Cystotomy/Bladder Stone Removal
Description: Cystotomy is a surgical procedure performed to remove bladder stones and prevent potential urinary obstruction. It can also be performed to obtain biopsies of bladder masses.
What to look for: straining to urinate, urinating small amounts frequently, dribbling urine, vocalizing while urinating, blood-tinged urine.
How does it happen? Bladder stones can form due to chronic urinary tract infections, they may be diet related, or there may be a genetic component.
What questions do we ask?
What changes has your pet experienced at home? (straining, change in color, increased frequency, etc.)
How long have these changes been going on?
Does your pet have a history of urinary abnormalities?
What are the steps we take to treat your pet?
The first step in diagnosing and treating your pet is taking a thorough history and performing a complete physical examination. Occasionally bladder stones can be diagnosed through abdominal palpation.
A urinalysis will be performed to look for changes in pH level, presence of crystals or signs of infection. The urinalysis will help us better determine what type of stone is present in the bladder.
Abdominal radiographs and an ultrasound may be performed to diagnose and confirm the presence of stones within the bladder or urethra.
What are potential treatment plans?
An antibiotic may be prescribed if an infection is identified on the urinalysis. Some stones form in the presence of an infection so it is important to identify and treat when indicated.
Bladder stones tend to create a lot of inflammation in the bladder and result in a painful response for your pet. A nonsteroidal anti-inflammatory pain medication will likely be prescribed.
Some stones can be dissolved by diet alone. Therefore, a prescription diet may be prescribed to your pet.
An incision is made into the bladder to remove the stones. Any stones that may have moved into the urethra are moved back into the bladder for removal.
Stones are then submitted for testing to determine the exact composition and establish a prevention and monitoring protocol.
What results have we seen
What are the risks if a cystotomy is not performed for the removal of bladder stones:
If left untreated, bladder stones will continue to grow causing difficulty urinating and eventually make urination impossible. An inability to urinate is an emergency and can be life-threatening if not immediately addressed.
- Persistent bladder stones can also lead to chronic pain and may increase the incidence of urinary tract infections.
Animal Doctor Provider
Dr. Jennifer Arneson