How to pass male urethra stones

Male urethral stones can be excreted by drinking more water, taking medications, extracorporeal shock wave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy. Urethral stones may be related to metabolic abnormalities, urinary tract infection, urinary tract obstruction and other factors, and usually manifest as symptoms such as difficulty urinating, hematuria, and lower abdominal pain.

1. Drink more water

Keeping the daily water intake at 2000-3000 ml will help increase urine output to flush the urethra and promote the natural discharge of smaller stones. You can drink lemonade or orange juice in moderation, as the citric acid component can inhibit the formation of stones. Avoid drinking strong tea, coffee and other drinks high in oxalic acid.

2. Drugs to remove stones

Tamsulosin hydrochloride sustained-release capsules can relax the smooth muscle of the ureter and promote the descent of stones. Diclofenac sodium suppositories can relieve pain caused by shifting stones. Sodium bicarbonate tablets can alkalize urine and help dissolve uric acid stones. You must strictly follow your doctor's instructions when using medications, and do not adjust the dosage on your own.

3. Extracorporeal shock wave lithotripsy

Suitable for renal pelvis or upper ureteral stones with a diameter of 5-20 mm. The shock wave generated outside the body is focused to crush the stones, and the stones need to be discharged according to the posture after surgery. Complications such as hematuria and perirenal hematoma may occur. Patients with severe cardiovascular disease should use with caution.

4. Ureteroscopy for stone removal

A thin rigid ureteroscope or flexible ureteroscope is used to enter through the urethra, combined with holmium laser or pneumatic ballistic lithotripsy. It is suitable for middle and lower ureteral stones, especially for X-ray negative stones. The double J tube needs to be left in place for 1-2 weeks after surgery, and urinary tract irritation symptoms may occur.

5. Percutaneous nephrolithotomy

For kidney stones larger than 20 mm or staghorn-shaped stones, a channel is established in the waist to directly reach the renal pelvis for lithotripsy. General anesthesia is required and there is a risk of bleeding and infection after surgery. Complex stones may require staged surgery, and hemoglobin changes need to be monitored after surgery.

Daily intake of high-purine and high-oxalate foods should be limited, and the daily urine output should be kept above 2,000 ml. Properly perform jumping exercises such as skipping rope and playing basketball, and use gravity to assist in stone discharge. If symptoms such as persistent severe low back pain, fever and chills occur, you need to seek medical treatment immediately to be alert to the occurrence of urosepsis. Regular review of urinary tract ultrasound is required to monitor stone recurrence, and those with abnormal metabolic assessment require long-term preventive medication.