How to treat urethral stones?

Written by Wang Shuai
Urology
Updated on September 21, 2024
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Urethral stones can cause symptoms such as frequent urination, urgency, pain during urination, and hematuria. In severe cases, they can completely block the urethra, leading to urinary retention. If the stones are relatively small, this condition can often be resolved by drinking plenty of fluids and urinating frequently, relying on the flushing action of the urine to expel the stones from the body. However, if the stones are larger and cause urinary retention, it is necessary to promptly use a cystoscope or ureteroscope to visually crush the stones with a holmium laser and expel them from the body. After the procedure, a urinary catheter is left in place, and recovery typically takes about a week. It is important to drink plenty of water and urinate frequently to prevent the formation of stones.

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Written by Wang Jian
Urology
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What to eat for urethral stones?

The treatment of urethral stones depends on the size of the stone. If the stone is very small, it can be expelled from the body through increased physical activity and water consumption; generally, stones less than 0.4cm can be expelled. Larger stones may become lodged in the urethra, causing difficulty urinating or even urine retention. A urethral probe can be used to push the stone into the bladder, where it can then be broken up using surgery or extracorporeal shock wave lithotripsy, and subsequently expelled from the body. If the urethral stone is very close to the urinary opening, it can also be directly removed with hemostatic forceps. Therefore, the dietary considerations for someone with a urethral stone depend primarily on the size and position of the stone, with most requiring repositioning into the bladder or surgery.

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Written by Wang Shuai
Urology
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What should I do if I have hematuria due to urinary stones?

Urethral stones accompanied by hematuria mainly occur because the stones damage the mucosa and blood vessels of the urethra, causing blood in the urine. In such cases, one should first go to the hospital's urology department and undergo examinations such as color Doppler ultrasound and CT to determine the specific location and size of the stone, and then proceed with targeted treatment. If the stone is located in the posterior urethra, it is advised to push the stone back into the bladder using a cystoscope, then use a holmium laser under cystoscopic guidance to break the stone and expel it from the body. If the stone is located in the anterior urethra, it can be fragmented using a holmium laser through a ureteroscope and expelled, or a urethrotomy can be performed to remove the stone.

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Written by Wang Shuai
Urology
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What are the symptoms of urethral stones?

The symptoms of urethral stones are primarily related to the size and location of the stone. Smaller urethral stones generally do not cause discomfort and can be expelled from the body through urination. However, some urethral stones may cause pain within the urethra or even lead to the presence of blood in the urine. If the stone is large and lodges in the posterior urethra, it can cause complete obstruction of the urethra, leading to significant difficulty in urination, or even result in urinary retention. Therefore, the clinical manifestations of urethral stones vary depending on the size and location of the stone. If the stone is large and causes acute urinary infection or obstruction, leading to urinary retention, prompt surgical treatment is necessary.

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Written by Sun Chun
Urology
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How to check for urethral stones

Urethral stone examinations are primarily divided into the following areas: Firstly, the physical examination provided by the clinical doctor which checks for urethral stones can be categorized into anterior and posterior urethral stones. For anterior urethral stones, one can feel a hard nodule inside the urethra with their hand. Combined with specific symptoms, such as sudden stabbing pain during urination or a sudden inability to urinate, and if there is a history of urinary system stones, then urethral stones might be considered. As for posterior urethral stones, they cannot be felt externally; if they are lodged at the prostate, a doctor might insert a finger into the rectum to touch the area around the prostate. If a hard nodule is felt upon pressing, then a posterior urethral stone might be considered. Secondly, a more accurate clinical exam is the plain film radiography of the urinary system, commonly known as X-rays. Generally, most stones contain calcium, and in such cases, the X-ray can reveal a hard nodule in either the posterior or anterior urethra, which can be diagnosed as urethral stones. Thirdly, the urinary system's CT scans can sometimes detect radiolucent stones, such as uric acid stones. It can also identify conditions like kidney hydronephrosis in the bladder and stones in other parts of the urinary system. If all examinations, including auxiliary checks, suggest the presence of urethral stones, treatment depends on the situation. If the anterior urethral stone is not large, stone retrieval may be performed. Posterior urethral stones are generally treated like bladder stones; after pushing them into the bladder using a cystoscope, the stones are broken down either by lithotripsy or laser.

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Written by Wang Shuai
Urology
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The difference between urethral stones and kidney stones.

Urethral stones and kidney stones are both types of urinary system stones. The main difference between the two is due to their location within the urinary system: kidney stones are located in the kidneys, while urethral stones are located in the urethra, which is their fundamental difference. The main symptoms of urethral stones include irritation of the urethra, leading to frequent urination, urgent urination, painful urination, and even blood in the urine or urinary retention. For urethral stones, if the stones are relatively small, they can be flushed out of the body by drinking more water and urinating frequently; however, if the stones are larger, surgical treatment is required. In the case of larger kidney stones, they can cause water retention in the kidneys and even infections, and it is advised to have surgery for these stones as soon as possible.