Prostate stones 2x3 mm. No reaction. Do I need surgery?

Patient's question:

Prostate stones 2x3 mm. No reaction. Do I need surgery?

Doctor's answer:

According to the patient's description, surgery can be postponed for now, and close observation is recommended. Drink plenty of water, aiming for about 1.14 liters of urine output per day. Reduce protein intake, including meat, cheese, fish, and chicken. Control calcium intake to avoid excessive calcium consumption, but it is not prohibited. Stay active to prevent calcium deposits in the blood. Consume foods rich in vitamin A to maintain the health of the urethral lining and help prevent recurrent stones. These foods include carrots, broccoli, cantaloupe, pumpkin, and liver. However, high doses of vitamin A can be toxic, so it is best to consult a doctor before taking supplements. Antacids often contain high levels of calcium. If you have calcium stones, choose antacid brands with lower calcium content. Taking magnesium and vitamin B6 can reduce the recurrence rate by 90%. Limit vitamin C intake, especially for patients with calcium oxalate stones. Avoid excessive vitamin D intake. Do not consume too many oxalate-rich foods, including beans, beets, celery, chocolate, grapes, bell peppers, parsley, spinach, strawberries, and tea. Reduce salt intake and avoid high-sodium foods. Additionally, avoid spicy foods and arrange a balanced diet with three meals a day. Do not drink alcohol: even during holidays or social occasions, limit alcohol consumption to small amounts of low-alcohol beverages. Engage in moderate exercise: follow the "Five-Three-Seven" principle. Five: Exercise at least five times a week. Three: Each exercise session should last more than 30 minutes. Seven: After each exercise, the sum of your actual heart rate and age should reach 170 beats per minute. Avoid prolonged sitting: stand up and move around every hour. Maintain personal hygiene and wash your lower body every night. Keep bowel movements regular: defecate at fixed times each day. Maintain a responsible and regular sexual life, avoiding excessive frequency but ensuring it is not completely absent. Generally, you should feel no fatigue the day after sexual activity. If the patient experiences symptoms such as frequent urination, urgency, hematuria, difficulty urinating, dribbling urine, urine retention, urethral burning, pain in the waist, perineum, low libido, painful ejaculation, or hematospermia, seek medical attention immediately.

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