What are kidney stones with prostatitis

Stone in the prostate: causes, symptoms, diagnosis, treatment, consequences

The prostate gland is one of the organs of the male reproductive system. It is in them that stones are found during the development of pathology.

What are prostate stones

Stones in the prostate gland are structures of an inorganic or organic nature. Most often, these formations are small in size. However, depending on their parameters, congestion may occur in the tissues of the organ. Often there is a blockage of the duct.

Solid formations are divided into several groups:

• true, which are initially formed in tissues;
• false, which are a crystallized accumulation of various salts that enter the prostate duct during the reverse movement of urine from the urogenital canal.

Varieties by chemical structure

A stone in the prostate is a formation that is also classified according to its chemical composition. The main difference lies in the predominance of one or another salt-containing component. At the moment, the following groups of stones are distinguished:

• urate (urinary);
• hardened particles (calcium stones);
• oxalate (the main component is oxalic acid);
• phosphate or phosphoric acid formations.

Some varieties of the mentioned compounds are removed from the prostate in a natural way: through drug exposure or by crushing them. These include the formation of phosphate, phosphoric, uric and oxalic acid. As for calcium stones in the prostate, they have the densest structure and hard surface. Such formations are not amenable to the effects of drugs. Such a stone in the prostate is removed by surgery.

Causes of formations

Why do stones form in the prostate? The treatment of such an ailment depends not only on the size and properties of salt formations. The reason for their occurrence is also taken into account. Most often, stones occur as a result of the inflammatory process of the glandular tissues of the prostate. In this case, a provoking agent must be present. He, in turn, appears due to:

• bacteria, viruses, infectious agent;
• Emission of urine into the ducts of the organ from the urogenital canal, which is the cause of the development of a non-microbial inflammatory process.

There are other factors that can affect the occurrence of salt formations. Why do stones appear in the prostate? The reasons may be the following:

• lack of regular sexual contact;
• prostate tissue injury;
• inflammatory process localized in the tissues of the prostate gland;
• decrease in motor activity (causes congestion in the area where all the organs of the small pelvis are located);
• excessive use of sulfa drugs;
• abuse of table salt;
• presence in the diet of a large amount of fatty and spicy foods.

Dependence of adenoma and the process of stone formation

It is worth noting that prostate adenoma significantly aggravates the patient's condition, since neoplasms can cause congestion in the organ. In the presence of an inflammatory process, such a phenomenon only accelerates the formation of salt deposits in the ducts of the prostate gland. Stones and adenoma are pathologies that depend on each other. If traces of blood were found in the urine or cystitis recurred, then as a result of the diagnosis, the doctor can detect the simultaneous formation of stones and benign neoplasms. In the presence of such disorders, ultrasound of the prostate is prescribed, preparation for therapy and treatment, which is determined only by specialists.

Features of symptoms

Should I be worried if there is a stone in the prostate? What to do? First of all, you should seek the advice of specialists for an accurate diagnosis. At the first appointment, the patient should tell in detail about his feelings. As for the symptoms, discomfort can affect not only the sexual, but also the urinary system of the body.

This is due to the fact that the prostate gland is located near the bladder. To be more precise, right behind him. In this case, the excretory ducts of the prostate pass through the cavity of the channel intended for urination.

Main Features

If there are stones in the prostate, the patient may experience:

• Pain in the perineum. They can be periodic or permanent.
• During physical exertion, as well as during sexual intercourse, discomfort increases.
• There are blood impurities in the semen.
• Alarming extraneous sensations during ejaculation.
• Reducing attraction to the opposite sex.
• Some changes in the nature of urination. This is due to the narrowing and inflammation of the urogenital canal. For example, a man may be concerned about difficulty or frequent urination.

Symptoms that signal the presence of stones in the prostate may be mild due to the small size of the stones. The latter are often detected during palpation or radiographs.

