In elderly patients with bladder stones, the cause of the bladder stones needs to be further clarified and treated symptomatically. 1. If the bladder stones are primary, holmium laser lithotripsy under cystoscopy or cystotomy to remove the stones is recommended to achieve a complete cure. 2. Primary cause. The most common cause of bladder stones in men is prostate enlargement, because after prostate enlargement the patient can not be completely empty, there is always residual urine in the bladder, over time it is easy to form bladder stones. If you are not dealing with prostate enlargement, the stones can recur and you need to undergo surgical treatment of the prostate, such as prostate plasma excision treatment or prostate laser excision, to achieve a complete cure. 3. If the bladder stones are caused by neurogenic bladder, it is recommended that after holmium laser bladder lithotripsy, a long-term indwelling catheter or indwelling cystostomy tube to prevent stone recurrence.