Is surgery necessary for bladder stones and enlarged prostate?

Hi,

A bladder stone (vesical calculus) and enlarged prostate (Benign Prostatic Hyperplasia - BPH) are closely related conditions. An enlarged prostate can block urine flow, causing urine to remain in the bladder, which increases the risk of bladder stone formation.

For a bladder stone measuring 2.4 × 2.3 cm, surgery is generally the most effective treatment. Whether surgery is also required for the enlarged prostate depends on the severity of symptoms and the presence of complications.

Bladder Stone (Vesical Calculus)

Common Symptoms

• Pain or burning during urination.

• Blood in the urine (Hematuria).

• Frequent urination, especially at night.

• Difficulty passing urine or interrupted urine flow.

• Lower abdominal pain or discomfort.

Treatment Options

Small bladder stones may occasionally pass on their own, but a stone measuring 2.4 × 2.3 cm usually requires surgical removal.

Common procedures include:

• Cystolitholapaxy – A minimally invasive procedure in which the stone is broken into small pieces using a laser or other energy source and removed through the urethra.

• Open Cystolithotomy – Recommended only for very large or complex bladder stones.

Enlarged Prostate (Benign Prostatic Hyperplasia - BPH)

Common Symptoms

• Frequent urge to urinate.

• Difficulty starting urination.

• Weak urine stream.

• Feeling of incomplete bladder emptying.

• Frequent urination at night (Nocturia).

Treatment Options

Non-Surgical Treatment

For mild to moderate symptoms, treatment may include:

• Lifestyle modifications.

• Medications to relax the prostate muscles or reduce prostate size.

Surgical Treatment

If medications do not provide relief or complications develop, surgery may be recommended.

Common procedures include:

• TURP (Transurethral Resection of the Prostate).

• HoLEP (Holmium Laser Enucleation of the Prostate).

• GreenLight Laser Prostate Surgery.

• Simple Prostatectomy (for very large prostates).

When is Surgery Required?

Surgery is commonly recommended if:

• The bladder stone is large (such as 2.4 × 2.3 cm).

• There is persistent urinary obstruction.

• Recurrent urinary tract infections occur.

• Blood in the urine keeps recurring.

• Kidney function is affected.

• Symptoms do not improve with medicines.

In many cases, the bladder stone is removed (Cystolitholapaxy) and the enlarged prostate is treated (TURP or HoLEP) during the same surgery, if the urologist considers it appropriate.

Is Treatment Covered Under Ayushman Bharat?

Yes. If you are eligible for Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY), treatment for bladder stones and enlarged prostate (BPH), including eligible surgical procedures, may be covered at Ayushman Bharat empanelled hospitals, as per the applicable PM-JAY package guidelines.

How to Find an Ayushman Bharat Hospital

Option 1: PM-JAY Website
Visit the PM-JAY website, click "Find Hospital", select your State, District, Hospital Type, and Speciality, complete the captcha, and click Search.

Option 2: HexaHealth Website
Visit the HexaHealth website, go to the Footer section, click "Ayushman Bharat Hospitals", select your State and City, and browse the list of empanelled hospitals.

How HexaHealth Can Help

HexaHealth can help you by:

• Connecting you with experienced urologists.

• Helping you find Ayushman Bharat empanelled hospitals.

• Assisting with doctor consultations, investigations, and surgery bookings.

• Guiding you through Ayushman Bharat eligibility, documentation, and cashless treatment.

• Providing end-to-end support throughout your treatment journey.

Please Share These Details

To help us recommend the most suitable urologist and hospital, kindly share:

• Has the doctor advised surgery for the bladder stone or enlarged prostate?

• Do you have any reports such as Ultrasound, CT Scan, or urine test?

• Which city do you want treatment in?

• Do you have an Ayushman Bharat Card or any other health insurance?

Once you share these details, we'll help you connect with the most suitable urologist and Ayushman Bharat empanelled hospital near you.