Endoscopic litholapaxy

Large bladder stones are usually treated by crushing the stone inside the bladder with a cystoscopic lithotrite, then removing fragments. This is the litholapaxy pathway described on the dedicated technique page.

Why not shockwave?

ESWL is designed for kidney and ureteric calculi with acoustic coupling through the flank. Bladder stones are managed endoscopically or, in rare historic contexts, with different workflows; modern practice in Australia is endoscopic.

Leaflet

Bladder stone crushing (endoscopic litholapaxy) (BAUS).

Discuss your stone or stent pathway

The rooms can arrange a consultation to review imaging and outline which form of lithotripsy, if any, fits your situation.