Urethral Calculus

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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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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.

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Written by Wang Shuai
Urology
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Can urethral stones cause urgent urination?

Urethral stones can cause symptoms of urinary urgency because the stones stimulate the urethra, causing urgency. In addition to urgency, symptoms include frequent urination and painful urination, and in severe cases, blood in the urine may occur. If the stone is relatively large, it can block the urethra, leading to symptoms of urinary retention. If suffering from urethral stones, it is necessary to go to the hospital's urology department for ultrasound and CT scans of the urinary system to understand the specific size and location of the stones in the urethra, and to carry out targeted treatment. If the stones are small, they can be expelled from the body by drinking more water and urinating frequently, relying on the flushing action of the urine. If the stones are large, it is recommended to undergo surgery as soon as possible.

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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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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 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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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 Wang Shuai
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.

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Written by Wang Shuai
Urology
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Urinary stone symptoms in men

The main symptoms of a male suffering from urethral stones are directly related to the size of the stones. If the stones are small, they often pass through urination, flushing out of the urethra without causing any discomfort. However, if the stones are large, they can get stuck in the urethra, causing a blockage during urination and significant pain. Some patients may experience hematuria due to the stones damaging the mucous membrane of the urethra. If the stones are large enough to cause impaction, especially complete obstruction of the urethra, this can lead to urinary retention and significant difficulty in urinating, necessitating prompt visit to the hospital's urology department for lithotripsy treatment.

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Written by Wang Jian
Urology
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Is urethral calculus the same as kidney stones?

Urethral calculi and kidney stones are not the same concept. Urethral calculi refer to stones located in the urethra, while kidney stones are stones located within the kidney. The cause of urethral calculi is usually due to stones from the kidney or ureter becoming lodged in the urethra, which clinically often results in symptoms such as frequent urination, urgent urination, and difficulty urinating. Severe cases may lead to urinary retention. If kidney stones are small and smooth, they may not cause any symptoms. However, larger kidney stones can cause localized back pain, and if infected, may also lead to high fever. The treatment methods for kidney stones and urethral calculi are also different. Urethral calculi can generally be removed through surgery or endoscopic methods, while the treatment for kidney stones depends on the size and location of the stones.