Prostate stones are typically very small and do not cause any discomfort to the patient. However, if accompanied by conditions such as prostate enlargement or prostatitis, urinary abnormalities such as frequent urination, urgency, terminal hematuria, and difficulty urinating may occur. In the usual treatment of prostate stones, if symptoms are present, they are mostly caused by prostatitis. Treating the prostatitis is sufficient, and it is not necessary to remove the stones. However, if the prostate stones are very large, traditional open surgery, which involves the removal of prostate stones through the urethra, can be used. This is generally suitable for younger patients. It is often difficult to remove prostate stones, but a similar effect can generally be achieved through minimally invasive surgery.