How to check if it is a stone or prostatitis

Patient's question:

[Condition Description: 23 years old, often unable to urinate timely, leading to difficulty urinating sometimes, unable to expel urine for a long time, still feeling like some urine remains after urination, accompanied by slow or incomplete urination, occasionally experiencing pain during urination.
Treatment history and effectiveness: Never had any examination or treatment.
Desired help: How can I check if it is prostatitis or a stone? If an imaging test is needed, which type should be taken? Approximately how much does it cost? If it is, how much will it cost, and how long will it take to heal?]

Doctor's answer:

Prostatic calculi are often discovered during imaging studies such as X-rays and ultrasound when patients undergo examinations due to conditions like benign prostatic hyperplasia or chronic prostatitis. Of course, larger or those closer to the anterior wall of the rectum may also be detected during a digital rectal examination.
In prostatitis, due to the dilation of acini and the narrowing of prostatic ducts, salts in the urine can deposit within the prostate tissue, forming calculi. The obstruction caused by these stones and their stimulation of the ductal bodies can, in turn, trigger inflammation in the prostate, leading to congestion, occlusion, desquamation of the epithelial lining, and fibrosis of the gland. As the inflammation progresses or becomes purulent, it can cause surrounding inflammation of the prostate. Severe infections may even lead to the formation of a prostatic abscess, which can rupture into the perineum, rectum, or urethra.

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