Can prostatic calculi patients take sitz baths?

Written by Wang Jian
Urology
Updated on May 04, 2025
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Yes. Prostatic calculi generally result from the accumulation of prostatic fluid and are mostly a manifestation of chronic prostatitis. If the prostatic calculi are asymptomatic, no treatment is required. If chronic prostatitis is present along with symptoms like frequent urination, urgency, incomplete emptying, increased nocturia, urinary splitting, and pain in the lumbar sacral and perineal areas, warm water sitz baths are recommended. Warm water sitz baths typically use water at about 42°C, conducted twice daily, morning and evening, each lasting 20 minutes. It is also best to use some medication to improve symptoms, such as antibiotics and drugs that reduce urethral resistance and suppress bladder spasms. Additionally, it is advisable to avoid prolonged sitting and holding urine, and to reduce consumption of spicy and stimulating foods. Larger prostatic stones are generally treated surgically.

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Written by Wang Shuai
Urology
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Prostate Calculi Causes and Symptoms

The appearance of prostate stones is mostly due to previous prostate calcifications or calcification spots that gradually form prostate stones. The formation of prostate calcifications and calcification spots is directly related to prostatitis. Most patients with prostate stones do not experience discomfort. For those prostate stones that do not cause symptoms, no special treatment is necessary. However, some patients may experience frequent urination, urgency, incomplete voiding, and even recurring attacks of prostatitis due to the presence of prostate stones. In such cases, active anti-inflammatory treatment is required. When necessary, warm sitz baths can be taken, or oral medications that improve urinary discomfort can be used for treatment.

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Written by Wang Shuai
Urology
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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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Written by Wang Jian
Urology
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Can prostate stones be removed?

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.

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Urology
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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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Written by Wang Shuai
Urology
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Is a 6mm prostate calculus serious?

A 6mm prostate stone is not severe. Typically, patients with such stones do not experience discomfort, and most cases are discovered during ultrasound examinations at physical check-ups. These asymptomatic prostate stones do not require special treatment. However, some patients may experience recurrent prostate inflammation due to the presence of stones, or symptoms such as a feeling of heaviness in the anus or lower abdomen. These conditions require timely anti-inflammatory treatment. If necessary, medications like Prostakor tablets or Prostasure capsules can be taken orally to alleviate symptoms. Treatments like warm water sitz baths or localized therapy can also be administered. (Please use medications under the guidance of a doctor.)