What are the symptoms of prostate stones?

Patient's question:

What are the symptoms of prostate stones?

Doctor's answer:

Prostatic fibrosis can exist in the prostate for years without causing discomfort, but with careful observation, the early signs of prostatic calculi can still be detected. Occasionally, it may be accompanied by anxiety, poor concentration, poor sleep, and symptoms such as burning, dampness, and in the perineum.
II. Middle Stage Prostatic Calculi
In the middle stage, prostatic calculi manifest as prostatic calcification. Bacteria tend to thrive on calcification foci, which can be a recurring factor for young and middle-aged patients with prostatitis and should not be ignored. These calcification foci can develop into stones, exacerbating prostatitis. However, calcification foci cannot completely disappear. In chronic prostatitis, they can reduce sperm viability, prolong the liquefaction time of semen, and lower fertility, affecting reproductive health.
III. Late Stage Prostatic Calculi
In the late stage, stones form within the gland. Small prostatic calculi can cause chronic inflammation, with inflammatory cell infiltration, debris, and desquamated epithelium filling the acini. As a result, the acini may dilate, and their size and shape can change, with the epithelial lining disappearing. Inflammatory cell infiltration and fibrosis can also occur between the acini, and the prostate stroma around the stones may become fibrotic. Larger prostatic calculi can occupy the entire glandular lumen, leaving only a small amount of glandular tissue. When accompanied by inflammation and suppuration, it can lead to periprostatic inflammation. Severe infections may form abscesses, which can even rupture to form fistulas. Therefore, prostatic calculi often accompany recurrent urinary tract infections, with stones being the root cause of secondary urinary tract infections.

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