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Yes pretty much. The only curative treatment for a stone is surgical removal apart from incredibly tiny stones in females which have the potential to pass naturally. Unfortunately unlike some other species there aren't medications that can break them down.
Stones cause so much trauma to the inside of the bladder as they're usually quite rough, that it's best to get them out ASAP before they cause a nasty infection on top of the incredible amount of pain they usually cause.
Smaller ones can be passed naturally or with the help of diuretics. Diuretics helped my Rosie pass her stone from a kidney duct to the bladder, but it wouldn’t move from there. In the end we operated - the stone began aggressively growing on its own (they tend to hold their wee because of the pain) and it ate itself into the bladder wall.
Luckily my Rosie recovered incredibly well. Because of her age we tried to hold off on surgery, but it was necessary in the end.
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