Drinking 6 to 8 glasses of water or more per day, enough to increase urinary output, may help the stones pass.
Stones that are not excreted spontaneously may be removed by your health care provider using a cystoscope or a lithotripter (a small tube that passes through the urethra to the bladder). Some stones may need to be removed using open surgery.
Extracorporeal shock wave lithotripsy (ESWL) may be an alternative to surgery. In this treatment, ultrasonic waves break up stones so that they may be expelled in the urine.
Medications are rarely used to try to dissolve the stones.
Underlying causes of bladder stones should be treated. Most commonly bladder stones are seen in conjunction with benign prostatic hyperplasia (BPH) or bladder outlet obstruction.
For patients with BPH and bladder stones, transurethral resection of the prostate (TURP) can be performed with ESWL.
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