Patient's question:
Detailed medical condition and consultation purpose: Last year, I felt lower abdominal pain and a sensation of incomplete urination. When I went to the hospital for a check-up, it turned out to be prostatic calculi.Duration of the current episode: Two weeks
Current general condition: Still experiencing lower abdominal pain and a stinging sensation during urination
Previous diagnoses and treatment history and effectiveness: I visited two different hospitals, and both recommended treatment with traditional Chinese medicine.
Ancillary tests: Ultrasound
Doctor's answer:
1. Traditional surgical treatment: This involves transurethral resection of the prostate and stones. It is generally suitable for younger patients with prostate stones. This method can avoid sexual dysfunction and is also a good choice for the elderly and frail, as it can reduce significant physical damage. However, this therapy has certain disadvantages, such as incomplete stone removal, as it may not always be possible to remove all stones. For deep-seated or multiple prostate stones, it is recommended to undergo a perineal total prostatectomy to remove them. If the condition requires, the bilateral seminal vesicles can also be resected. For patients with large and numerous stones, especially those with prostatic hyperplasia, the suprapubic prostate and stone enucleation is suitable. However, this method is more challenging for patients with prostatitis.2. Minimally invasive surgical treatment: This utilizes advanced equipment and high-level techniques to achieve certain therapeutic effects through small incisions. It features small wounds, less pain, and faster recovery. During the surgery, a small incision is made at the location of the prostate stones to remove the stones from within the gland. It is more precise than traditional surgery but still involves surgical treatment.
3. Non-invasive extracorporeal treatment: This therapy uses microelectronic chips to accurately locate the position of stones within the prostate, allowing for more precise and safer removal of prostate stones. It is particularly effective for infectious stones or recurrent stones after surgery. It has the advantage of minimal or no bleeding.