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

Written by Wang Shuai
Urology
Updated on March 24, 2025
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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 Gao Tian
General Surgery
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What drink is good for urethral stones?

It is generally suitable to take some stone expulsion granules.For urethral calculi, it is first necessary to determine the location of the stones, whether they are kidney stones, ureteral stones, or bladder stones, as well as the size of the stones, whether there are any obstructions and other symptoms. If the above symptoms occur, in addition to initial conservative treatment, it is also necessary to clarify these issues before proceeding with the next steps based on the results.Normally, attention should be paid to rest, avoid eating spicy and irritating foods, avoid sitting for long periods, and moderate exercise, such as going up and down stairs, can all help in the expulsion of stones, followed by regular follow-up checks.

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Written by Wang Shuai
Urology
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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.

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Written by Wang Shuai
Urology
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Urinary tract stone symptoms

The symptoms of urethral stones and the size of the stones, as well as their position within the urethra, are directly related. If the urethral stone is relatively small, patients may not experience any discomfort symptoms. By drinking more water and urinating frequently, the stone can be expelled from the body. If the stone is large and causes obstruction in the urethra, it will lead to noticeable symptoms such as urinary obstruction, frequent urination, urgency, and pain during urination. If the stone damages the urethral mucosa, there may also be symptoms of hematuria. If the stone completely blocks the urethra, it will cause urinary retention, and the patient will have significant difficulty urinating. For larger urethral stones, it is necessary to conduct timely ultrasound, CT, and other examinations to determine the specific location of the stone. Appropriate surgical treatments are then selected to crush and expel the stone from the body.

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Written by Wang Shuai
Urology
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Do urethral stones require hospitalization?

After suffering from urethral stones, whether hospitalization is necessary depends first on examinations such as color Doppler ultrasound and CT scans to determine the exact location and size of the stones within the urethra. If the stones are relatively small, such as about five millimeters, hospitalization is not necessary. By drinking more water and urinating frequently, the flushing action of the urine can expel the stones from the body. However, if the stones are larger and become lodged in the urethra, causing significant hematuria or even urinary retention, it is advisable to hospitalize immediately and proceed with surgery. Using a ureteroscope with holmium laser lithotripsy, the stones can be shattered and expelled from the body.

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Written by Wang Shuai
Urology
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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.