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FELINE: Bladder Stones


What are bladder stones?

Bladder stones (uroliths or cystic calculi) are rock-like formations of minerals that develop in the urinary bladder. There may be a large, single stone or a collection of stones that range in size from sand-like grains to gravel. Many times, there is a mixture of both large and small stones present.


What other kinds of stones are there?

Gallstones form in the gall bladder and contain bile salts. Kidney stones are mineralized formations that develop in the kidney. Neither of these is directly related to bladder stones. Even though the kidneys and urinary bladder are both part of the urinary system, the development of kidney stones is not usually linked to the development of bladder stones. All stones form because of disease or inflammation in the affected structure.


What are the clinical signs of bladder stones?

The most common symptoms of bladder stones in the cat are hematuria (blood in the urine) and dysuria (straining to urinate). Hematuria occurs because the stones rub against the bladder wall, irritating and damaging the tissues and causing bleeding. Dysuria may occur from inflammation and swelling of the bladder walls or the urethra, from muscle spasms or due to a physical obstruction to urine flow caused by the presence of the stones. Veterinarians assume that the condition is painful, because people with bladder stones experience pain, and because many clients remark about how much more active their cat becomes following surgical removal of bladder stones. 


"The most common symptoms of bladder stones in the cat are hematuria (blood in the urine) and dysuria (straining to urinate)."


Large stones may act almost like a valve or stopcock, causing an intermittent or partial obstruction at the neck of the bladder, the point where the bladder attaches to the urethra. Small stones may flow with the urine into the urethra, where they become lodged and cause an obstruction.  This problem occurs more frequently in male cats, because of their anatomy.


If an obstruction occurs, the bladder cannot be emptied fully. This is very painful, especially when pressure is applied to the abdomen. If the obstruction is not relieved, the bladder may rupture. A complete obstruction is potentially life threatening and requires immediate emergency treatment.


How did my cat get bladder stones?

"The most commonly accepted theory for stone formation is called the Precipitation-Crystallization Theory."


There are several theories of how bladder stones form. The most commonly accepted theory for stone formation is called the Precipitation-Crystallization Theory. This theory states that one or more stone-forming crystalline compounds are present in elevated levels in the urine. This may be due to abnormalities in diet or due to some previous disease in the bladder. When the amount of this compound exceeds a threshold level, the urine becomes saturated and cannot hold any more of the compound. The saturation level depends on the specific minerals that are present and the pH of the urine. The excess precipitates out of solution and forms tiny crystals. The sharp crystals irritate the bladder lining, causing a production of mucus. The crystals and mucus stick together, forming clusters that gradually enlarge and harden into stones. This is similar to the way "rock candy" is formed.


How quickly can bladder stones form?

Bladder stones can develop within a few weeks or may take months to form. The rate of urolith formation and growth is variable, depending on factors such as on how much crystalline material is present in the urine, the pH of the urine, etc.







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