What To Do If You Have A Ureteral Stone

Ureteral stones can cause severe pain, often referred to as renal colic. Treatment options largely depend on the size, location, and whether there is obstruction or infection. Here are the most common and effective approaches used in clinical practice:

1. Medical Management For Small Stones

If the stone is smaller than 6mm and is not causing significant blockage, it may pass on its own. In such cases, doctors often recommend increased water intake to help flush the stone out. Additionally, medications like alpha-blockers (e.g., tamsulosin) can help relax the muscles in the ureter, easing spasms and reducing pain. Certain herbal remedies, such as lithotriptic herbal formulas or extracts like Lysimachia christinae (commonly known as coin grass), may also support the natural passage of stones.

2. Extracorporeal Shock Wave Lithotripsy (ESWL)

For larger stones—particularly those located in the upper or middle sections of the ureter—extracorporeal shock wave lithotripsy may be recommended. This non-invasive procedure uses sound waves to break the stone into smaller pieces, making it easier for the body to expel them naturally.

3. Minimally Invasive Surgical Procedures

In cases where pain is severe or there is a risk of infection due to blockage, minimally invasive surgery might be necessary. If infection is present, a ureteral stent may be placed first to drain pus from the kidney and stabilize the patient before definitive treatment. Procedures like ureteroscopy or percutaneous nephrolithotomy are commonly used to remove or break up stones that cannot be treated with medication or shock wave therapy.

If you suspect you have a ureteral stone, it's important to consult with a urologist to determine the best course of action based on your individual condition. Early diagnosis and treatment can help prevent complications like kidney damage or serious infections.