What are the different types of prostate diseases?

Patient's question:

Patient: Male, 31 years old
Previous health status: Good
Current condition:
1. Sudden lower abdominal pain 10 days ago;
2. Pain was dull, lasting 2-3 hours, resolved spontaneously;
3. No fever, mild urinary urgency, frequency, or dysuria.
History of treatment and effectiveness:
1. After 7 days of intravenous treatment with levofloxacin and tinidazole, symptoms improved.
2. Today, the pain suddenly worsened. Blood tests at the city hospital showed normal neutrophils (76%) and other normal results. Urinalysis revealed leukocytes (+), red blood cells (+++). Ultrasound showed no issues with the kidneys or bladder, but a strong echo in the prostate, the size of a sesame seed. The doctor suggested it might be a stone and recommended trying to pass it.
Desired assistance:
1. I want to ask if it is definitely a stone or if other possibilities exist?
2. How can the treatment be more effective because the pain is too severe?
3. What detailed diagnostic tests are recommended?

Doctor's answer:

Based on your careful examination results and symptom presentation, the possibility of stones is quite high.
Recommendation: If you are still unsure, you can have a thorough examination of the prostate through ultrasound at a reputable Grade III-A hospital. According to your indication, the stone size can be passed out through lithotripsy, but it also depends on your personal constitution. You can discuss this with your attending physician and let them determine the appropriate treatment plan based on your condition.
For prostate patients, in addition to active treatment, it is also important to maintain a positive mood in daily life. A good mood is very helpful for the complete recovery of the disease. I hope the above answer can assist you. Thank you!