Patient's question:
Treatment history and effectiveness:Treatment of prostate stones with transurethral resection and open surgical resection of the prostate?
Doctor's answer:
Patients with prostate stones can refer to the following methods:Medical Advice:
(1) Main Symptoms of Lower-Jiao Damp-Heat Type: Prostate stones detected on X-ray, or symptoms such as frequent urination, urinary pain, dark yellow urine, discomfort in the perineum, red tongue with yellow greasy coating, and wiry rapid pulse.
Treatment Principle: Clear heat, resolve dampness, promote diuresis, and dissolve stones.
Medication: Modified Bazi San [Poria 10g, Akebia stem 6g, Polished Talc () 20g, Pennellia 10g, Plantago 10g, Gardenia 10g, Rheum 10g, Cattail pollen 5g, 20g, 20g, 10g, Licorice 5g].
Alternative Patent Medicines: Xiaoshi Su, Shilintong.
(2) Main Symptoms of Yin-Deficiency Damp-Heat Type: Prostate stones detected on X-ray, frequent urination, urinary pain, dribbling urine, discomfort in the perineum, dark short urine, soreness in the lower back and knees, restlessness, dizziness with tinnitus, dry mouth and throat without thirst, red tongue with yellow greasy coating, and thready rapid pulse.
Treatment Principle: Resolve dampness and clear heat, nourish the kidneys, and dissolve stones.
Medication: Modified Yishen Huashi Tang [Rehmannia 15g, Peony root 10g, Chinese yam 15g, Cornus officinalis 10g, Polished Talc () 20g, Alisma 10g, Polygonum 10g, Poria 10g, Cuscuta 10g, Amber 3g (powdered and taken with decoction), Atractylodes 10g].
2. Western Medication Treatment
(1) When inflammation is significant: Ciprofloxacin 0.2g, 3 times/day, oral; or Ciprofloxacin 0.1–0.2g, 2–3 times/day, oral; or Nitrofurantoin 0.1g, 3–4 times/day, oral.
(2) When pain is significant: Probenecid 15mg, 3 times/day, oral; or Diazepam 2.5–5mg, 1–3 times/day, oral.
3. External Treatment Methods
(1) Hot Sitz Bath: Once daily, 20–30 minutes each time.
(2) Prostate Massage: Once weekly, for 6–8 weeks.
(3) Surgical Treatment: If the stones are large and numerous, they can be removed via perineal prostatectomy.