Techniques
Bladder stones that are too large to pass spontaneously may be crushed inside the bladder using a cystoscopic lithotrite, then washed out or extracted as smaller chips. This is litholapaxy, a form of mechanical lithotripsy distinct from shockwave or laser treatment used in the ureter and kidney.
Bladder stones often relate to prostate obstruction, chronic catheter use, foreign material, or bladder diverticulum. Managing the underlying outlet problem is part of long-term prevention once the stone has been cleared.
Access is through the urethra into the bladder, without a percutaneous kidney tract. Energy is mechanical crushing rather than acoustic shockwaves or laser plasma formation. Very large burdens may still need staged treatment or combination approaches depending on endoscopic visibility and fluid irrigation limits.
Download Bladder stone crushing (endoscopic litholapaxy) (BAUS).
The rooms can arrange a consultation to review imaging and outline which form of lithotripsy, if any, fits your situation.