Patient's question:
This March, blood in semen was discovered, and I went to the hospital for treatment. The examination revealed an enlarged seminal vesicle and multiple stones of about 5mm in size. After taking antibiotics, the blood in semen significantly improved. In the past month, I have noticed weak urination, urine splitting, and a burning sensation in the urethra. Last Monday, terminal hematuria appeared.Doctor's answer:
When the current prostate stone is combined with other conditions or symptoms, treatment should be administered. For patients with chronic prostatitis or seminal vesiculitis accompanied by symptoms but without severe infection, symptomatic treatment should be the primary approach. Prostate massage and antibiotics can be used to control symptoms, combined with hot Sitz baths, urethral spasmolytics, etc., to alleviate posterior urethral irritation symptoms. Regular X-ray follow-ups should be conducted to monitor changes in the size of the stones.Recommendations: For patients with concomitant benign prostatic hyperplasia, transurethral resection of the prostate can be performed, with efforts made to remove the stones as much as possible. If necessary, open surgery may be required to remove the stones or to completely excise the prostate.