Can prostate stones be expelled?

Written by Li Yuan Wei
Urology
Updated on September 10, 2024
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Prostatic calculi generally involve two aspects of diagnosis. One part is called prostatic urethral or urethral prostatic calculi, which can be simply understood as urethral calculi located in the prostatic region. The second type is calculi inside the prostate, commonly referred to as prostatic calcification. These are most commonly seen during prostatitis and while taking medications. Typically, these calculi are asymptomatic and do not require special treatment. However, the second type, which are the calculi in the prostatic urethra (urethral calculi located in the prostatic part), usually affect urination and require removal through minimally invasive surgery.

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Can prostatic calculi cause hematuria?

Prostate stones can cause hematuria, but this is relatively rare. Typically, a small amount of blood flows from the urethral opening after urination, but most patients with prostate stones do not experience discomfort and do not require special treatment. If prostate stones occasionally cause hematuria, it is generally not a serious issue and does not require special treatment. If hematuria occurs frequently and is accompanied by prostate pain, frequent urination, urgency, or other symptoms that significantly impact the patient's life, surgical treatment may be considered. During the treatment period, it is important to maintain a light diet, avoid spicy and irritating foods, and refrain from smoking and drinking.

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Is prostatic calculus easy to treat?

Prostate stones are formed in the prostate acini and ducts. Most patients with prostate stones do not have any symptoms. Some patients may have concurrent prostatitis or prostate hyperplasia, resulting in abnormal urination. The main symptoms include frequent urination, urgent urination, difficulty urinating, hematuria, residual urine, along with discomfort in the lumbar and sacral regions, perineal discomfort, and sexual dysfunction. If prostate stones are asymptomatic, treatment is not required. However, if there are symptoms like abnormal urination or pain, treatment can be administered through medications. Broad-spectrum antibiotics such as levofloxacin are commonly used for about four weeks. Additionally, it is advisable to adhere to warm water sitz baths daily for 20 minutes to accelerate blood circulation in the prostate and improve symptoms. It is also recommended to avoid spicy and irritating foods, refrain from prolonged sitting, avoid holding in urine, and maintain a regular sexual life.

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How to deal with prostate stones?

Smaller prostate stones generally do not impact the human body and do not cause noticeable symptoms. However, if prostate stones are accompanied by prostatitis and prostate enlargement, they can lead to symptoms such as frequent urination, urgent urination, incomplete urination, painful urination, difficulty urinating, and waiting for urination. For these symptoms, symptomatic treatment is sufficient, following the treatment methods for prostatitis and prostate enlargement. If prostate stones are large enough to affect urination, causing difficulty in urination or even urinary retention; if large prostate stones protrude into the bladder causing difficulty in urination, then surgery is required to treat this condition. The surgery generally involves minimally invasive transurethral prostate stone surgery or open surgery.

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What are the symptoms of prostate calcification stones?

The prostate may have calcifications, calcification spots, or stones, and most patients do not have any discomfort symptoms, making it difficult to detect. Generally, prostate calcifications, spots, or stones are discovered during ultrasound examinations in routine physical check-ups. For patients without any symptoms, no special treatment is required. Some patients may experience perineal or lower abdominal distension and heaviness, and some may exhibit symptoms similar to prostatitis, such as frequent urination, urgent urination, and a sensation of incomplete bladder emptying. In such cases, symptomatic treatment with medications to improve urinary discomfort may be sufficient; no special treatment is needed.

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Do prostate stones need treatment?

Prostate stones do not require treatment. Prostate stones refer to a hard or slightly black and hard substance similar to stones found inside the prostate gland during surgery. If a stone analysis is conducted, it indeed contains calcium. Generally, the formation of prostate stones may be due to previous episodes of prostatitis. After an episode of prostatitis, there may be some calcification and deposits of calcium in the prostate, and over time, an accumulation of calcium in this area may form a small stone. Additionally, the prostate is a gland that has a secretory function, and in such cases, some impurities may accumulate inside it and eventually could also become a stone. Generally, prostate stones are not very large, and usually, they do not cause any clinical symptoms. If prostate stones are only discovered during a physical examination and are very small with no clinical symptoms, then no special treatment is required, and observation is sufficient.