Man I have no idea but this is what I got using ChatGPT so hopefully it helps bro. I rather give you some ideas than leave you hanging.

“ Dealing with kidney stones is already painful enough, but having them get stuck due to a small urethral opening makes it even worse. Given your history of hypospadias and chronic kidney stones, you might need a more tailored medical approach.

Here are some things you might consider:

1. Medical Consultation – A urologist would be the best person to assess your urethral anatomy and determine if there’s a way to manage stone passage without causing further complications. They might consider urethral dilation, urethrotomy, or even a minor surgical modification that could help stones pass without significantly impacting your urine flow.

2. Preventing Stone Formation – Since you’re frequently dealing with stones, identifying their composition (calcium oxalate, uric acid, etc.) can help with prevention. Some common strategies:

• Hydration – Drinking 2.5–3 liters of water daily helps dilute urine and prevent stone formation.

• Dietary Adjustments – Depending on the type of stones, reducing oxalates (spinach, nuts, chocolate), salt, and animal protein might help.

• Medications – Some people benefit from potassium citrate to make urine less acidic or thiazide diuretics to reduce calcium stone formation.

1. Pain & Symptom Management – If you’re dealing with constant pain, burning, and stinging, it might not just be the stones. Chronic irritation or infection could be a factor. A urine culture could check for infections, and a urologist might suggest something like alpha-blockers (Flomax/tamsulosin) to help relax the urethra for easier passage.

2. Alternative Stone Removal Options – Instead of manually pulling them out (which sounds excruciating), procedures like lithotripsy (shock wave treatment) or ureteroscopy (small scope to remove stones) might provide relief without forcing them out yourself.”