Urinary tract stones, especially stones in the lower ureter and stones at the end, may irritate the pelvic cavity and produce a distinct feeling of urgency, which is often referred to as the patient’s frequent desire to relieve stool, but no stool is relieved, which is actually not the presence of a large amount of stool in the intestine, but the frequent urge to defecate due to the stimulation of the nerve plexus in the bladder by the stones, and therefore produces the feeling that the patient wants to relieve stool but cannot. As soon as the stone is discharged into the bladder cavity, this irritation disappears and the feeling of urgency immediately disappears, and the urinary tract irritation is also reduced and disappears. Therefore, when a stone is present with the feeling of not being able to pass stool, we should suspect that there is a stone in the lower part of the bladder and recommend extracorporeal shock wave lithotripsy or stone extraction to remove the stone as soon as possible. In addition, we should also rule out the possibility of inability to defecate due to the blockage of fecal masses at the anal opening, and we suggest consulting an anorectal surgeon if necessary.