Abstract

A CASE STUDY OF LARGE VESICAL CALCULUS

Gopal Kute* and Dhanraj B. Gaikwad

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Abstract

Vesical calculus, or bladder stones, can either travel to the bladder via the ureter and enlarge there or form directly in the bladder due to urinary stasis and infection. This condition affects individuals of all ages, with males being more commonly affected than females. The most frequent symptom is an increased need to urinate, as standing causes the stone to contact the trigone of the bladder, triggering the urge to micturate. At night, when lying down, the stone may fall off the trigone, alleviating this frequent urge. Bladder stones can also cause suprapubic pain after urination, often referred to the tip of the penis or labia majora, and this pain is exacerbated by physical activities such as running or jolting. Haematuria, or blood in the urine at the end of micturition, is another common symptom, resulting from the abrasion of the vascular trigone, which worsens with exercise. Additionally, sudden interruption of urine flow due to the stone blocking the urethral meatus, followed by the continuation of flow upon changing posture, is not uncommon.

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