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Some stones are too large even for cystoscopic treatment and may require open cystotomy, in which an incision is made in the bladder and the stones are removed manually. For children with urinary stones, the evidence supporting treatment options is very weak and high quality trials are necessary to help guide clinical management.
Human beings have known of bladder stones for thousands of years, and have attempted to treat them for almost as long. The oldest bladder stone that has been found was discovered in Egypt in 1901, and it has been dated to 4900 BC. [1] The earliest written records describing bladder stones are in papyrus dating from 1500 BC in Ancient Egypt. [1]
Adequate hydration is the foremost aim of treatment to prevent cystine stones. The goal is to increase the urine volume because the concentration of cystine in the urine is reduced which prevents cystine from precipitating from the urine and forming stones. People with cystine stones should consume 5 to 7 liters a day.
Urinary retention is a disorder treated in a hospital, and the quicker one seeks treatment, the fewer the complications. [citation needed] In the longer term, obstruction of the urinary tract may cause: [citation needed] Bladder stones; Atrophy of the detrusor muscle (atonic bladder is an extreme form) Hydronephrosis (congestion of the kidneys)
Modification of predisposing factors can sometimes slow or reverse stone formation. Treatment varies by stone type, but, in general: [citation needed] Healthy diet and exercise (promotes flow of energy and nutrition) Drinking fluids (water and electrolytes like lemon juice, diluted vinegar e.g. in pickles, salad dressings, sauces, soups, shrubs ...
In the top-right image, the cystoscope has been bent within the bladder to look back on itself. The bottom two images show an inflamed urethra. If a patient has a stone lodged higher in the urinary tract, the physician may use a much finer calibre scope called a ureteroscope through the bladder and up into the ureter. (The ureter is the tube ...