calculus prostatitis

Calculous prostatitis is a disease in which stony inclusions (or stones) form within the prostate ducts. It is the result of chronic prostatitis. Lime salts, phosphates, and prostate secretions form stones. Patients of different ages face this problem: 30-40 years old (due to chronic prostatitis), 40-60 years old (due to prostate adenoma), and after 60 years old (due to decline in intimate function).There are two types of stones: exogenous and endogenous. The composition of exogenous stones can be compared to those found in the urinary tract. They can be caused by prostate adenomas and chronic inflammation, and are most commonly found in the distal portion of the prostate. Patients can live with endogenous stones for many years because they cause no inconvenience, let alone pain. The cause is congestive prostatitis. The symptoms and treatment of calculus prostatitis require professional attention.

Causes of calculus prostatitis

Chronic calculus prostatitis causes inflammation and congestion of the prostate. Benign prostatic hyperplasia, avoidance of close or irregular contact, and lack of physical activity can lead to improper emptying of the prostate. If these factors are combined and a genitourinary tract infection is observed, the nature of the prostate secretion gradually changes.The disease may also be caused by urethroprostatic reflux, a condition in which small amounts of urine enter the prostatic ducts when urinating from the urethra. The salt in the urine gradually turns into stones. Urethral prostatic reflux is caused by urethral trauma, transurethral resection of the prostate, or urethral stricture. Urine may pass into the prostate after surgical intervention in the genitals, the use of a catheter, or changes during the presence of stones in the kidneys or bladder. Stones are mainly urate, oxalate and phosphate.Chronic calculus prostatitis can impair reproductive function.

Symptoms of calculus prostatitis

Symptoms of calculus prostatitis are pain in the lower abdomen, perineum, testicles, sacrum, and scrotum. The diameter and number of stones directly affect the intensity of pain.Typically, the pain becomes worse during and after sex, while sitting on something hard, while walking, or with vibration. The pain can radiate to the penis and scrotum.Signs of calculus prostatitis may be the following phenomena:

• Frequent urination;
• urinary incontinence;
• A small amount of blood appears in the semen;
• sexual pleasure;
• Erectile dysfunction.

One month after the first symptoms appear, the patient's general condition may become disrupted: malaise, decreased performance, depression, irritability, and a slight increase in body temperature may occur.

Diagnosis of calculus prostatitis

When examining a patient, a specialist can only assume that the patient has a disease. Prostate ultrasound, magnetic resonance imaging, and computed tomography can help detect and confirm calculus prostatitis.The next stage is a series of laboratory tests to determine whether stones are present in the prostate, as well as the presence and extent of inflammatory processes. The following tests are most often required:

• General urine test (to confirm the presence of blood, large numbers of white blood cells, protein, epithelial cells);
• General blood tests (increased erythrocyte sedimentation rate, increased white blood cell count);
• Spermogram (reduced blood, motility and sperm count observed);
• Measure prostate-specific antigen levels to detect tumors;
• Prostatic secretions are examined (amyloid bodies, more leukocytes, and epithelium are observed).

Later, during instrumental examination, certain signs can confirm the diagnosis:

• You can find out directly if there are stones in the prostate with an ultrasound;
• A prostate CT scan will help locate the prostate and determine its size;
• With magnetic resonance imaging of the prostate, information can also be obtained about how stones form.

Treatment of calculus prostatitis

Treatment of calculus prostatitis is prescribed and carried out by a specialist; he uses surgery or medication.Doctors usually choose drugs to treat calculus prostatitis, provided that the size of the stone does not exceed 4 mm. Patients receive oral and injected anti-inflammatory drugs, antibiotics, and medications to normalize blood circulation. Herbal medicines are also used. During drug therapy, continued monitoring by the attending physician is very important.Physical therapy is effective and in many cases can facilitate the stone passing process. For example, the successful use of magnetic therapy can significantly improve blood microcirculation and have analgesic and sedative effects. Ultrasound therapy is usually performed; during the treatment, the transmitter is in contact with the skin through a special gel.Good results have been shown for drug electrophoresis, in which an electric current is used to administer drugs through the skin or mucosal surface. In this case, you need to abandon the prostate massage procedure, as opposed to the effective use of the prostate massage procedure for the treatment of chronic prostatitis.Recently, low-frequency laser therapy has been used to treat the prostate in combination with medical therapy. When this treatment is performed, the stones are gradually crushed and excreted through the urine.For large stones, medical therapy is ineffective and surgical intervention is required to treat calculus prostatitis. The surgeon removes the stone through an incision in the perineal or suprapubic area.Calculous prostatitis is often accompanied by prostatic hypertrophy. With this option, one can choose between prostatectomy, adenomaectomy, or prostate TUR.Prostatectomy is the removal of the prostate gland and is performed under general anesthesia. During the surgery, the seminal vesicles are also removed. The surgery may be abdominal surgery. In this case, the perineum or anterior abdominal wall is dissected. After removal, suturing is performed.The procedure can also be performed using an endoscope to make multiple punctures into the abdominal cavity. In this case, recovery will be faster.Adenoma resection is used to treat large adenomas. Enter through the abdominal cavity. Various complications may occur with this surgery: bladder fistula, genitourinary infection, urinary incontinence, etc.Transurethral resection of the prostate involves removing the enlarged area of the prostate through the urethra using a resection cystoscope. This surgery is less likely to cause side effects and has a shorter recovery period.A proper diet is important not only for prevention, but also for the treatment of chronic calculus prostatitis. The diet is prescribed by the attending physician based on various criteria and factors. Basically, meat, fish and mushroom soups, as well as sauces, spicy dishes, spices, garlic, onions, radishes, are excluded from the daily diet. Limit beans, cabbage, whole milk, and other gas-causing foods. Doctors recommend drinking more water.The sooner a patient consults a specialist, the more favorable the prognosis for treating this disease. If stone prostatitis is not treated, it may result in loss of reproductive function, erectile dysfunction, urinary incontinence, prostate hardening or abscess, and damage to tissue near the stones.

Prevent calculus prostatitis

Prevention of this disease is relevant for men of any age and includes:

• Preventive check-ups, lack of self-medication;
• Eliminate nicotine from your life and drink responsibly;
• maintain an age-appropriate sex life;
• Prevent genital infections;
• physical activities;
• Carry out infectious disease treatment.