Patient's question:
This March, blood in semen was discovered, and a visit to the hospital revealed an enlarged seminal vesicle with multiple 5mm-sized stones. After taking antibiotics, the blood in semen significantly improved. In the past month, symptoms such as weak urination, urine splitting, and urethral burning have been observed, and 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, supplemented by 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 the aim of as much stone removal as possible. If necessary, open surgery may be required for stone removal or complete prostatectomy.