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

Written by Wang Shuai
Urology
Updated on March 24, 2025
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Wang Shuai
Urology
49sec home-news-image

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

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.

doctor image
home-news-image
Written by Wang Shuai
Urology
47sec home-news-image

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.

doctor image
home-news-image
Written by Wang Shuai
Urology
1min home-news-image

Can urethral stones cause back pain?

Urethral calculi refer to stones located within the urethra. The main clinical symptoms include frequent urination, urgency, and painful urination. Severe cases may present with hematuria and urinary retention. Generally, urethral stones do not cause back pain. If back pain occurs, it may be necessary to consider additional factors such as stones in the ureter or kidney, lumbar muscle strain, or herniated lumbar discs. Further examinations such as renal and ureteral color Doppler ultrasound, CT scans, and if necessary, lumbar disc CT scans should be conducted to determine if the back pain is caused by conditions outside of the urinary system. If the pain is due to stones, timely lithotripsy and stone expulsion treatments are required. If the cause is herniated lumbar discs, timely orthopedic treatment is necessary.

doctor image
home-news-image
Written by Wang Jian
Urology
59sec home-news-image

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.

doctor image
home-news-image
Written by Wang Shuai
Urology
55sec home-news-image

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.