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 Wang Shuai

Urology

52sec

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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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Written by Sun Chun

Urology

59sec

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Which department should I go to for urethral stones?

For urethral stones, it is generally advisable to visit the urology department of a local hospital. It is best to undergo an abdominal plain film examination to clearly determine the location of the stone, which can also be identified through a urological examination. If it is an anterior urethral stone, which is close to the urethral opening, it can be removed through the urethra using methods such as compression. If it is a posterior urethral stone, it may not be reachable with forceps; in such cases, surgery at the hospital may be necessary. Posterior urethral stones are generally treated as bladder stones. When a cystoscope is inserted, posterior urethral stones are usually pushed into the bladder, where they can be crushed with forceps or fragmented with a laser before removal. If an examination reveals a urinary tract infection, anti-inflammatory symptomatic treatment is also necessary, and a catheter may be left in place post-surgery.

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Written by Wang Jian

Urology

53sec

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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 Sun Chun

Urology

1min 53sec

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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

47sec

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Is urethral calculus easy to treat?

Urethral stones are relatively easy to treat. For smaller stones, drinking more water and urinating frequently can help flush the stones out of the body with the flow of urine. If the stones are larger and cause blood in the urine, difficulty urinating, or even urinary retention, they can also be treated with a cystoscope or ureteroscope. Under direct vision, the stones can be broken up with a holmium laser and removed, generally without the need for open surgery. Therefore, if you suffer from urethral stones, there is no need to worry excessively. It is sufficient to promptly visit the hospital's urology department for diagnostic procedures such as ultrasounds or CT scans to determine the exact size and location of the stones, and then choose the appropriate treatment method.