How to treat urethral stones?

Written by Wang Shuai
Urology
Updated on September 21, 2024
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Urethral stones can cause symptoms such as frequent urination, urgency, pain during urination, and hematuria. In severe cases, they can completely block the urethra, leading to urinary retention. If the stones are relatively small, this condition can often be resolved by drinking plenty of fluids and urinating frequently, relying on the flushing action of the urine to expel the stones from the body. However, if the stones are larger and cause urinary retention, it is necessary to promptly use a cystoscope or ureteroscope to visually crush the stones with a holmium laser and expel them from the body. After the procedure, a urinary catheter is left in place, and recovery typically takes about a week. It is important to drink plenty of water and urinate frequently to prevent the formation of stones.

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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 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 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 Jian
Urology
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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.

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Written by Wang Shuai
Urology
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Where does it hurt in the stomach when having urethral stones?

Urethral stones primarily refer to stones located within the urethra. Based on their location within the urethra, urethral stones are classified into anterior and posterior urethral stones. Posterior urethral stones typically indicate stones lodged at the position of the prostate. In such cases, the main areas of pain are the lower abdomen, the anal region, and the perineum. On the other hand, anterior urethral stones refer to stones located in the anterior urethra, with the usual sites of pain being the palpable area of the penile urethra, mainly presenting as painful urination. Therefore, examinations such as color ultrasound are necessary to precisely identify the location of the stones for targeted treatment.