Patient's question:
I recently don't know what's going on, my lower body is very uncomfortable, and I'm not getting morning erections anymore. What should I do if the stone falls into the ureter and the glans position and can't be expelled?Doctor's answer:
First, you can go to the hospital for a detailed examination and determine the treatment plan based on the condition. There are many methods available now, and most of them use ureteroscopy to break up stones. The procedure involves inserting a ureteroscope through the urethra into the bladder and then into the ureter. Once the stone is located, it is shattered using pneumatic lithotripsy, ultrasound lithotripsy, hydrostatic lithotripsy, or laser lithotripsy, allowing the stone to naturally pass out of the body.The second commonly used method is extracorporeal shock wave lithotripsy (ESWL). This involves using an (extracorporeal shock wave machine) to locate the ureteral stone under X-ray or ultrasound guidance, and then shattering the stone. However, this method is less effective for stubborn, hard, or tightly lodged ureteral stones. For patients with tightly lodged stones that cause kidney swelling, since ESWL is not easily effective in breaking them, the first method we consider is ureteroscopy to push the stone back into the kidney, insert a ureteral catheter, and then use ESWL.
If the stone is lodged at a high position where ureteroscopy is difficult to perform and ESWL cannot shatter it, percutaneous nephrolithotomy (PCNL) may be considered. This procedure involves creating an incision through the skin and kidney to shatter the stone and then remove it with forceps.
These methods are not always used alone and are matched to the condition for treatment.