Fraud Blocker

Same Day Appointments Available

Call Us At +65‎ 6334‎ 1486
[email protected]
Search
Asian Healthcare Specialist
Asian Healthcare Specialist

Call Us

+65‎ 6334‎ 1486
Make an Enquiry

Call Us

+65‎ 6334‎ 1486
Make an Enquiry

Cystolitholapaxy in Singapore

Bladder stones can cause discomfort, affecting daily activities and quality of life. If you’re experiencing symptoms like painful urination, frequent urges to urinate, or blood in your urine, you may have bladder stones that require medical intervention. Cystolitholapaxy is a minimally invasive procedure that can help remove bladder stones, which may provide relief from these symptoms. This established endoscopic technique allows urologists to break down and remove stones without open surgery, potentially offering patients a faster recovery and a quicker return to normal activities. Individual results and timelines may vary.

doctor img
Dr. Nor Azhari Bin Mohd Zam

MBBS (NUS)|MRCS (Edin.)|MMed Surgery (NUS)|FAMS (Urology)

Make an Enquiry
Screenshot Cystolitholapaxy in Singapore
Suitability Techniques Process Recovery Benefits Risks Cost FAQ Conclusion
Jump to section…
Suitability
Techniques
Process
Recovery
Benefits
Risks
Cost
FAQ
Conclusion

What is Cystolitholapaxy?

Cystolitholapaxy is a minimally invasive endoscopic procedure used to fragment and remove bladder stones (vesical calculi). During this procedure, a urologist inserts a cystoscope through the urethra into the bladder, allowing direct visualisation and treatment of bladder stones without external incisions. The procedure involves breaking down larger stones into smaller fragments using mechanical, ultrasonic, or laser energy, then removing or flushing them from the bladder.

This technique may be considered for treating bladder stones caused by bladder outlet obstruction, urinary stasis, or recurrent urinary tract infections. The procedure can address stones of various compositions, including calcium oxalate, uric acid, and struvite stones. Cystolitholapaxy is an established approach for treating bladder stones due to its minimally invasive nature.

The procedure aims to achieve stone clearance, though larger or multiple stones may occasionally require additional treatment. Many patients may experience symptom relief following the procedure. This treatment is administered as part of a comprehensive plan supervised by a healthcare professional.

Who is a Suitable Candidate?

Potential Candidates

Potential Candidates

  • Patients with symptomatic bladder stones confirmed by imaging studies
  • Individuals experiencing lower urinary tract symptoms due to bladder stones
  • Patients with stones measuring less than 4cm in diameter
  • Those with recurrent urinary tract infections caused by bladder stones
  • Individuals with bladder outlet obstruction secondary to stones
  • Patients who can tolerate cystoscopic procedures
  • Those considering minimally invasive treatment approaches
Contraindications

Contraindications

  • Active, untreated urinary tract infection
  • Severe urethral stricture preventing cystoscope passage
  • Uncorrected coagulopathy or bleeding disorders
  • Huge stones (>4cm) that may require open surgery
  • Patients unable to position correctly for the procedure
  • Severe cardiopulmonary conditions preventing safe anaesthesia

Your urologist may conduct a thorough evaluation, including medical history, physical examination, and appropriate imaging studies, to determine if cystolitholapaxy may be suitable for your specific condition. Individual factors such as stone size, number, composition, and your overall health status all play essential roles in treatment planning.

Treatment Techniques & Approaches

  • Transurethral Cystolitholapaxy

    The standard approach involves inserting a cystoscope into the bladder through the urethra. This technique provides direct access to bladder stones without the need for external incisions. The urologist uses specialised instruments passed through the cystoscope to fragment and remove stones. This approach may be suitable for bladder stones and typically results in no external scarring.

  • Percutaneous Cystolitholapaxy

    For larger stones or when urethral access is difficult, a percutaneous approach may be considered. This involves creating a small tract directly into the bladder through the lower abdomen. While more invasive than the transurethral approach, it can allow removal of larger stone fragments and may be necessary in specific circumstances, such as patients with urethral abnormalities or previous reconstructive surgery.

  • Fragmentation Methods
    • Laser Lithotripsy: Holmium laser energy fragments stones into small pieces. This method can provide stone fragmentation regardless of composition and aims to minimise trauma to surrounding tissues.
    • Ultrasonic Lithotripsy: High-frequency ultrasonic waves break down stones while simultaneously aspirating fragments. This technique may work well for softer stones.
    • Pneumatic Lithotripsy: Mechanical energy delivered through a pneumatic device fragments stones through direct contact. This method remains useful for stone types.

     

Considering treatment options?

Dr Azhari can evaluate your specific condition and discuss suitable techniques.