Diagnostic methods

When diagnosing such a pathology, an x-ray is performed. In addition, additional laboratory tests may be prescribed. For example:

• prostate secretion analysis;
• general examination of urine and blood;
• spermogram.

In some cases, additional tomography or echography may be prescribed. These methods allow you to visually confirm the presence of salt formations in the prostate. The method of excretory urography can be used. In this case, the patient is injected with an indicator substance with a directed action into the vasculature. This study allows you to identify structural abnormalities, as well as organ dysfunction, reflecting everything on an x-ray.

Types of therapeutic effects

If prostate adenoma is not detected, the symptoms and treatment of which have their own characteristics, then the following procedures can be prescribed to remove stones:

Using a laser

Removal of stones in the prostate with a laser is a painless, effective and fairly quick way. Such therapy has its own characteristics. Removal of stones is carried out by crushing them with a laser emitting low-intensity waves. This allows you to reduce salt deposits in size (down to grains of sand) in the ducts of the prostate gland.

Are prostate stones removed quickly? laser treatment does not require hospitalization of the patient. When performing the procedure, the integrity of the outer covers is not violated. And this indicates the complete absence of any pain in the process of laser manipulations. In this case, the duration of such therapy is no more than a quarter of an hour. However, the procedure needs to be repeated. In some cases - up to 10 times. It all depends on the size, as well as the number of stones.

Drug treatment

A stone in the prostate can also be crushed by taking medications. However, only a narrow-profile specialist can prescribe such a drug. Self-medication with such formations is extremely dangerous. This can lead to the development of unwanted complications. The list of drugs that help break up salt deposits and remove them from the prostate ducts includes:

• Non-steroidal drugs with anti-inflammatory effect: Diclofenac, Meloxicam, Ibuprofen, Nimesulide.
• Antimicrobial agents in the form of tablets: Doxycycline, Norfloxacin, Erythromycin, Ofloxacin. The effectiveness of therapy is determined after laboratory studies of the components of the microflora of the urine or a smear taken from the urogenital canal, calculating the susceptibility of bacteria to a particular drug.
• Alpha-blockers: Terazonin, Tansulosin. The use of these drugs allows you to remove the inflammatory process in the tissues of the organ and swelling, restore the outflow of urine, and also relieve the patient of pain.

Surgical correction

In some cases, a stone in the prostate can be removed only by removing part of the tissues of the organ. However, such procedures are prescribed only according to the results of therapeutic correction. If the use of medications has not yielded results, then ultrasound of the prostate, preparation for surgery and surgical intervention are prescribed. To remove stones, an incision is made in the perineal or pubic tissues.

Also, similar operations are prescribed if prostate adenoma is diagnosed. Symptoms and treatment of such a disease are individual in each case. Therapy is determined only by the attending physician.

Surgical intervention is carried out by dissecting tissues in a certain area. After that, the stones are removed from the organ. Such surgery has its name adenectomy by drainage of the suprapubic or perineal tract. The procedure requires hospitalization. During the operation, the patient is under general anesthesia.

During surgery, the doctor may remove the entire organ or prostate tissue if there is a large accumulation of stones in them.

Stones in the prostate: consequences

Timely access to specialists of a narrow profile, as well as adequate therapy, can avoid the development of serious complications. The consequences can be unpredictable.Often a neglected disease leads to:

• sexual dysfunction, which is manifested by impotence;
• infertility;
• malignant cellular transformation of prostate tissue;
• progression of all signs of adenoma.

Stones in the prostate can lead to functional disorders of the male reproductive system that are significant for the body. Do not forget that such a pathology has the ability to progress. In some cases, in addition to treatment, the doctor may prescribe a strict diet. The patient should completely refuse salty, smoked, spicy and fatty foods.

Relationship between prostatitis and kidneys

An infection that has entered the prostate tissue can spread outside the organ. Pathogenic microorganisms that penetrate the kidneys cause acute or chronic inflammation and become the cause of hydronephrosis, pyelonephritis, urolithiasis and other disorders.

