Patient's question:
Male, 49 years old. There are two stones in the prostate, measuring 0.6 cm and 0.7 cm respectively. Could you please advise what medication I should take based on my symptoms? I do not want to undergo surgery. Please provide a detailed response! Thank you!Doctor's answer:
Hello, treatment should be administered when there are prostate stones combined with other conditions or symptoms. For patients with chronic prostatitis or seminal vesiculitis accompanied by symptoms but without severe infections, symptomatic treatment should be the primary approach. Prostate massage and antibiotics can be used to control symptoms, along with hot Sitz baths, urethral spasmolytics, and other measures to alleviate posterior urethral irritation symptoms. Regular X-ray follow-ups should be conducted to monitor changes in the size of the stones.For patients with combined benign prostatic hyperplasia (BPH), transurethral resection of the prostate (TURP) can be performed to remove the prostate and as much stone as possible. If necessary, open surgery may be required for stone removal or complete prostatectomy.
### Surgical Treatment
For asymptomatic, static prostate stones, treatment may not be necessary, and regular observation can suffice to monitor changes. Surgical treatment may be considered only when the stones cause severe infections or complications that do not respond to medication.
There are three methods for surgical treatment of prostate stones:
(1) The most common method is transurethral resection of the prostate and stones. This is often used for younger patients to avoid sexual dysfunction and can also be applied to elderly or frail individuals to minimize physical trauma. The disadvantage is that it may not completely remove all stones.
(2) For deep-seated or multiple stones, a perineal total prostatectomy can be performed to remove the prostate and stones. If necessary, bilateral seminal vesicles may be resected.
(3) For large, multiple stones combined with BPH, suprapubic prostate and stone enucleation is recommended. However, surgery can be more challenging for patients with periprostatic inflammation.
### Traditional Chinese Medicine (TCM) Treatment
In traditional Chinese medicine, the presence of sand in the urine is...