Schedule Consultation

The Treatment Process

Pre-Treatment Preparation

Before your cystolitholapaxy, you’ll undergo several preparatory steps. Your urologist may order urine tests to check for infection, which must be treated before the procedure. Blood tests assess your overall health and clotting function. You’ll need to stop certain medications, particularly blood thinners, several days before surgery as directed by your doctor.

On the day before the procedure, you may need to follow specific dietary restrictions. Clear liquids are typically allowed until midnight, after which you’ll fast. Arrange for someone to drive you home after the procedure, as you’ll receive anaesthesia.

During the Procedure

Cystolitholapaxy may take varying durations, depending on stone size and number. You’ll receive either spinal anaesthesia or general anaesthesia based on your medical condition and the urologist’s recommendation. Once anaesthesia takes effect, you’ll be positioned appropriately to allow optimal access.

Your urologist inserts the cystoscope through your urethra into the bladder. Using the camera, they locate and assess the stones. The chosen fragmentation device is then introduced to break the rocks into manageable pieces. Continuous irrigation flushes out stone fragments. The urologist carefully inspects the bladder for complete stone removal.

Immediate Post-Treatment

After the procedure, you’ll recover in a monitored area as anaesthesia wears off. Medical staff can check your vital signs and make you comfortable. Patients may experience mild discomfort or a burning sensation during urination initially. A temporary catheter may be placed to help drain the bladder and allow any remaining small fragments to pass.

You may go home the same day once you’ve urinated successfully and feel stable. Your medical team can provide specific instructions on catheter care (if one is placed), pain management, and warning signs to watch for.

Recovery & Aftercare

First 24-48 Hours

During the initial recovery period, you may notice blood in your urine, which is normal and should gradually clear. Drink plenty of water to help flush your bladder and promote healing. Take prescribed pain medications as directed for any discomfort. Avoid strenuous activities and heavy lifting.

Watch for signs of complications such as fever, severe pain, inability to urinate, or heavy bleeding. Rest is essential, but light walking may help prevent blood clots and promote recovery.

First Week

Continue drinking ample fluids to maintain good urine flow. You may experience mild burning during urination, which typically improves daily. If a catheter was placed, follow care instructions carefully until removal at your follow-up appointment.

Patients can often return to desk work within a few days. Avoid vigorous exercise, sexual activity, and heavy lifting for at least one week. Your urologist may prescribe antibiotics to prevent infection. Complete the entire course as directed.

Long-term Recovery

Complete healing typically occurs within several weeks. You can gradually resume normal activities as comfort allows. Your urologist can schedule follow-up appointments to monitor healing and discuss prevention strategies.

Long-term outcomes depend on addressing the underlying causes of stone formation. This may include treating prostate enlargement, managing neurogenic bladder, or modifying diet and fluid intake. Regular monitoring may help prevent stone recurrence.

Our urologist provides post-procedure support to help with recovery.

Schedule your consultation to learn more about what to expect.

Schedule Consultation

Benefits of Cystolitholapaxy

Cystolitholapaxy offers advantages for patients with bladder stones. The minimally invasive nature means no external incisions, which may result in less post-operative pain and recovery time compared to open surgery. Patients may return home the same day and could resume normal activities within a timeframe determined by their healthcare provider.

The procedure aims to provide symptom relief for patients. Painful urination, urgency, and frequency may resolve once stones are removed. The risk of recurrent urinary tract infections may decrease after stone removal.

This technique can achieve stone removal in a single session. Direct visualisation enables thorough stone removal, potentially reducing the risk of retained fragments. The procedure can simultaneously address other bladder conditions discovered during cystoscopy.

Compared with open surgery, cystolitholapaxy may be associated with fewer complications and shorter hospital stays. The cosmetic outcome involves no visible scars. For elderly patients or those with multiple medical conditions, this less invasive approach may offer a treatment option with reduced anaesthesia requirements.

Risks & Potential Complications

Common Side Effects

Patients may experience mild haematuria (blood in urine) for several days after the procedure. This typically resolves with increased fluid intake. Temporary burning or discomfort during urination can occur but may improve within a week. Some patients develop urinary urgency or frequency that settles as the bladder heals.

Mild bladder spasms may occur, particularly if a catheter is placed. These can respond to medication. Temporary difficulty emptying the bladder may occur due to swelling, but it can resolve as inflammation subsides.

Rare Complications

Potential complications include urinary tract infection despite preventive antibiotics. This can respond to treatment when identified early. Bladder perforation may occur with large or adherent stones, potentially requiring additional intervention.

Urethral injury or stricture formation can occur with modern techniques. Some patients may experience temporary urinary retention requiring catheterisation. Incomplete stone removal may necessitate a repeat procedure in complex cases.

Your urologist takes numerous precautions to minimise risks, including careful patient selection, appropriate technique choice, and meticulous surgical technique.

