Is surgery or non-surgical treatment better for urinary tract stones?

If there is a problem with the urinary system, it may cause some common diseases. For men, if they do not take good care of their bodies and protect their urinary systems in their daily lives, it is easy to cause urinary stones, which have a high incidence rate. So, once they suffer from this disease, what methods should men use to treat it?

Treatment

Treatment of angina

1. Relieve spasms and relieve pain:

2. Acupressure to relieve pain:

3. Local closure of skin allergy areas:

4. Acupuncture therapy:

Non-surgical treatments

Non-surgical treatment is generally suitable for patients with stones less than 1 cm in diameter, smooth edges, and no obvious urinary obstruction or infection. Non-surgical treatment can also be temporarily performed for some larger staghorn stones in the kidney that do not cause clinical symptoms.

1. Drink plenty of water: Increase urine volume to flush the urinary tract, promote the movement of stones downward, dilute urine and reduce crystal precipitation.

2. Chinese herbal medicine treatment: Drinking tea in daily life can not only prevent and improve the treatment of stones, but also regulate the balance of human body mechanisms and enhance human resistance. This type of Chinese herbal tea mainly includes dandelion, honeysuckle, coptis chinensis, etc.

3. Acupuncture method: Increase the peristalsis of the renal pelvis and ureter, which is beneficial to the discharge of stones.

4. Regular jumping activities, or inverted posture and patting activities on the stones in the kidney can also help to expel the stones.

5. Others: For those with bacterial infection in urine culture, sensitive drugs (Ofuxin, Miedling) should be used to actively fight the infection. For those with metabolic disorders in the body, the primary disease should be actively treated and the acidity and alkalinity of urine should be adjusted.

Surgical treatment

If urinary obstruction caused by stones has affected kidney function, or non-surgical treatment has failed, and there are no conditions for extracorporeal shock wave lithotripsy, surgical treatment should be considered.

Preoperative preparation: The renal function of both sides must be understood before the operation. If there is infection, antibiotics should be used to control the infection. Patients with ureteral stones should undergo urinary tract plain film before entering the operating room or on the operating table for final positioning of the stone.

Surgical methods: Depending on the size, shape and location of the stones, the following surgical methods are commonly used:

1. Pelvic or renal sinus lithotomy: Open the renal pelvis and remove stones, staghorn stones or renal cisterns. Sometimes, an internal renal sinus pelvic or renal cisterns lithotomy is required.

2. Renal parenchyma lithotomy: If the renal stones are large and cannot be removed through the renal sinus, the renal parenchyma needs to be opened to remove the stones.

3. Partial nephrectomy: It is suitable for multiple stones in the renal pole (mostly in the lower pole of the kidney) or in the dilated and poorly drained renal clavicle. The renal pole or the renal clavicle can be removed together with the stones.

4. Nephrectomy: If one side has kidney stones and severe hydronephrosis or renal abscesses, which has caused severe damage to or loss of renal function, and the other side has good renal function, the affected kidney can be removed.

5. Ureterotomy: Ureterotomy can be performed for patients with ureteral stones larger than 1 cm in diameter or impacted stones that cause urinary obstruction or infection and who have not responded to non-surgical treatments.

6. Lithotomy: If the diameter of the stone in the middle and lower ureter is less than 0.6 cm, it can be removed through cystoscopy using a special basket or catheter.