How long does it take to be discharged from the hospital after urethral stone surgery?

Written by Wang Shuai

Urology

Updated on September 02, 2024

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The situation depends on the type of surgery. If it is a minimally invasive surgery, such as ureteroscopic or cystoscopic lithotripsy and stone removal, patients generally can be discharged three to five days after surgery.

However, if an open surgery like urethrotomy for stone extraction is performed, the urethra suffers some damage and a longer period of catheterization is necessary, generally about two weeks. Therefore, the catheter is usually removed two weeks post-surgery, and after observing the urination situation, the patient may then be discharged.

Overall, if it is a minimally invasive surgery for stone removal, the general discharge time is about three to five days. If it is an open surgery, discharge typically occurs over two weeks after the surgery.

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What should I do if I have hematuria due to urethral stones?

For urethral stones, if hematuria occurs, the size of the urethral stones should be first considered. Generally, urethral stones are caused by kidney stones or ureter stones that move to and become lodged in the urethra, with the main symptoms being blood in the urine, difficulty urinating, and even urinary retention. If the urethral stone is relatively small, exercising more and drinking more water usually can help in expelling the stones out of the body; this generally applies to stones smaller than four millimeters. If the stone is larger and cannot be expelled, it is recommended to undergo cystoscopy to push the stone back into the bladder to be broken up and removed, or to directly remove the stone through the urethra. Additionally, if the stone is very close to the external opening of the urethra, it can also be removed using hemostatic forceps to clamp out the urethral stone.

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Urology

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What should I do about urethral stone pain?

Urethral stones can easily irritate the urethral mucosa, causing urethral pain which intensifies during urination. Some patients may also experience significant urinary obstruction and urinary retention. In such cases, it is crucial to visit the hospital's urology department promptly for examinations such as ultrasonography and CT scans to determine the exact location and size of the stone for appropriate treatment. If the pain is severe, pain relief medication can be used initially before addressing the stone. If the stone is relatively small, drinking plenty of water and frequent urination can help expel the stone from the body. If the stone is large, timely surgical intervention is necessary to break and remove the stone. Only by removing the stone can the root cause of the pain be fundamentally resolved.

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Written by Guan Hai Fang

Urology

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What can you eat with urethral stones?

It is recommended that patients eat more diuretic foods and fruits, such as apples, pears, peaches, oranges, and especially watermelon, which can produce a large amount of urine, flush the urethra, and possibly carry out small stones. Also, it is important to drink plenty of water every day, more than two liters, especially before going to bed—at least 500 milliliters—so that the urine volume is greater the next morning, making it easier to flush out the stones. Furthermore, patients are advised not to eat spicy and irritating foods, not to drink alcohol, especially strong spirits, and not to eat seafood, as urinary stones can easily lead to symptoms of urinary infection, and consuming these spicy and irritating foods can worsen the symptoms of infection.

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Urology

48sec

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What should I do about the stabbing pain from a urethral stone?

Urethral stones can cause urethral pain, painful urination, and even a feeling of urinary blockage, with severe cases leading to urinary retention. For urethral pain caused by stones, it is first necessary to examine the specific size and location of the stone within the urethra. If it is a small stone in the anterior urethra, it is advised to drink more water and urinate frequently to flush the stone out of the body with the flow of urine. If the stone is large and becomes lodged in the urethra, or even completely blocks the passage, causing urinary retention, it is recommended to undergo surgery as soon as possible. The stone should be crushed and expelled from the body, with a catheter left in place after surgery. The patient can usually be discharged from the hospital within three to five days.

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How should urethral stones be treated?

For the treatment of urethral stones, it is first necessary to use ultrasound, CT scans, and other examinations to specifically determine the stone's location and size within the urethra for appropriate treatment. If the stone is small, such as around 5 millimeters, this condition can be managed by increasing water intake and frequent urination, relying on the flushing action of the urine to expel the stone from the body. If the stone is large and causing obstruction in the urethra, and if it is a posterior urethral stone, it is recommended to push the stone back into the bladder under cystoscopy, followed by lithotripsy. If it is an anterior urethral stone, the condition can be treated under ureteroscopy by using holmium laser lithotripsy, after which the stone can be squeezed out of the body or by injecting paraffin oil into the urethra to lubricate and then expel the stone.