How to treat ureteral calculi best?

How should ureteral calculi be treated? Ureteral calculi often bring great pain to patients. Patients with ureteral calculi are stuck in the ureter, and the water in the kidney cannot be discharged, and the renal capsule will expand and open, which will cause severe pain in the waist and abdomen, so early treatment is very important. How should ureteral calculi be treated?

1. Non-surgical treatment: it is suitable for patients whose stones are smaller than lcm, with a downward trend, no obvious influence on renal function and no urinary tract infection. Drink plenty of water, take drugs, use spasmolytics, jump, etc. It is suggested to use Yushu tea to relieve pain and improve excretion.

2. Ureteral stone sleeve: Take out the stone with a stone sleeve basket under the endoscope. It is suitable for small active middle and lower ureteral calculi.

3. Lithotripsy or lithotripsy under ureteroscope: After ureterectasis, put it into ureteroscope, and crush the stones with a hydraulic or ultrasonic lithotriptor, or take out the stones directly with a lithotomy forceps.

4. Extracorporeal shock wave lithotripsy: mainly suitable for upper ureteral calculi.

5. Surgical ureterolithotomy: It is suitable for patients who are ineffective in the above treatment, whose stones are larger than lcm, whose surface is rough and cannot be discharged by themselves, or who have ureteral stricture and infection.

The treatment of ureteral calculi should start from two aspects: one is to treat the primary disease, such as metabolic disorder, infection or existing anatomical factors; On the other hand, the complications of treating stones are obstruction and infection. It is best to go to a large hospital with conditions. Extracorporeal shock wave lithotripsy has a good effect on large stones.