On the other hand, infectious inflammation of the kidneys often provokes acute prostatitis. During the treatment of the patient with complaints, it is required to identify the primary factor of pathological changes. Prostatitis and kidneys, or rather violations of their functionality, are interconnected.

Do the kidneys hurt with inflammation of the prostate

It should be understood that prostatitis in itself does not cause discomfort. It is precisely because of the absence of pain that the chronic form of the disease is so difficult to differentiate.

Over time, inflammation leads to pathological changes: an increase in the volume of the gland and a decrease in the urinary duct, the appearance of adhesions of the seminal canals, tissue destruction. Dysuric disorders appear and stagnation is formed - and this already causes pain and discomfort.

The same is true of the kidneys. An infection that has entered the tissues awakens the development of an acute inflammatory process. In the absence of adequate therapy, the pathology becomes chronic.

Pain in the kidneys is not associated with prostatitis itself, but rather with the consequences of inflammation. Moreover, the syndrome indicates significant changes in the functionality of the organ.

With prostatitis, the kidneys may hurt, but the disease causes discomfort in a chronic or acute form: urolithiasis, hydronephrosis, pyelonephritis or insufficiency.

What complications can arise

Tissue inflammation, especially caused by an infectious factor, regardless of location, is always a strong stress for the body. The entry of pathogenic microorganisms into the sterile tissues of the prostate or kidneys leads to the development of several diseases.

The inflammatory process causes the following disorders:

• Urolithiasis.
• Hydronephrosis
• Pyelonephritis
• Renal failure.

The task of the doctor is to establish the relationship between prostatitis and the listed diseases, as well as to determine what became the primary factor in inflammation.

Urolithiasis and prostatitis

Integral medicine points to the main factor of the disease: impaired metabolism of the body. Factors contributing to the development of urolithiasis: unhealthy diet, obesity, bad water, alcohol abuse. Any inflammatory process of the genitourinary system is also capable of provoking a disease.

Urolithiasis is often diagnosed as a complication of the kidneys in chronic prostatitis, but calcifications can also occur after ordinary hypothermia, colds, influenza on the legs, etc.

Hydronephrosis with prostatitis

A disease directly related to dysuric disorders (difficulty urinating). The deterioration of the outflow of urine leads to a decrease in the functionality of the kidneys. A severe consequence of the disease is complete tissue necrosis. Bilateral hydronephrosis ends with a fatal outcome for the patient.

Symptoms of the disease:

• Pain in the lumbar region or in the area of the kidney.
• Hematuria.
• Headache, nausea, vomiting.
• Temperature rises to febrile values.

Hydronephrosis is a secondary pathology. To avoid serious complications, it is important to cope with the main source of disorders - prostatitis.

Pyelonephritis and prostatitis

Inflammation of the kidneys - chronic or acute, is caused by pathogenic microorganisms that have entered the tissues through the blood, bladder or blood vessels. Pyelonephritis can cause the development of prostatitis. The converse statement is also true. Infectious prostatitis often leads to pyelonephritis.

The disease is divided into two groups due to its occurrence:

• Primary pyelonephritis - violations occur against the background of the penetration of pathogenic microbes into the cavity of the kidney tissue. The inflammatory process does not occur against the background of other diseases.
• Secondary pyelonephritis - inflammation is caused by developed hydronephrosis, urolithiasis or prostatitis.

Renal failure in prostatitis

A very serious disorder that affects the functioning of the whole organism. The medical term "failure" means a complete stop of the kidneys, which creates conditions incompatible with life.

Treatment of kidneys for prostatitis after diagnosing insufficiency is started immediately. The prognosis is unfavorable. Symptoms of disorders:

• Swelling of the extremities.
• Heart pains.
• Macrohematuria.

