BLADDER STONE
Bladder stones are seen more frequently in children. Often it occurs due to a period of severe dehydration in connection with a general febrile disease.
The symptoms are dysuria (pain at micturation) with pain radiating to the tip of the penis in the male, more seldom hematuria (blood in the urine).
The diagnosis is usually easily made on the history and confirmed by either bimanual (rectoabdominal) palpation, sounding (feeling and hearing with a probe in the bladder via the urethra), X-ray or ultrasound scanning.
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The stone is easily removed via a transverse suprapubic incision. If there is severe infection the incision - including the bladder incision -may be left wide open to close spontaneously with extended catheter drainage.
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