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

Written by Wang Jian
Urology
Updated on September 05, 2024
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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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Written by Wang Shuai
Urology
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Can urethral stones be broken up?

Urethral stones can be treated with lithotripsy, but it is necessary to understand the specific location and size of the stones. If the urethral stones are relatively small, there is no need for lithotripsy. By drinking more water and urinating frequently, most patients can expel the stones out of the body through the flushing action of urine. Lithotripsy is only considered when the stones are relatively large and become lodged in the urethra, causing urinary retention and other issues. The common methods used include the use of urethroscopes and cystoscopes, and the stones are crushed under a holmium laser. This procedure requires anesthesia and is considered minimally invasive surgery with relatively small trauma and quick recovery. Generally, patients can be discharged from the hospital three to five days after surgery.

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Written by Wang Shuai
Urology
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What is the best treatment for urethral stones?

For the treatment of urethral stones, we first need to use ultrasonography or CT scans to determine the exact location and size of the stones within the urethra for treatment. If the stone is relatively small, such as about five millimeters, this condition can be treated by drinking more water and urinating frequently, relying on the flushing action of the urine to expel the stone from the body promptly. If the stone is larger, and has caused obstruction in the urethra, it is necessary to see the specific location of the stone. If it is causing obstruction in the posterior urethra, a cystoscope can be used to push the stone back into the bladder before performing lithotripsy. If the obstruction is in the anterior urethra, a small amount of liquid paraffin oil can be injected into the urethra to squeeze the stone out, or treatment can be conducted through holmium laser lithotripsy or open surgical stone removal.

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Written by Wang Shuai
Urology
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Causes of Urethral Stones

The formation of urethral stones generally does not occur in the urethra itself; most urethral stones form in the bladder or kidneys. During the process of stone elimination, they fall into the urethra, thus forming urethral stones. After urethral stones occur, patients often experience noticeable pain during urination and a sensation of urinary obstruction. Some patients may also exhibit symptoms of hematuria and should promptly visit the hospital's urology department for an ultrasound to determine the exact size and location of the stones. If the stones are small, it is recommended to drink plenty of water and urinate frequently to flush the stones out of the body. If the stones are larger and become lodged in the urethra, it is advised to seek surgical treatment as soon as possible to break down and eliminate the stones.

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Written by Wang Shuai
Urology
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Is urethral calculus easy to treat?

Urethral stones are relatively easy to treat. For smaller stones, drinking more water and urinating frequently can help flush the stones out of the body with the flow of urine. If the stones are larger and cause blood in the urine, difficulty urinating, or even urinary retention, they can also be treated with a cystoscope or ureteroscope. Under direct vision, the stones can be broken up with a holmium laser and removed, generally without the need for open surgery. Therefore, if you suffer from urethral stones, there is no need to worry excessively. It is sufficient to promptly visit the hospital's urology department for diagnostic procedures such as ultrasounds or CT scans to determine the exact size and location of the stones, and then choose the appropriate treatment method.

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Urology
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Is running useful for urethral stones?

If you suffer from urethral stones, running does not have a significant effect. If you have urethral stones, it is recommended to go to the hospital's urology department as soon as possible for a urinary system ultrasound, CT, and other examinations to determine the exact location and size of the stone in the urethra, and then proceed with targeted treatment. If the urethral stone is relatively small, it is advisable to drink more water and urinate frequently, relying on the flushing action of the urine to expel the stone from the body. If the stone is relatively large, it is recommended to have surgery as soon as possible. Running or jumping is generally used for stones in the upper or middle segments of the ureter. In this case, increasing physical activity may cause the stones in the ureter to move into the bladder. If you have urethral stones, vigorous exercise does not have a noticeable effect.