HealthDiseases and Conditions

If a stone is found in the ureter in a man, what should I do?

Diseases of the genitourinary system are common in both women and men. Unfortunately, such problems are borne by a stronger sex much more difficult. After all, in addition to the violation of urination, another important factor - problems with sexual activity joins. The latter is especially disturbing for middle-aged men. These symptoms arise from the anatomical structure of the body. Violations of both functions are often associated with the fact that there is a stone in the ureter in men. The formation of concrements can be observed as a result of malnutrition, and for other reasons. This symptom is a sign of urolithiasis. Regardless of the severity of the clinical picture, treatment is necessary, consisting in the removal of stones.

Stones in the ureters - what kind of disease?

The stone in the ureter in men does not arise by itself and in a moment. Even if the symptoms appeared suddenly, this was preceded by a long-term chronic pathology. The appearance of concrements in the ducts indicates the presence of urolithiasis. The process begins in the kidneys. Then the stone enters the ureter. The presence of large concrements is very dangerous, as it can lead to injury and rupture of the organ. In addition, stones block the outflow of urine. This leads to the development of pain syndrome. Also, a person is troubled by false urge to urinate. This disease often leads to the development of inflammatory pathologies, injuries. In addition, it is harder to treat, because because of the current urine stones constantly migrate to the organ. Most often, the stones get stuck in places of anatomical narrowing. They include the border with the bladder and exit from the renal pelvis. Often stones are stuck in the lower part of the organ. This occurs in 70% of cases.

Why do stones appear in the ureters?

The main cause of concrements is urolithiasis. It is believed that she is more exposed to the female population. Nevertheless, the pathology is common among men. The disease is associated with violations of the mineral metabolism in the body. Also the reason is the use of some food and water. According to statistics, urolithiasis is more common in the countries of Asia and the Caucasus. This is attributed to the nutritional status of people living in these areas. This refers to the addiction to acute and bitter food. In addition, the development of pathology results in the consumption of large amounts of salt, as well as untreated water. A stone in the ureter in men can appear for the following reasons:

  1. Violations of phosphorus-calcium metabolism.
  2. Gout. This pathology is common in men who abuse alcoholic beverages. It is characterized by impaired purine metabolism and the deposition of uric acid crystals in the joints and kidneys.
  3. Chronic inflammatory diseases. They include pyelonephritis, urethritis, cystitis.
  4. Sex infections. These diseases are caused by viruses and bacteria (chlamydia, ureaplasmas, gonococci), which enter the organs in ascending manner. As a result, they lead to inflammation of the bladder and kidneys.
  5. Congenital anomalies of development. These include: doubling of the kidneys, diverticula of ureters, etc.
  6. Endocrine pathologies leading to metabolic disorders.
  7. Hereditary predisposition to urolithiasis.
  8. Trauma to the pelvic organs.

There was a stone in the ureter: symptoms in men

In most cases, the ingress of a stone or part of it into the ureter is accompanied by a pronounced clinical picture. Especially if the concrement occupies the whole lumen of the organ. Because of severe pain, the patient takes a forced position in bed, tries not to move. Most often this condition is called an attack of renal colic. It can last for several hours and even a day. Pain syndrome periodically subsides, then again resumes. How does a stone out of the ureter in men, depends on the size of the calculus. If it has a small diameter, then it is possible to independently promote it. As a result of urine pressure, small stones can crumble and exit. In this case, the attack passes by itself. If this does not happen, the following symptoms are observed:

  1. Pain in the lower abdomen on one side, in the lumbar region. Can give in the perineum, the genitals. Severity of pain depends on the degree of obturation.
  2. Retention of urine.
  3. Nausea and vomiting.
  4. Some patients experience a change in the nature of the stool: diarrhea or constipation.
  5. Increased body temperature, general weakness.
  6. False urge to urinate.
  7. Stress of the muscles of the lower press.

If the stone in the ureter does not go out by itself, the seizures will repeat. In addition, the constant traumatization of the walls of the body with concrement leads to the development of complications. Among them - chronic inflammation of the ureter, edema. When the infection spreads, pyelonephritis, cystitis, urethritis develops. Constant urinary retention results in hydronephrosis. If the disease is not treated, acute or chronic renal failure develops.

