Patient's question:
Detailed medical condition and consultation purpose: Prostate fluid test shows ++ white blood cells, + lecithin corpuscles. Is it related to chlamydia infection? What is the most likely cause of prostate stones?Doctor's answer:
Hello: Your current condition is prostatitis, and it is recommended to actively use medication. It is best to conduct a drug sensitivity test before determining the specific treatment medication. As for prostatic calculi: Since most prostatic calculi are asymptomatic, symptoms may appear when combined with other lesions, but these symptoms are primarily due to the clinical manifestations of the combined lesions rather than specific symptoms of prostatic calculi. Therefore, it is difficult to diagnose based on clinical symptoms alone.The diagnosis of prostatic calculi mainly relies on the following methods:
① Digital rectal examination: Stones can be palpated directly, with stone friction sounds or pitting sounds, but it is not very accurate.
② Urethral scope examination: After inserting the urethral scope, the morphology of the posterior urethra and prostatic duct openings can be directly observed. Combined with digital rectal examination, pitting sounds are easier to detect. If stones are directly seen protruding from the prostatic duct openings into the urethra or if stones block the urethra, a definitive diagnosis can be made.
③ X-ray imaging: Stones can be clearly identified by observing their shadows. Prostatic calculi are typically diagnosed through X-ray imaging, with common scenarios being:
① Prostatic calculi are found during routine X-ray examinations.
② Prostatic calculi are discovered during X-ray examinations due to prostatic hyperplasia.
Therefore, when prostatic diseases occur, attention should be paid to whether prostatic calculi are also present.