In this video, we will discuss that Urinary bladder stones are hard mineral deposits that form in the bladder, often resulting in painful symptoms such as lower abdominal discomfort, difficulty in urination, blood in urine, and recurrent urinary tract infections. While small stones may pass on their own or be managed endoscopically, larger or multiple stones often require surgical intervention. In such cases, laparoscopic bladder stone surgery offers a modern, safe, and minimally invasive alternative to traditional open surgery. This video, titled "Urinary Bladder Stone Surgery by Laparoscopy: A Safe, Effective, and Minimally Invasive Approach," provides a comprehensive overview of the surgical technique, benefits, and patient outcomes associated with this advanced procedure.

What Is Laparoscopic Bladder Stone Surgery?

Laparoscopic bladder stone removal, also known as laparoscopic cystolithotomy, is a minimally invasive procedure performed using small incisions in the lower abdomen. A laparoscope (a thin tube with a high-definition camera) and specialized surgical instruments are introduced through these incisions to locate, isolate, and extract the bladder stones. The procedure is performed under general anesthesia and typically takes 45–90 minutes, depending on the size and number of stones.

When Is Laparoscopy Indicated for Bladder Stones?

Laparoscopic surgery is especially useful in cases where:
Stones are large, multiple, or too hard for endoscopic fragmentation
There is bladder outlet obstruction, such as an enlarged prostate
The patient has bladder diverticulum or other structural abnormalities
Recurrent bladder stones are present despite conservative management
Endoscopic equipment is not effective or unavailable

Advantages of Laparoscopic Bladder Stone Surgery

Minimally Invasive: Small incisions result in less postoperative pain and faster healing
Clear Visualization: Direct view of the bladder allows for complete stone removal and inspection
Reduced Risk of Complications: Lower chance of bleeding, infection, and injury to surrounding tissues
Shorter Hospital Stay: Most patients are discharged within 24–48 hours
Quick Recovery: Return to daily activities is faster compared to open surgery
Cosmetic Benefit: Minimal scarring due to small incision size

The Surgical Procedure – Step-by-Step Overview

Patient Preparation and Anesthesia
The patient is positioned supine under general anesthesia

Trocar Insertion and Access
Small ports are created in the lower abdominal wall for instrument insertion

Bladder Exposure and Stone Identification
The bladder is visualized and opened under laparoscopic guidance

Stone Removal
Stones are extracted carefully using laparoscopic graspers or suction

Bladder Closure
The bladder is closed using intracorporeal suturing

Irrigation and Leak Test
The bladder is filled with saline to check for watertight closure

Port Removal and Wound Closure
Instruments are withdrawn, and the skin incisions are closed

Postoperative Care and Recovery
Patients are monitored for urine output and signs of infection
A urinary catheter is typically kept in place for 5–7 days
Oral intake is resumed gradually after surgery
Most patients resume normal activities within 7–10 days

Conclusion
Laparoscopic surgery for urinary bladder stones is a highly effective, safe, and patient-friendly option, especially when conventional approaches are not feasible. With its ability to offer excellent results, minimal trauma, and rapid recovery, this minimally invasive technique is gaining wide acceptance among urologists and patients alike.

Watch the full video to learn more about how laparoscopic bladder stone surgery is performed and why it is considered one of the best approaches for complex bladder stone cases. Don’t forget to like, comment, and subscribe for more informative surgical content.