Does hydronephrosis and urethral stones require surgery?

The treatment of urethral stones in hydronephrosis depends on the size of the stones and the severity of the symptoms, including medication, extracorporeal shock wave lithotripsy, and surgical stone removal. The cause of urethral stones in hydronephrosis is usually urinary tract obstruction that prevents urine from being discharged normally. Stones blocking the urethra are the key factor, which may be related to metabolic abnormalities, infection, eating habits, etc.

1. Drug treatment. For smaller stones with a diameter of less than 6 mm, drugs can be used to promote stone excretion, such as the alpha receptor blocker tamsulosin and diuretics, combined with drinking more water to help the stones pass naturally.

2. Extracorporeal shock wave lithotripsy. It is suitable for medium and large stones with a diameter of 6 mm to 2 cm. The stones are broken up by shock waves and then excreted through urine. This method does not require surgical incision and has a faster recovery time.

3. Surgery for stone removal. For larger stones, complex stones or cases where drug treatment is ineffective, ureteroscopic lithotripsy, percutaneous nephrolithotomy or open surgery can be used to directly remove stones and relieve obstruction.

The key to preventing hydronephrosis and urethral stones is to adjust your lifestyle and diet. Maintain a daily water intake of 2-3 liters, avoid high-salt, high-sugar and high-purine foods, increase the intake of fiber-rich fruits and vegetables, and exercise appropriately to promote metabolism. Regular physical examinations and early detection of stones can reduce surgical risks.

The treatment plan for hydronephrosis and urethral stones needs to be formulated according to the specific situation. Early intervention and preventive measures are crucial. Timely medical treatment and compliance can effectively avoid worsening of the disease and restore normal urinary tract function.