Patient's question:
Patient Gender: MaleMain Symptoms: Prostate stones
Onset Time: 2008
Laboratory Test Results: Prostate size 462830mm, morphology and size normal, glandular echo inhomogeneity, multiple punctate strong echoes observed posterior to the middle lobe, no significant normal echoes seen internally
Doctor's answer:
Prostatic calculi generally refer to stones originating within the prostatic acini and ducts. The 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 acini can lead to prostatitis, causing congestion, epithelial desquamation in the acini, and fibrosis of the glandular tissue. If the inflammation progresses or becomes purulent, it can cause peri-prostatic 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 targeting the inflammation should be carried out. In addition to using antibiotics, attention should be paid to the drainage of prostatic fluid, and regular prostatic massage should be performed to alleviate the obstruction of prostatic fluid 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 removing the stones.