Stones in the urethra in men, women
Concretions or stones in the urethra — solid formations, which are of different size and chemical composition. Formations appear as a result of urolithiasis (ICD). The disease is accompanied by severe pain and shortness of urination. The article describes the answers to the questions associated with that diagnosis. But it is important to remember that timely appeal to the specialist a priority.
When the stone was formed immediately in the urinary channel, it is called primary. If the stone went down into the urethra from the kidney or bladder, the formation is secondary. As a rule, in urology common cases of treatment of the secondary stones in men. This is due to the specific anatomy of the duct of the bladder different from women’s.
The causes of the disease in men and women
The causes of stone formation in the human body lie initially in disturbed salt metabolism. Kidney stones, which leads to stones in the ureter, is considered a complex disease of different organs: intestines, kidneys, pancreas. Primary concretions formed directly in the urethra, mostly diagnosed in men. In form they resemble the division of the duct, where I grew up. The probable causes of this:
- chronic urethritis;
- prostatitis or BPH;
- fistulas, diverticula, and urethral stricture.
Secondary concretions are formed originally in the kidney, then getting into the bladder and then the urethra. If the stone is small enough to not have experienced severe pain as he passes through the ducts into the urethra, probably a stone stuck. Often it occurs in men because their urinary tract is longer, thin and less stretchy than the women. Usually the calculus is stopped in the navicular fossa of the urethra. Causes of the ICD, which leads to secondary stones, are diverse. Primary:
- diseases of the gastrointestinal tract;
- chronic infection of the urinary system;
- impaired salt balance because of improper diet;
- disorders of mineral and hormone metabolism as a result of osteoporosis, problems of the thyroid gland.
Classification of stones
Urethral stones can vary in composition, but is dominated by those which developed urolithiasis.
Types of rocks lot, but the main composition are three: salt of phosphate or calcium, resulting from impaired absorption of calcium or phosphate, urate — the salts crystallized from the urine; and the oxalates, the accumulated abuse of the plant foods with oxalic acid.
Depending on the shape, number and location of stones in the urinary channel, and the residence time to vary the severity of symptoms. Secondary stones often felt on the approach to the urethra. This severe, severe pain in the lower back and abdomen, aggravated by movement and bending. When the stone stuck in the urethra, it causes a complete or partial closing of the channel, which causes the weakening of the urine flow or a complete cessation of outflow. This is an extremely dangerous condition that requires immediate medical care.
Long-term presence of calculi in the urethra, but pain causes and inflammation, sometimes followed by infection. The appearance of blood in the urine is another symptom of the presence of stones in the urinary tract. Secondary stones located near the bladder, cause urinary incontinence, pain during walking or sitting. Pain in this disease is complicated by sexual intercourse. Perhaps the development of erectile dysfunction.
At the onset of symptoms is recommended to make a differential diagnosis. This is done manually by palpation or with the help of laboratory and instrumental methods. Urine test to determine the presence or absence of hematuria and the degree of development of the inflammatory process. A simple way is ultrasound diagnostics. Ultrasound detects the presence and exact location of calculi throughout the urinary tract from kidney to urethra.
With urography doctor identifies the property and the composition of the stone. Sometimes you want to be manipulated using a metal bougie, which is introduced into the urethra, until you hit stone. The endoscope allows the diagnosis to be confirmed and the maximum you can go directly to the choice of treatment and removal of ureteral stones. X-ray examination is carried out in the case where the ultrasound did not accurately displays the position of the stone in the urinary channel. The need of a diagnostic method is determined by the physician based on the specifics of the clinical picture of the patient, depending on the chemical composition of the concretion.
Methods for the treatment of stones in the urethra
The mainstay of treatment, removal of stones from the urinary system online or by medication.
After it was well established the location of the stone in the urinary canal, the doctor offers several options for its removal. It all depends on the size of the stone and its occurrence. In any case, the operation for the removal of calculus from urethra refers to a relatively easy and non-invasive procedures, performed under local anesthesia. If the stone is located near the exit of the duct to the outside, then use simple mechanical removal using endoscope and forceps. In the case of more deep-lying or large the size of calculus may require a more sophisticated procedure is lithotripsy. This method allows using electromagnetic shock waves to crush the stone into tiny pieces that no problems appear by natural means or surgically. Offered and more modern equipment — laser lithotripsy.
In very rare cases, not amenable to conservative treatments or in emergency cases with purulent-inflammatory process may require deep surgery. Then the stones are removed directly through the opened bladder. This method is rarely used because the above procedure does not give in to it for efficiency. Sometimes a doctor prescribes a medication, aimed at the dissolution and excretion of stones with urine. In this case, shown antispasmodics and special herbal baths. However, it should be remembered that this treatment can be prescribed only by a specialist, assessing the risks and benefits.
Preventive measures and forecast
The outcome is usually favourable, subject to timely medical care. Today, the stones from the urethra are removed quickly and almost painlessly. However, without addressing the causes may occur re-formation of concretions. The approach to the prevention of urolithiasis should be comprehensive, designed to support salt metabolism in the right balance. Depending on, what type of stones were detected (urate, oxalates, phosphates), you must follow a proper diet.
In compliance with the measures and recommendations of the doctor to avoid relapse of the disease.
General recommendations for diet noted the following:
- to unsubscribe from pickles and marinades, too spicy and fatty meal;
- limit prepared foods, canned foods that contain excess sodium;
- to dairy and meat products should be treated with caution as they may contain a lot of calcium, preservatives or fat;
- to increase the proportion of fresh vegetables and fruits in the diet;
- to drink during the day, plenty of clean water.
Usually, the recurrence of kidney stones occur because people paid insufficient attention to the changing lifestyles and diet. Respect to health, avoiding harmful foods, exercise will help to strengthen the body and to avoid the unpleasant consequences of stone formation.