Can urethral stones be broken up?

Written by Wang Shuai
Urology
Updated on September 12, 2024
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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 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 Guan Hai Fang
Urology
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What can you eat with urethral stones?

It is recommended that patients eat more diuretic foods and fruits, such as apples, pears, peaches, oranges, and especially watermelon, which can produce a large amount of urine, flush the urethra, and possibly carry out small stones. Also, it is important to drink plenty of water every day, more than two liters, especially before going to bed—at least 500 milliliters—so that the urine volume is greater the next morning, making it easier to flush out the stones. Furthermore, patients are advised not to eat spicy and irritating foods, not to drink alcohol, especially strong spirits, and not to eat seafood, as urinary stones can easily lead to symptoms of urinary infection, and consuming these spicy and irritating foods can worsen the symptoms of infection.

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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
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How to alleviate urethral stone pain?

Urethral calculi refer to the condition where stones get stuck in the urethra causing pain symptoms, and in severe cases, completely block the urethra leading to urinary retention. For this condition, common pain medications are ineffective, and it is necessary to promptly visit the hospital's urology department for a surgical procedure to remove the stones, restore the smooth flow of urination, and minimize damage to the urethra by the stones. Typically, a ureteroscope or cystoscope can be used for holmium laser lithotripsy, or the stones can first be pushed back into the bladder and then fragmented inside the bladder, flushing the crushed stones out of the body. Only after the stones are expelled, the pain symptoms can be fundamentally relieved.

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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.