Patient's question:
After an erection, there is a grain-sized hard object in the middle of the ureter. It hurts very much when squeezed hard. Doctor, after my penis is erect, when I touch the ureter with my hand, there is a grain-sized hard object. I don't know what it is. When I squeeze it slightly with my hand, it hurts very much, but it does not affect urination or ejaculation. What is going on? I am looking for an answer from the doctor!Doctor's answer:
Urethral calculi are more common in males, and most urethral calculi are located in the anterior urethra. They manifest as difficulty in urination, intermittent dribbling, accompanied by dysuria. In severe cases, urinary retention and severe perineal pain may occur. Anterior urethral calculi can be palpated along the urethra. Posterior urethral calculi can be palpated through rectal digital examination. Ultrasound and X-ray examinations are helpful for confirming the diagnosis.Recommendations: For calculi located in the anterior urethra, sterile paraffin oil can be injected under penile root block anesthesia, followed by retrieval or removal with forceps. For posterior urethral calculi, the stone can be pushed into the bladder and treated as a bladder stone.