Patient's question:
I would like to ask if prostatic calculi can be expelled? Will there be any impact? Thank youDoctor's answer:
Hello! For most small, numerous, asymptomatic stones that are commonly found during routine X-ray examinations, treatment is often not required. For symptomatic stones with mild infection, prostate massage and the use of antibiotics can help control symptoms. Follow-up with ultrasound can monitor changes in stone size. When stones are accompanied by benign prostatic hyperplasia (BPH), transurethral resection of the prostate (TURP) can be performed, with the aim of removing the stones as much as possible. For large, numerous stones, perineal prostatectomy with stone extraction may sometimes be necessary. Simply performing TURP and stone extraction can often lead to the formation of new stones within the prostatic cavity. When prostatic stones are accompanied by chronic prostatitis and seminal vesiculitis, symptomatic treatment should be the primary approach. This can include warm sitz baths, antibiotics, and urological spasmolytics to alleviate posterior urethral irritation symptoms. True prostatic stones are generally rare, and most do not require treatment. Although some may cause symptoms, the prognosis is usually very good, and surgery is rarely needed for them. Therefore, when a diagnosis of prostatic stones is confirmed, there is no need to panic. It is important to actively treat the condition and undergo regular follow-up examinations.