Treatment of ureteral stones in men

The problem of male ureteral stones is closely related to our reproduction and affects our daily sex life. If there is a problem with the urethra, our physical health will be greatly reduced. At the same time, it will also affect the quality of our sex life and bring a series of problems to our marital and family harmony. Many people want to cure this problem. I believe that many people do not know much about the treatment of this problem. Let us learn about the treatment of male ureteral stones.

Treatment:

1. General treatment

(1) Drinking plenty of water can help push and flush small stones out with large amounts of urine. Increased urine output can also help control infection.

(2) Antispasmodic and analgesic M-type cholecystokinin receptor blockers can relax ureteral smooth muscle and relieve spasm. The usual dose is 20 mg. Intramuscular injection of progesterone can inhibit the contraction of smooth muscle and relieve spasm. It has a certain effect on pain relief and stone removal. Calcium ion blocker nifedipine has a certain effect on relieving renal angina. α receptor blockers have a certain effect in relieving ureteral smooth muscle spasm and treating renal angina.

(3) Control infection Urinary tract obstruction caused by stones is prone to infection. Magnesium ammonium phosphate stones are often formed in infected urine. This vicious cycle makes the condition worse. In addition to actively removing stones to relieve obstruction, antibiotics should be used to control or prevent urinary tract infection.

2. Treat according to the cause of the disease

(1) Hypercalcuria ① Primary hypercalcuria can be treated with thiazides and potassium citrate. Absorptive hypercalcuria can be treated with sodium cellulose phosphate in addition to thiazides and potassium citrate. Patients who cannot tolerate these drugs need to use sodium cellulose phosphate. Those with hypophosphatemia need to switch to orthophosphate. ② Hypercalcemia should actively treat associated diseases. When hypercalcemic crisis occurs, emergency treatment is required. First, use normal saline to expand the volume as quickly as possible, and use loop diuretics such as furosemide to increase urinary calcium excretion; bisphosphonates are the main drugs for the treatment of hypercalcemia, which can effectively inhibit osteoclast activity and reduce bone reabsorption. When patients have primary hyperparathyroidism with symptomatic hypercalcemia or asymptomatic renal stones, surgical removal of the parathyroid glands is the first choice. When patients have symptomatic or obstructive renal stones, the stones should be treated first in the absence of hypercalcemic crisis.

(2) Renal tubular acidosis is mainly treated with alkaline drugs to slow down stone growth and new stone formation and correct metabolic disorders.

(3) Hyperoxaluria Primary hyperoxaluria is difficult to treat. You can try vitamin B6, starting with a small dose and increasing the dose as the effect decreases with age. At the same time, drink plenty of water and limit foods rich in oxalate, which can reduce the oxalate level in urine to normal.

(4) For people with high uric acid, low-purine foods and drinking plenty of water can reduce the concentration of uric acid in urine.

The above content introduces us to how to treat male ureteral stones. I believe everyone has more or less understood it. We can provide some guiding suggestions for patients with ureteral stones around us. Only by helping others can we be happy.