How is the best treatment for male urethral stones? Four methods for treating male urethral stones

Urethral stones are one of the most common urological diseases, with more males than females. Urethral stones form in the kidneys and bladder. Therefore, suffering from urethral stones often affects our normal life. The next editor hopes to treat urethral stones and help you.

Urethral stones can be divided into primary and secondary types, and primary urethral stones are rare. Clinically, most urinary stones come from the urinary system, especially the bladder, and can also occur in the urethral rest room. In male patients, stones are mainly embedded in the urethra, urethral navicular fossa, or external urethral opening of the prostate. Patients with urethral calculi have extremely fine urinary lines during urination, and may even experience urinary accumulation. In addition, the area where the stone is embedded is painful, accompanied by lower urinary tract infection. Frequent exposure to anterior urethral stones during diagnosis. Some patients see stones through the urethral opening, which are secondary stones in the urethral rest room. There is no change in urine flow during urination, but there is secretion from the urethral opening, which can also come into contact with stones.

What to do with urethral stones

Method 1

If the stones close to the external opening of the urethra and small stones in the navicular fossa cannot be removed by themselves, liquid paraffin can be injected first and then squeezed out, or forceps or forceps can be used to remove them. After injecting liquid paraffin into the anterior urethral stone, push the stone into the external opening of the urethra by hand and clamp the stone with pliers and forceps. You can also use a probe to pull out the stone, or bend the probe into a hooked hook to remove the stone. However, the operation must be soft to avoid serious damage to the urethra. For urethral stones that are larger or embedded in the navicular fossa, if the above methods do not work, cut open the outer urethral opening, pour sterile liquid paraffin into the urethra, and remove the stones while clamping.

Method 2

Anterior urethral incision lithotomy is feasible for patients with severe obstruction of urethral stones that cannot be removed through the urethral opening. Urinary fistula may form after urethral incision of the penis, and the method of urethral incision and stone removal should be avoided as much as possible. At this point, the stone can be pushed towards the bulbous urethra and cut open at the bulbous urethra as much as possible to remove the stone.

Method 3

The treatment of posterior urethral stones can be achieved by pushing the stones back into the bladder using a urethral probe, and using powerful forceps, pneumatic ballistic lithotripsy, laser lithotripsy, and other methods to treat them under endoscopy. Extracorporeal shock wave lithotripsy, or bladder incision on the pubic bone to remove large and embedded stones, can be performed on the perineum or pubic bone. The stones in the urethral diverticulum must be removed simultaneously. Patients with urethral obstruction and infection need to be treated together.