Urethral stones

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.