The difference between urethral stones and kidney stones.

Written by Wang Shuai
Urology
Updated on September 09, 2024
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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.

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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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What does it feel like when there is a stone in the lower part of the urethra?

Urethral stones are generally divided into posterior urethral stones and anterior urethral stones, whereas ureteral stones are classified into upper, middle, and lower segments. For posterior or anterior urethral stones, the main symptoms include frequent urination, urgent urination, painful urination, a feeling of obstruction during urination, and in severe cases, hematuria or even urinary retention may occur. In such cases, timely lithotripsy and stone removal treatment are required. If the stone is in the lower segment of the ureter and pauses at a certain place, the patient often does not feel discomfort or might experience mild obscure pain. If the movement of the stone stimulates the ureter, it can cause pain in the lower abdomen, often accompanied by the presence of blood in the urine. Diagnosis can be confirmed through color ultrasound or CT scan. For stones in the lower segment of the ureter, treatment depends on the specific size of the stone. If the stone is relatively small, conservative stone expulsion treatment can be done; if the stone is large, surgical intervention is recommended as soon as possible.

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Written by Wang Shuai
Urology
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What should not be eaten with urethral stones?

After suffering from urethral stones, there are no special dietary restrictions. The occurrence of urethral stones is an emergency in urology, as it can cause the patient to experience frequent urination, urgency, and pain during urination. Severe cases may lead to hematuria and urinary retention. Emergency treatment is necessary for urethral stones. If the stone is small, it can be expelled from the body by drinking more water and urinating frequently, relying on the flushing action of the urine. If the stone is large and causes obstruction in the urethra, prompt surgical treatment is needed to crush and remove the stone from the body. Therefore, after suffering from urethral stones, there are no special dietary restrictions, and it is recommended to handle it as soon as possible to restore the smoothness of urination.

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Written by Wang Shuai
Urology
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Can urethral stones be broken up?

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 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.