What is the best treatment for prostate stones?

Patient's question:

Painful urination, benign prostatic hyperplasia, over two years, the cause or etiology is unclear

Doctor's answer:

Hello! Prostate stones can penetrate the mucous membrane of the urethra in the prostate region and enter the urethra, so they should be differentiated from urethral stones. Prostate stones often contain a large amount of bacteria, making them common infection cores that store bacteria. However, antibacterial antibiotics find it difficult to penetrate the stones and take effect.
Guidance: For stones with symptoms but mild infection, prostate massage and the use of antibiotics can help control symptoms. Follow-up with a cystoscopy is recommended to observe changes in the size of the stones. When stones are combined with benign prostatic hyperplasia (BPH), transurethral resection of the prostate (TURP) can be performed, with efforts to remove the stones simultaneously. If the stones are large and numerous, perineal prostatectomy and stone extraction may be necessary. Simply performing a prostatectomy and stone extraction can often lead to the formation of new stones within the prostatic cavity.
When prostate stones are accompanied by chronic prostatitis and seminal vesiculitis, symptomatic treatment is the primary approach. Hot sitz baths, antibiotics, and urethral spasmolytics can be used to alleviate posterior urethral irritation symptoms.