Prostate stones need which tests to be performed

Patient's question:

I am 50 years old this year, and I have been experiencing pain when urinating recently. My colleague said he has prostate stones and also has this symptom. I want to know what check-up items are required for prostate stones.

Doctor's answer:

Hello, according to your description: The diagnosis of prostatic calculi mainly relies on the following methods:
① Digital rectal examination can directly palpate the calculi, with a grinding or creaking sound, but it is not very accurate.
② Urethral examination: After inserting the urethral, the morphology of the posterior urethra and the prostatic duct orifice can be directly observed. Digital rectal examination is easier to detect the creaking sound. If the calculi are directly seen protruding from the prostatic duct orifice into the urethra, or if the calculi block the urethra, the diagnosis can be confirmed.
③ X-ray imaging: The calculi can be clearly identified by observing the shadow of the calculi. Prostatic calculi are usually diagnosed through X-ray imaging, and common scenarios are as follows:
① Prostatic calculi are found during routine X-ray examination.
② Prostatic calculi are discovered during X-ray examination due to prostatic hyperplasia.
Therefore, when prostatic diseases occur, attention should be paid to whether prostatic calculi also exist. Prostatic calculi can generally be confirmed through routine X-ray examination.

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