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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can The Urethral Junction Stone Causing Pain During Urination Be Treated?

I have been diagnosed with a kidney stone,unfortunately it is stuck at the junction of my urethra.I am currently on contiflo and tram acetal to manage the pain. My question is,is possible The stone can dissolve from where it is stuck.Otherwise it is really causing a lot of pain in my lower back and whenever I urinate,the last of bit is very painful. What can I do
Thu, 29 Jan 2015
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Radiologist 's  Response
Hi,
Thanks for writing in.

A stone getting stuck in the urethra can be painful. I would like to reconfirm if the stone is in the urethra or the versico ureteric junction as these are two different locations and might be treated in different ways.

1. If the stone is confirmed to be lodged in the urethra then it can be easily removed by inserting a cystoscope. This is minimally invasive with complete success.

2. If the stone if stuck in the vesico ureteric junction then
(i) Drinking as much as 1.5 to 2.5 liters) a day may help flush out your urinary system. This will also allow the stone to enter the bladder.
(ii) Please consult your urologist and they might give you a prescription for a medication of alpha blocker group which will push the stone forwards.
(iv) If you are having pain and burning during passing urine then you can take ALKASOL syrup 15-30 ml twice or thrice daily, dissolved in water for one week. This will prevent acidic urine and stone formation.
(v) If you have sharp pain then you can take tablet containing hyoscine (eg HYOCIMAX 10 mg or HYSCOPAN 10 mg) twice a day for 2 to 3 days, till you have pain. Though side effects are rare, please consult your doctor and take these medications under strict supervision.
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How Can The Urethral Junction Stone Causing Pain During Urination Be Treated?

Hi, Thanks for writing in. A stone getting stuck in the urethra can be painful. I would like to reconfirm if the stone is in the urethra or the versico ureteric junction as these are two different locations and might be treated in different ways. 1. If the stone is confirmed to be lodged in the urethra then it can be easily removed by inserting a cystoscope. This is minimally invasive with complete success. 2. If the stone if stuck in the vesico ureteric junction then (i) Drinking as much as 1.5 to 2.5 liters) a day may help flush out your urinary system. This will also allow the stone to enter the bladder. (ii) Please consult your urologist and they might give you a prescription for a medication of alpha blocker group which will push the stone forwards. (iv) If you are having pain and burning during passing urine then you can take ALKASOL syrup 15-30 ml twice or thrice daily, dissolved in water for one week. This will prevent acidic urine and stone formation. (v) If you have sharp pain then you can take tablet containing hyoscine (eg HYOCIMAX 10 mg or HYSCOPAN 10 mg) twice a day for 2 to 3 days, till you have pain. Though side effects are rare, please consult your doctor and take these medications under strict supervision.