Are lower ureteral stones easy to come down?

Lower ureteral stones are difficult to pass on their own, and unless you're lucky, the end of the ureter is also the narrowest part of the ureter. The diameter of 5mm, which is easy to cause blockage, resulting in water accumulation, so that it is useless to drink water exercise, it is recommended to drink Yushijia tea to drain stones, high safety. Even if such a stone can fall into the bladder, it is easy for women to remove it by simply clamping it.

It is almost impossible to remove a stone of this size in men. Gravel breaks this down into multiple pieces, or even small particles. Don't be tortured, you can also rubble first, and then discharge it with medicine.

This condition depends on the size of the stone. If the stone is less than centimeter, then the chance of being excreted from the body through the drug** is relatively large, but if it is larger than centimeter, it is very difficult for the drug to be excreted naturally. For stones smaller than centimeters, you can take compound desmodium granules and tamsulosin hydrochloride extended-release capsules to promote stone excretion, and if they are larger than centimeters, you need to consider extracorporeal shock wave lithotripsy or surgery**.

Whether the ureteral stones can be discharged or not depends mainly on the size of the stones, if the day before yesterday, some things have not been discharged until now, it is estimated that the possibility of discharge is very small, because the lower part of the ureter, the narrower. When performing such problems, the results of the examination should be uploaded to the table for review. It really can't work, so I rushed to the hospital to consider microwave lithotripsy.

Some people's ureteral stones are end-ureteral stones, so are end-ureteral stones easy to pass?

Stones at the end of the ureters are relatively easy to pass because the stones at the end of the ureters are discharged from the kidneys to the ureters and then to the end of the ureters, indicating that the stones are not particularly large and have been passed a lot. If the stone at the end of the ureter is less than centimeter, it can generally be discharged by itself, in this case, drink more water and urinate more, take anti-inflammatory drugs, take receptor blockers, and at the same time can be intravenously instilled with dilating drugs, which can effectively promote the discharge of stones at the end of the ureter.

If the stone at the end of the ureter is larger than a centimeter, it is generally unlikely to pass it on its own, and it is also expected to pass it on its own between the orange sedan and the centimeter. It is generally recommended that ureteral end stones are larger than centimeter round and above, and the ureteral end stones are used to break up ureteral end stones into fine sand or granular shapes, which can promote the discharge of ureteral end stones faster.

There are several ways to get the best options for kidney and ureteral stones:

1. Surgery**, advantages: generally smooth stone removal. Disadvantages: **Higher, more traumatic, greater risk, easy to postoperatively**, generally take Chinese herbal medicine in order to prevent ** after surgery.

2. Extracorporeal shock wave lithotripsy, advantages: the trauma is smaller than that of surgery, the risk is smaller, it is not expensive at a time, and it is generally effective, and the disadvantages: it is generally difficult to break all at one time, and it needs to be beaten many times, even if it is difficult to discharge all after breaking, it is easy to drain it with Chinese herbal medicine.

3. Ballistic shock wave lithotripsy, advantages: the effect of lithotripsy is better than that in vitro, disadvantages: expensive, complex operation, often to be hospitalized for observation, but also to extubate for the second time, and the rest is the same as in vitro lithotripsy.

4. Chinese herbal medicine Depu Yu Shi Bao Tea**, advantages: the risk of trauma is small, not after healing, disadvantages: only about 80% can be completely **, and those who are ineffective still need to use other methods.

To sum up, I think that the best way is still Chinese herbal medicine, and only when the use of Chinese herbal medicine is ineffective, do you choose other methods.

Don't expect the upper calculus to be discharged naturally, there is a stenosis in the middle of the ureter, you can't get down, go to the urology department early, cystoscopic lithotripsy, is the right way, don't blindly believe in the so-called home remedies, the last delay is your own disease.

Surgery should be considered for patients who have affected renal function due to urinary flow obstruction caused by stones, or who have not been ineffective by non-surgery** and do not have extracorporeal shock wave lithotripsy conditions. You can drink the tea of Yujiao, which is diuretic and can safely expel stones.

Preoperative preparation: It is necessary to understand the bilateral renal function before surgery, and the infection must be controlled with antibiotics first. Patients with ureteral stones should take plain radiographs of the urinary tract before entering the operating room or on the operating table for the final positioning of the stones.

