What to do if men have urethral stones

Urethral stones in men can be treated by drinking more water, adjusting diet, medication, extracorporeal shock wave lithotripsy, and surgical treatment. Urethral stones may be related to metabolic abnormalities, urinary tract infection, urinary tract obstruction, dietary habits, genetic factors and other factors.

1. Drink more water

It is recommended to drink 2000-3000 ml of water daily to help dilute urine and promote the discharge of small stones. You can choose low-sugar drinks such as plain water and lemonade, and avoid drinks such as strong tea and coffee that are diuretics but may aggravate stones. Pay attention when urinating to see if sandy material is passed out.

2. Adjust your diet

Limit high-oxalate foods such as spinach and peanuts, and reduce high-purine foods such as animal offal. Increase the intake of citrus fruits in an appropriate amount, the citric acid in them can inhibit the formation of stones. It is recommended to supplement calcium intake through dairy products and avoid eating high oxalate foods at the same time.

3. Drug treatment

You can follow your doctor's advice and use sodium potassium hydrogen citrate granules to help alkalize urine, tamsulosin hydrochloride sustained-release capsules to relax ureteral smooth muscle, and diclofenac sodium suppositories to relieve pain. During drug treatment, regular ultrasound examinations are required to monitor changes in stone location.

4. Extracorporeal shock wave lithotripsy

It is suitable for stones in the middle and upper ureters of 5-15 mm. The stones are focused and crushed by the shock wave generated outside the body. Coagulation function tests need to be performed before surgery. Temporary discomforts such as hematuria and renal colic may occur after surgery, which require drug stone removal treatment.

5. Surgical treatment

For larger stones or those with anatomic abnormalities, ureteroscopic lithotripsy or percutaneous nephrolithotomy can be used. The double J tube needs to be left in place for 2-4 weeks after the operation. During this period, strenuous exercise should be avoided, urinary tract infection should be prevented, and stone removal should be confirmed by regular rechecks.

It is recommended to maintain regular daily exercise such as walking, swimming, etc., and avoid sitting for long periods of time. If symptoms such as persistent low back pain, hematuria, or fever occur, you should seek medical attention promptly. During the postoperative recovery period, pay attention to keeping the perineum clean, and follow the doctor's instructions for regular urine tests and imaging reviews to prevent recurrence of stones. Daily urination can be recorded and observed to see if any stone particles are excreted.