Post Date December, 03 2023
Prostate calculi refer to genuine stones formed in primary or endogenous prostatic acini and ducts. This type of stone can be as small as corn, as large as peas, and can be circular, elliptical, or polyhedral in shape. The number can be one or several hundred, usually brownish yellow, dark brown, or black. Small stones are often smooth, while large or multiple stones can occupy the entire glandular cavity and have a hard texture.
Most patients with early prostate stones have no symptoms, and the stones can stay in the prostate for many years without discomfort. If the stones are large, there may be frequent urination, hematuria, difficulty urinating, pain, and sometimes sexual dysfunction, hematospermia, or erectile dysfunction. Prostate stones are difficult to diagnose based on clinical symptoms, and diagnosis mainly relies on methods such as rectal digital examination, urethroscopy, and X-ray photography. So, how should prostate stones be treated?
How to treat prostate stones?
The most commonly used method of traditional surgical treatment is transurethral resection of the prostate and stones, which is often used in younger patients to avoid sexual dysfunction, and can also be used in elderly and weak individuals to reduce the impact on the body. The disadvantage is that the stones are not easily removed completely. For deep prostate stones and multiple stones, transperineal total prostatectomy can be used to remove the prostate and stones. If necessary, bilateral seminal vesicles can be removed. For patients with large and multiple stones accompanied by benign prostatic hyperplasia, suprapubic prostatectomy and stone removal should be performed. But for those with prostatitis, surgery is more difficult. Traditional surgical treatment for prostate stones is rarely used in medicine due to its high recurrence rate, long recovery time, and significant harm to the body.
(Intern Editor: Huang Jiazhen)
