Patient's question:
Okay, here is the translation following your instructions:Re-do the liver function test. Others said it's nothing, just drink more water and exercise,,, But personally, I think the slightly enlarged prostate with small stones should be treated, to prevent the condition from worsening!! (For example, what aspects of the diet should be noted, and which foods should be eaten more, etc.)
Doctor's answer:
Male, 25 years old, B report: Both kidneys are of normal size and shape, with uniform parenchymal echoes and clear internal structures. No significant separation was observed in the bilateral renal collecting systems. Mild dilation was noted in the bilateral ureteropelvic segments. No abnormalities were found in the bladder wall; the remainder of the segments could not be visualized due to intestinal gas interference. The bladder was adequately filled, and no significant abnormal echoes were observed within the lumen. The prostate size was 453432mm, with heterogeneous internal echoes and multiple small hyperechoic foci observed (Diagnosis: Enlarged prostate with multiple small calculi). The patient appears asymptomatic.Recommendations: For most small, numerous, asymptomatic stones discovered during routine X-ray examinations, treatment is often not required. For symptomatic stones without severe infection, prostate massage and antibiotics can be used to control symptoms, followed by X-ray follow-up to monitor changes in stone size. When stones are combined with benign prostatic hyperplasia (BPH), transurethral resection of the prostate (TURP) can be performed to remove the stones as much as possible. For large, numerous stones, perineal prostatectomy with stone removal may be necessary. Simple prostatectomy alone often leads to stone recurrence within the prostatic cavity. When prostate stones are accompanied by chronic prostatitis and seminal vesiculitis, symptomatic treatment is the primary approach, including hot sitz baths, antibiotics, and urinary spasmolytics to alleviate posterior urethral irritation.
True prostate stones are rare and usually do not require treatment. Most patients with symptoms have a good prognosis, and surgery is rarely needed. Therefore, there is no need to panic when diagnosed with prostate stones. Active treatment and regular follow-up are essential.
Self-treatment methods for prostate stones:
1. Avoid spicy foods like chili peppers and maintain a balanced diet.
2. Do not drink alcohol, even during holidays or social gatherings, or consume only small amounts of low-alcohol beverages.
3. Drink plenty of water: At least 7 glasses (about 2000ml) per day, with one glass (70ml) immediately after waking up in the morning. Drinking "streamfall" tea is particularly suitable for middle-aged and elderly individuals with urinary difficulties.
4. Engage in moderate exercise: Follow the "5-3-7" principle—exercise at least 5 times a week, for 30 minutes or more each time, and ensure your heart rate plus age equals 170 beats per minute after exercise.
5. Avoid prolonged sitting: Get up and move around every hour.
6. Maintain good personal hygiene, washing the lower body daily.
7. Keep bowel movements regular: Defecate at fixed times and consume plenty of vegetables in your diet. Eat moderate amounts of fruits and stay active; seek timely treatment for constipation.
8. Avoid overexertion and catching colds. Adjust work and life rhythms, balance rest and activity, and avoid excessive fatigue. Dress appropriately for temperature changes to prevent colds.
9. Maintain a positive and open mindset, and address negative emotions promptly.
10. Have a regular and responsible sex life—avoid excessive frequency but do not completely abstain. Generally, fatigue-free the day after sex is ideal. Reference frequency by age group:
- Under 30: 2–3 times per week
- 31–50: 1–2 times per week
- 51–60: 2–3 times per month
- Over 60: 1 time per month or 2 times every 3 months.