Methods for the diagnosis of ureterolithiasis

The appearance of stones (ureterolithiasis) can be suspected by such symptoms as attacks of acute pain, retention of urine, muscle tension of the anterior abdominal wall. In this case, carry out laboratory and instrumental diagnostics. In the general analysis of urine, urate- or oxalaturia will be observed. Also, there may be an admixture of protein, bacteria and an increase in the number of leukocytes. In the chronic process and the development of renal failure, there will be changes in biochemical blood analysis. They include increasing the level of creatinine. With gout, there is an increase in the amount of uric acid in the blood. Instrumental diagnosis includes excretory urography and ultrasound of the pelvic organs. Thanks to these methods, you can learn about the location, number and size of stones.

Methods of treatment of ureterolithiasis

Ureterolithiasis is a disease in which there is a stone in the ureter in men. How to deduce a concrement? Everything depends on its location and size. If the stone does not completely cover the lumen of the ureter and can exit by itself, then prescribe medication. Traditional medicine is also effective. For this purpose, use broths diuretic herbs. With large sizes of concrements, inefficiency of drug therapy and frequent relapses, surgical intervention is necessary. Urolithiasis is considered an excuse for routine surgery. Emergency measures are taken with the development of acute renal failure and traumatization of organs with large concretions.

Stones in the ureter in men: treatment at home

In some cases it is possible to relieve the pain syndrome at home. First of all, you need to take an antispasmodic drug. Such medicines include tablets "No-Shpa", "Papaverin". After consuming an antispasmodic, the ureter relaxes, which can cause the advance of the stone and its exit. Also for this purpose it is recommended to take a warm bath. Removal of stones from the ureter in men is possible with the intake of herbal decoctions. They are made from such plants as dill or field horsetail. It is also recommended to drink more liquid. In addition, you should follow a diet. From the diet, you need to exclude legumes, cabbage, sorrel, nuts and currants.

Drug therapy for ureterolithiasis

Drug treatment is effective with rare attacks of ureterolithiasis and small concretions. Spasmolytic drugs and diuretics are used. The latter include medicines "Phytolysin", "Kanefron". These drugs are based on herbs. They have not only a diuretic effect, but also are antiseptic.

Operative removal of stones

In most cases, ureterolithiasis is treated surgically. Despite the fact that the stones can go out on their own, they still continue to form in the kidneys and bladder. Therefore, there are new attacks of ureterolithiasis. To prevent this from happening, it is recommended to remove large stones in the ureter in men. The operation is especially necessary if there is a risk of complications. Indication is the retention of urine, a pronounced pain syndrome. Emergency surgical intervention is necessary when there is bleeding from the urethra, falling blood pressure.

Types of surgical interventions for ureterolithiasis

There are several methods, according to which the removal of stones from the ureter in men. The operation in most cases is performed in a laparoscopic way. There are the following types of surgical interventions:

  1. Remote lithotripsy. This method is used in the presence of small concrements. It is based on the action of ultrasonic and magnetic waves. With the help of the lithotripter, the stone is crushed into several small parts. As a result, the concrement can pass through the ureter and exit by itself.
  2. Percutaneous nephrolithotomy. This manipulation is carried out under the supervision of ultrasound. Local anesthesia is necessary. In the lumbar region a section is made for the installation of a nephroscope. Using a thin catheter, a contrast is introduced into the urethra. The lithotripter is brought close to the stones, some stones are removed using special forceps.
  3. Ureteroscopy. This method resembles percutaneous lithotripsy. But differs in that the manipulation is carried out without a cut. Stones are removed through the opening of the urethra. If they are large, they are pre-crushed.
  4. Open surgical operation. It is rarely done, only if it is impossible to remove the stones in other ways.

Prevention of urolithiasis

To prevent stones from forming, you must keep to a diet and drink as much liquid as possible. Before use, water is recommended to be filtered. If there is a violation of the mineral metabolism, an endocrinologist's consultation is required. Such a disease as gout serves as an excuse for refusing alcoholic beverages.

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