Except in the case of urethral diverticulae, the majority of urethral stones will have originated higher in the urinary tract.
Stones less than 1 cm in diameter usually pass spontaneously but analgesia may be necessary for pain.
Larger stones may impact in the urethra and require active removal. The stone may be pushed back into the bladder and evacuated. Should this fail, the urethra may be incised to extract the stone. The urethra must then be repaired and the patient catheterised for a minimum of 7 days.
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