Patient's question:
Male, 48 years old. 2 months ago, I experienced symptoms of frequent urination and urinary obstruction. Every time I urinated, I had a feeling of incomplete emptying and accompanied by lower abdominal pain. An ultrasound examination revealed two stones in my prostate, measuring 0.6 cm and 0.7 cm respectively. The doctor said that prostate stones are difficult to break and that medication has no effect on them. He added that the problem is not serious and can be resolved with a few injections. I have been receiving anti-inflammatory injections for nearly a month and feel slightly better, but I still have some concerns and feel uneasy, knowing that these stones are still in my body! Could you please recommend a better treatment method for me? Additionally, what should I pay attention to in my daily life?Doctor's answer:
Hello: For asymptomatic stationary prostate stones, treatment is not necessary. Regular observation can monitor changes. Only when prostate stones cause severe infection or other complications, and drug treatment is ineffective, surgical treatment can be considered.There are three methods for surgical treatment of prostate stones:
(1) The most common method is transurethral resection of the prostate and stones. It is often used for younger patients to avoid sexual dysfunction and can also be used for elderly or frail individuals to reduce physical impact. The disadvantage is that it is difficult to completely remove the stones.
(2) For deep-seated or multiple prostate stones, transperineal total prostatectomy can be performed to remove the prostate and stones. Bilateral seminal vesicles may be resected if necessary.
(3) For large, multiple stones accompanied by prostate hyperplasia, suprapubic prostate and stone enucleation is recommended. However, surgery is more challenging for patients with periprostatic inflammation.