Patient's question:
A stone has fallen into the bladder. What should I do if ureteroscopy and lithotripsy fail? I have had an intravenous pyelogram, but I cannot see the stone in the bladder. What should I do?Doctor's answer:
Hello friend, the current situation is whether the stone is in the bladder? If so, procedures like cystoscopy with holmium laser can effectively break up and remove the stone. It's understandable that the stone isn't visible on imaging, as stones are three-dimensional while imaging only shows a two-dimensional view.Medical advice: I recommend that you have a follow-up ultrasound to check for stones in the kidneys or ureters. If there are none, and it's only a bladder stone, ureteroscopy for stone removal can be considered.
Doctor's inquiry: I hope my answer is helpful to you. If you have any further questions, feel free to ask me, and I will do my best to respond.