Patient's question:
Painful urination, 6mm stone 3 years agoDoctor's answer:
Prostatic calculi generally refer to stones originating within the prostatic acini and ducts. Their etiology is believed to be related to urine reflux, calcium, salts, and the stagnation of secretions. The diameter of prostatic calculi can be as small as 1 millimeter and as large as 3-4 millimeters, with most being the size of rice grains to peas. The number can range from one to hundreds. They are more common in middle-aged and elderly men over 40. The obstruction caused by stones and the stimulation of the ducts and glandular tissues can lead to prostatitis, causing congestion and desquamation of the acinar epithelium and fibrosis of the glandular tissues. If the inflammation progresses or becomes purulent, it can cause periprostatic inflammation. Severe infections may even lead to the formation of prostatic abscesses or even rupture into the perineum, rectum, or urethra. It is recommended to visit the urology department of a hospital for consultation. The principle of treating prostatic calculi is as follows: For patients with chronic prostatitis and seminal vesiculitis, active symptomatic treatment should be given targeting the inflammation. In addition to antibiotic treatment, attention should be paid to the drainage of prostatic fluid, and regular prostatic massage should be performed to alleviate the obstruction caused by stones. For patients with prostatic calculi combined with benign prostatic hyperplasia, surgical treatment of the prostate can be performed to relieve urinary tract obstruction and achieve the goal of stone removal.