Cost Considerations

The cost of cystolitholapaxy varies based on several factors. Stone size and number influence procedure complexity and duration. The fragmentation method chosen (laser, ultrasonic, or pneumatic) affects equipment costs. Anaesthesia type and duration contribute to overall expenses.

The total cost typically includes the urologist’s fees, anaesthesia charges, operating theatre use, equipment and consumables, and post-procedure recovery care. An overnight stay is required and adds to the cost. Follow-up consultations and any additional investigations are usually separate.

Professional care from experienced urologists using contemporary equipment can provide effective treatment. The procedure aims to prevent complications and recurrent infections that may require ongoing medical care. During your consultation, you’ll receive a personalised cost estimate based on your specific treatment needs.

Frequently Asked Questions

How long does cystolitholapaxy take to perform?

The procedure duration varies depending on the size, number, and hardness of bladder stones. Your urologist can provide an estimate after reviewing your imaging studies during the consultation.

Will I need a catheter after the procedure?

Your urologist may determine catheter placement based on factors like procedure duration, amount of bleeding, and bladder condition. If placed, catheters may be removed within a few days, though some patients may need one longer if there was significant inflammation or if simultaneous prostate surgery was performed.

Can bladder stones come back after cystolitholapaxy?

While cystolitholapaxy can remove existing stones, recurrence is possible if underlying causes aren’t addressed. Common causes include an enlarged prostate, a neurogenic bladder, or chronic infections. Your urologist can identify and treat these underlying conditions to help reduce the risk of recurrence. Following preventive measures, such as adequate hydration and regular follow-ups, may help maintain outcomes.

How soon can I return to work after the procedure?

Recovery varies based on individual factors and the extent of the procedure. Your urologist can provide specific recommendations based on your occupation and recovery progress.

Is cystolitholapaxy painful?

The procedure itself is performed under anaesthesia. Post-procedure discomfort may occur and is typically manageable with oral pain medications. Patients may experience burning during urination and mild bladder discomfort. These symptoms may improve over time. Drinking plenty of water may help minimise discomfort.

What’s the success rate of cystolitholapaxy?

Success depends on factors like stone size, composition, and surgical specialisation. Very large or hard stones occasionally require a second procedure or alternative treatment. Your urologist can discuss expected outcomes based on your specific situation.

Can cystolitholapaxy treat stones in the kidney or ureter?

Cystolitholapaxy specifically treats bladder stones only. Stones in the kidney or ureter require different procedures such as ureteroscopy, percutaneous nephrolithotomy, or extracorporeal shock wave lithotripsy. If you have stones in multiple locations, your urologist may develop a comprehensive treatment plan that may involve staged or combined procedures.

Conclusion

Cystolitholapaxy is a minimally invasive treatment option for bladder stones that may help improve quality of life. This established procedure can offer good outcomes with minimal recovery time when performed by Dr Azhari. By addressing bladder stones promptly, patients may experience relief from uncomfortable symptoms and reduce the risk of potential complications such as recurrent infections or bladder damage. The key to appropriate treatment is consulting an experienced urologist who can accurately assess your condition and recommend the most suitable treatment.

Ready to Take the Next Step?

If you’re considering cystolitholapaxy for bladder stones, Dr Azhari can help you determine whether it’s a suitable option for your needs. With experience in cystolitholapaxy and endoscopic stone management, we provide personalised care throughout your journey.

Book Your Consultation Today
Dr. Nor Azhari Bin Mohd Zam

Dr. Nor Azhari Bin Mohd Zam

MBBS (NUS)|MRCS (Edin.)|MMed Surgery (NUS)|FAMS (Urology)

With more than 15 years experience as a certified Urologist, Dr Nor Azhari specializes in treating a wide range of kidney, bladder and prostate conditions as well as disorders of the male reproductive organs.

He offers minimally invasive treatment options and provides same-day appointments for convenience.

  • Skilled urologist and kidney stone surgeon.
  • Director of Endourology (Urinary stone service) at Singapore General Hospital – 2016 to 2023.
  • Recognized with the College of Surgeons Gold Medal and Singapore Urological Association Book prize.
  • Minimally invasive treatment options available (non-invasive and endoscopic/key-hole techniques).
contact us

Make an Enquiry

For urgent or same day appointment requests, please call our hotline.

    Full Name*

    Email Address*

    Phone Number*

    Your Message*

    For Faster Response, call us!

    +65‎ 6334‎ 1486

    Our Clinic Locations

    Asian Healthcare Specialists (Novena)

    Mount Elizabeth Novena Specialist Centre
    38 Irrawaddy Road
    #08-41 Singapore 329563

    +65‎ 6334‎‎ 1486
    [email protected] [email protected]

    Asian Healthcare Specialists (Alvernia)

    Mount Alvernia Hospital
    820 Thomson Road Medical Centre Block A #05-03 Singapore 574623

    +65 6252 4015
    [email protected]