Patient's question:
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Thank you to the doctor for answering my question quickly – How should I treat and prevent this?
Doctor's answer:
Prostatic calculi generally refer to stones originating within the prostatic acini and ducts. The etiology is believed to be related to urine reflux, stagnation of calcium, salts, and secretions, among other factors. The diameter of prostatic calculi can be as small as 1 millimeter and as large as 3-4 millimeters, with most being the size of rice grains to peas. The number can range from one to hundreds. They are more common in middle-aged and elderly males over 40. The obstruction caused by stones and the stimulation of the ducts and glandular tissues can lead to prostatitis, resulting in congestion, desquamation of the epithelial lining of the acini, and fibrosis of the glandular tissues. If the inflammation progresses or becomes purulent, it can cause peri-prostatic inflammation. Severe infections may even lead to the formation of prostatic abscesses or even rupture into the perineum, rectum, or urethra.It is recommended that you visit our urology department for consultation. The principle of treating prostatic calculi is as follows: For patients with chronic prostatitis and seminal vesiculitis, active symptomatic treatment targeting inflammation should be administered. In addition to antibiotic therapy, attention should be paid to the drainage of prostatic fluid, and regular prostatic massage should be performed to alleviate the obstruction caused by stones.
If prostatic calculi are combined with benign prostatic hyperplasia, surgical intervention may be considered to relieve urinary tract obstruction and achieve the goal of stone removal.