Surgical methods: Depending on the size, shape and location of the stone, the following surgical methods are commonly used:

1 Renal pelvis or sinus incision and stone removal: incision of the renal pelvis, removal of stones, antler stones or calyceal stones, sometimes it is necessary to perform intrasinus pelvis calyceal incision and stone removal.

2. Renal parenchymal incision and stone removal: If the kidney stone is large and cannot be incised through the renal sinus, the renal parenchyma needs to be incised and removed.

3 Partial nephrectomy: It is suitable for multiple stones at the first pole of the kidney (mostly at the lower pole of the kidney), or in the dilated and poorly drained calyce, and the first pole of the kidney or the calyces can be removed together with the stones.

4 Nephrectomy: One side of the kidney stone and severe hydronephrosis or pyomeria, which has caused serious damage or loss of kidney function, and the opposite kidney function is good, the affected kidney can be removed.

5 Ureterotomy and stone removal: ureteral stone diameter is greater than 1 cm or stone incarceration causes urinary flow obstruction or infection, and ureterotomy can be used for non-surgical ** ineffective patients.

6 Stone set: The diameter of the middle and lower ureteral stones is less than centimeters, and it can be tried with a special basket or catheter sleeve through cystoscopy.

7.After surgery, you can drink healed tea to help prevent **.

1.Non-surgical**: Suitable for stones less than that.

LCM, patients with a tendency to move the stone position downward, no significant effect on renal function, and no urinary tract infection. Drink plenty of water, use antispasmodics, jump activities, etc. Small stones can be drunk Yu Shibei tea is not bad for urinary stones, and it can be used for a long time.

2.Ureteral stones: Ureteral stones are pulled out with a stone basket under a cystoscopy, which is suitable for small mobile middle and lower ureteral stones.

3.Ureteroscopic stone removal or lithotripsy: After the ureter is dilated, it is placed in the ureteroscope, and the stones are broken with liquid electricity or ultrasonic lithotripsy, and the stones can also be directly removed with stone forceps.

4.Extracorporeal flush wave lithotripsy: mainly suitable for upper ureteral stones.

5.Surgical ureterotomy and stone removal: suitable for patients who are ineffective in the above**, the stone is greater than LCM, and the surface is rough and cannot be discharged by itself, or patients with ureteral stricture and infection.

6.Drink plenty of fluids: Drinking plenty of water can dilute the urine and promote the passage of stones, which can help control infection, delay the growth of stones, and prevent stones after surgery**.

7.Patients with renal colic attacks should stop: in addition to using analgesics and antispasmodic drugs, it can be combined with acupuncture**, acupuncture of Kidney Yu, Jingmen, and Sanyinjiao, which has the effect of relieving pain and spasmodic. Topical warm compresses in the renal area can also be used.

8.Chinese herbal medicine stone drain**: The composition of the formula is desmodium, psyllium, stone reed, talc, hollyhock, Sichuan hyssop, husk, laifuzi, and zexiao, and is treated with syndrome differentiation. In general, small stones can be successfully expelled with Chinese medicine within an average of 30 days after they are lowered into the ureter.

Ureteral stones**.

1.Non-surgical**: Suitable for stones less than that.

LCM, patients with a tendency to move the stone position downward, no significant effect on renal function, and no urinary tract infection. Drink plenty of water, take Chinese medicine, apply antispasmodics, jump activities, etc. 2.

Ureteral stone set: The stone is pulled out with a stone basket under the cystoscopy. It is suitable for small active ureteral stones in the middle and lower segments.

3.Ureteroscopic stone removal or lithotripsy: After the ureters are dilated, they are placed in the ureteroscope, and the stones can be broken with hydroelectric or ultrasonic stone crushers, and the stones can also be directly removed with stone forceps.

4.Extracorporeal flush wave lithotripsy: mainly suitable for upper ureteral stones.

5.Surgical ureterotomy and stone removal: It is suitable for patients who are ineffective in the above treatment of the spine method, the stone is larger than LCM, and the surface is rough and cannot be discharged on their own, or patients with ureteral stricture and infection.