Lower urinary tract

Symptoms may include:

• pain:
  • in the suprapubic area, perineum, and tip of the penis or labium majora
  • exacerbated by:
    • an upright posture - the stone lies on the trigone
    • during any jolting movements
    • at the end of micturition
• urgency and frequency:
  • more troublesome during the day
  • often with a sensation of incomplete emptying after micturition
• strangury
• haematuria - at the end of micturition
• occasionally intermittent urinary obstruction

Examination may reveal:

• men - prostatic enlargement
• women - palpable bladder stone on bimanual vaginal examination