have blood in your urine. It should clear in 2-3 days. If you had a bladder biopsy, you
may pass tiny blood clots for 2-3 days. Drink more fluids to help clear the clots.
You may also feel burning when you pass urine for 1-2 days.
You may have pain. You may take Tylenol® for relief. Your doctor will order stronger pain
pills for you, if needed.
Activity
• Do not drive for 24 hours. Do not drive if you are taking narcotic pain pills.
• Wait 2 weeks before having sex.
• Do not lift more than 15 pounds for 2 weeks.
• Nothing strenuous for 24 hours. If you notice an increase in bleeding, rest and drink
more fluids. If your urine does not clear call your doctor.
Diet
2. For the next 2 weeks, drink at least 10-12 (8 oz) glasses of fluid each day. No alcoholic
drinks for the first week.
Follow-Up Care
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Cystolitholapaxy
Pronounced: sis-TOE-litho-lay-pak-see
Definition
This is a procedure to break up bladder stones into smaller pieces and remove them. Bladder
stones are minerals that have built up in the bladder. Ultrasonic waves or lasers may be delivered
through a tool called a cystoscope to break up the stones.
Bladder Stone
Possible Complications
Complications are rare, but no procedure is completely free of risk. If you are planning to have a
cystolitholapaxy, your doctor will review a list of possible complications, which may include:
Be sure to discuss these risks with your doctor before the procedure.
What to Expect
Prior to Procedure
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up
to one week before the procedure, like:
Anesthesia
This procedure can be done under local, spinal, or general anesthesia. It will block any pain.
Sedation may also be used to ease anxiety.
With local anesthesia, a special jelly or fluid will be inserted into your urethra (the tube that
carries urine out of the body). This will numb the area. If you are having spinal anesthesia, it will
be injected into your spine. General anesthesia will be given through an IV (needle in your arm).
Description of Procedure
The doctor will place a tiny flexible probe, called a cystoscope, through your urethra toward the
bladder. The probe has a camera for viewing. Imaging guidance, like ultrasound, will help the
doctor locate the bladder stones. A saline solution may be flushed through the urinary tract. Once
a stone is located, the doctor will grab the stone and turn on the device to break it. To do this,
different types of technology (eg, ultrasonic waves, lasers, or a mechanical device) can be used.
A special basket or forceps will be used to grab the stone fragments and remove them.
The bladder and surrounding structures will be examined. The doctor may place a stent in your
urethra to help protect the lining while the fragments pass or to repair damage.
This is usually done in an outpatient setting. You will not need to stay overnight. The procedure
takes 30-60 minutes (or longer) depending on the size of the stones.
Anesthesia prevents pain during the procedure. Ask your doctor about medicine to help with the
pain after the procedure.
Post-procedure Care
After the procedure, the hospital staff may provide the following care:
• Monitor you while you recover from the anesthesia and/or sedation
• Remove any IV needles and the catheter
• Help you to eat and move around again
• Give you pain medicine
At Home
When you return home, do the following to help ensure a smooth recovery:
RESOURCES:
CANADIAN RESOURCES:
Health Canada
http://www.hc-sc.gc.ca/index-eng.php
REFERENCES:
Ho KL, Segura J. Lower Urinary Tract Calculi: Cystolitholapaxy. In: Wein AJ, ed. Campbell-
Walsh Urology. 9th ed. Philadelphia, PA: Saunders Elsevier; 2007:chap 84.
Mayo Clinic. Bladder stones: treatment and drugs. Mayo Clinic website. Available at:
http://www.mayocli.... Updated January 16, 2010. Accessed August 12, 2010.
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