Urethral stones

Stones in the urethra are one of the symptoms of urolithiasis, which is characterized by the formation of stones in the urethra. They provoke pain, impede the process of emptying the bladder, weaken or change the shape of the urine stream. To detect a stone in the urethra, a thorough diagnosis is necessary, which includes ureteroscopy and a number of other studies.

You can undergo a comprehensive examination and receive treatment for urolithiasis at the K + 31 medical center. Highly qualified and experienced urologists, using modern equipment, perform the safe removal of urethral stones.

Why stones appear in the urinary canal

Before you learn from the article whether a stone can get stuck in the urethra, what reasons contribute to this and how to eliminate unpleasant symptoms, you need to understand the types of stones. Depending on the nature of the development of urolithiasis, calculi are of two types:

  • primary;
  • secondary.

Primary stones are more common in men. They are formed due to chronic prostatitis, urethritis, prostate adenoma. Also, stones in the urethra in men can appear in the presence of urethral strictures, diverticulum of the urethra, fistulas.

A secondary stone in the urethra in men signals the presence of formations in the bladder or kidneys. Gradually, from the upper urinary tract, they reach the lumen of the urethra, leading to pain and discomfort.

Risk factors for the formation of secondary stones include:

  • infectious lesions of the urinary system;
  • diseases of the digestive system;
  • osteoporosis;
  • endocrine disorders;
  • bone injuries;
  • impaired water and electrolyte balance and blood chemistry;
  • malnutrition;
  • genetic predisposition;
  • long-term use of sulfonamides, vitamin-mineral complexes.

In women, stones in the urethra are diagnosed less frequently, which is associated with anatomical features: high elasticity of the urethra, its short length and direct direction.

According to the number of formations, doctors distinguish single and multiple stones. Depending on their size, they are classified into large (capable of reaching 15 cm) and small (have a diameter of 2-3 mm).

A stone in the urinary canal in men and women has a similar composition to kidney stones. In most cases, urate, phosphate, carbonate and cholesterol stones are detected, less often - cystine and xanthine.

Stones in the urethra: symptoms

The clinical picture depends on the localization of stones, their number, size and shape. Doctors distinguish the following symptoms of the release of stones in men and women:

  • expressed painful sensations, cramps;
  • impaired urination;
  • blood in the urine due to erythrocytes;
  • weak or intermittent jet when emptying.

If the stone is stuck in the urethra, completely closing the lumen, the patient is worried about acute urinary retention. With the localization of formations in the posterior urinary canal, the patient feels intense pain in a sitting position and when moving.

Diagnosis

To identify a stone in the urinary canal, the doctor first listens and analyzes the patient's complaints. In men, stones are found on palpation of the penile part of the urethra. If the formations are localized in the posterior urethra, palpation is performed by the rectal method.

Vaginal gynecological examination helps to identify stones in women. During the examination, the doctor palpates the anterior wall of the vagina.

You can additionally detect a stone in the urethra using the following research methods:

  • endoscopy using a ureteroscope;
  • survey urography;
  • computed tomography;
  • ultrasound;
  • Magnetic resonance imaging

To determine the nature of the formation of calculi, a general and biochemical analysis of blood and urine, hormonal screening for women is carried out. To examine the kidneys and urinary tract, excretory urography is prescribed using contrast agents.

Stone stuck in urethra: what to do

If the stone is stuck in the anterior urethra, doctors remove it with forceps. If the formations are in the navicular fossa, removal is performed with tweezers or a clamp.

You can get rid of formations with a smooth surface with the help of massage and moving the calculi to the external opening of the urinary canal. If the hole is too narrow, an incision is made to widen it.

When stones are found in the posterior urinary canal, the doctor pushes them with a catheter into the bladder, then removes them from the organ.

Sometimes, small stones descend into the urethra from the kidneys, ureter, or bladder and pass on their own in the urine in the form of sand. To speed up the withdrawal process, antispasmodics are shown to the patient.

If instrumental methods of extracting stones do not bring the desired result, then the doctor prescribes an external ureterolithotomy with subsequent removal of stones. To remove large formations, a minimally invasive endoscopic intervention is performed. The doctor inserts a cystoscope through the urethra, grabs the calculus, crushes it and takes it out in parts.

If there are contraindications to endoscopic surgery, an effective method of treatment is cystolithotomy. The intervention is performed under spinal anesthesia. The surgeon performs an incision in the anterior abdominal wall in the suprapubic area and removes all stones. If the patient has chronic urinary retention, the bladder is drained with a cystostomy. Then the surgical wound is sutured and a sterile bandage is fixed.

For small calculi, non-contact cystolithotripsy is indicated. The essence of the procedure is the impact of electromagnetic shock waves, which precisely crush stones to a state of dust. The operation is performed under general anesthesia.

Recovery period after surgical treatment

After surgery, the patient is temporarily placed with a urethral catheter. The product provides painless excretion of urine and enables the doctor to process the operated organ.

In the absence of complications and a favorable course of the rehabilitation period, the patient is allowed to leave the hospital for 2-3 days. It is recommended to give up sexual intercourse for at least 1 month, so that the body is fully restored. It is also worth limiting physical activity, not lifting weights, not visiting saunas and pools.

Prevention

To reduce the risk of stone formation, incl. After surgery, doctors recommend following a number of rules:

  1. Regularly empty the bladder, as prolonged retention of urine overloads the organ and creates favorable conditions for salt crystallization.
  2. Eat a balanced diet by reducing your intake of salt, hot spices, spices and fatty foods.
  3. Treat inflammatory diseases of the urinary tract in a timely manner.
  4. Use up to 2-2.5 liters of purified drinking water.

To prevent relapses, do not allow hypothermia of the body, as this leads to a weakening of the immune system and provokes the development of infection. Do not neglect the rules of personal hygiene, regularly wash yourself with warm water using intimate hygiene products. Choose underwear only from natural fabrics. Synthetics create an ideal environment for the reproduction of fungi and bacteria.

Advantages of diagnostics and treatment at the K+31 clinic

The medical center uses the latest minimally invasive methods for the treatment of urolithiasis, which have few contraindications, rarely cause side effects and have a short recovery period. Caring and friendly staff creates optimal conditions for examination, provides control over the patient's condition at all stages of therapy.

According to patients' reviews, the advantages of the K + 31 medical center include:

  • Comprehensive diagnosis before any surgical intervention, which guarantees the accuracy of the diagnosis and the choice of the appropriate treatment method.
  • Professionalism of doctors - the clinic employs urologists and surgeons with many years of experience who are constantly improving their skills abroad.
  • Postoperative management of the patient, which ensures quick and high-quality recovery, reducing the risk of side effects.
  • Guarantee of complete confidentiality and safety of personal data of patients
  • Comfortable conditions for patients, convenient schedule, without long waiting in queues.

You can make an appointment with a doctor at any time, find out the prices for services through feedback form. You can get acquainted with the promotions of the clinic, read reviews and other useful information on the website of the medical center.

Service record

Services



Specialists

All specialists
Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist