Do gout stones need to be surgically removed?

If the gouty stone causes joint dysfunction or joint deformity, surgical excision is required for treatment. Gout stone is one of the typical clinical manifestations of gout. It is usually found under the skin in the auricle or joint area, and is a yellowish-white flabby mass, with a yellowish-white paste or powder flowing out after destruction, which usually rarely causes infection. However, gout stones may cause changes in joint function, joint swelling and pain, and even joint deformity. If severe joint damage, joint function changes, or even joint deformities occur, they are treated by surgery. In addition to gout stones, gouty arthritis is also a very typical clinical manifestation of an acute attack of gout. It usually occurs in unilateral bunion and index finger joints, followed by wrist joints, elbow joints, knee joints, ankle joints, etc. are also commonly involved joints. Joint pain will be relieved rapidly after colchicine treatment, and the affected joints will show itchy or flaky skin after relief, which is a typical clinical manifestation of gouty arthritis. Clinical treatment for gout attacks includes several classes of drugs. The first class of drugs is non-steroidal anti-inflammatory drugs, such as indomethacin, diclofenac and ibuprofen, which can rapidly relieve the symptoms of gouty arthritis. The second class of drugs is colchicine, and 90% of patients can get relief from symptoms in about 48 hours after treatment with colchicine. The third group of drugs is glucocorticoids. If patients develop more massive gouty stones that cause changes in joint function or even the development of joint deformities, they need to be treated by surgery.