Prostatitis is inextricably linked with diseases of the human genitourinary system. Inflammation of the kidneys, bladder create the prerequisites for the development of related disorders. Existing prostatitis in chronic or acute form is a catalyst for dysuric disorders, functional failures and infectious infection of nearby organs.

Symptoms of stones in the prostate gland and how to get rid of them (with photo)

1 876 Elena Polyakova, doctor

(1 vote, average: 5 out of 5)

Prostate stones are phosphates, calcifications, oxalates and hardened uric acid that collect in the acini and/or ducts of the prostate gland. They are rarely diagnosed in men (less than 11% of all cases of chronic prostatitis). Pathology develops for a long time, symptoms appear on average 8-10 years after the onset of the formation of calculi. Conservative treatment is effective only in 23% of cases, mainly transurethral resection with removal of stone formations is used.

Stones in the prostate gland are a secondary pathology. The cause of the formation of calculi can be prostate adenoma, inflammation and infection in the bladder, kidneys, urethra. Bacterial and congestive prostatitis rarely affects the formation of hard components. More often, on the contrary, stone formations are a catalyst for subsequent chronic inflammation and infection of wounds.

Factors contributing to the accelerated growth of calculi: irregular sex life, trauma to intimate organs, prolonged sitting on a hard surface, hypothermia. Calculous prostatitis (the so-called inflammatory process in the gland, which appeared due to stones) sometimes occurs as a postoperative complication, and also due to improper urethral catheterization.

Classification

Stones appear due to a violation of the drainage function of the gland. Various chemical compounds begin to collect on amyloid bodies and crystallize (grow, acquire a solid form). The basis for stagnant formations can be:

• Prostatic secret. If it accumulates in the ducts, the pH shifts to the alkaline side, which contributes to the appearance of calcifications from calcium ions and phosphorus salts.
• Contents of the urethra (due to reflux in the prostatic urethra). It is not calcium stones that form, but uric acid stones.

Two types of composition of formations do not affect the symptoms - the pathology proceeds in the same way. But it is important to identify the chemical properties of stones in order to determine the root cause, to draw up the correct treatment regimen. For example, calcifications are due to diseases of the prostate (adenoma), and chronic prostatitis with uric acid stones appears with pathologies of the bladder, urethra, and inflammation in the penis.

Symptoms and signs

According to statistics compiled by scientists of the Kharkov Medical Academy (almanac "Problems of Modern Medicine", top 15, issue 42), in 71% of cases the pathology is asymptomatic for 2-8 years. Stones in the prostate begin to appear when they reach sizes over 8 mm (maximum length - 25 mm).

The symptoms of Prostate stones are not unique, making diagnosis difficult. The resulting painful sensations are similar to pains in hyperplasia of the gland, urethral stricture, chronic prostatitis - they are localized in the lower abdomen, penis, perineum with irradiation to the testicles. There are frequent urges to the toilet with difficulty urinating, lack of pressure of the urine stream.

Complications of calculous prostatitis are accompanied by fever, acute urinary retention, the presence of blood in the semen. Prostate stones on such grounds can be incorrectly interpreted as foci of cancer or tuberculosis. To prevent this, a thorough differential diagnosis of the patient's condition is carried out.

Diagnosis

The first step is to take an anamnesis and digital rectal examination of the prostate gland. If there are stones in the prostate, the doctor notes the induration, the patient's complaints of pain when pressed in certain areas, crepitus (quiet crunch).

The level of PSA in the blood serum with calculous prostatitis does not change significantly.The diagnosis is confirmed by analysis of the collected secret (during a rectal examination, stones injure tissues, so small traces of blood are detected), ultrasound or X-ray. Calculi in the prostate gland are visualized as clear echo-positive formations that clearly stand out from the surrounding prostate parenchyma.

What to do

If stones are found in the prostate, but they are small and there are no symptoms, then there is no need to remove the formations. In the early stages, it is enough to identify and eliminate the cause, as well as normalize the lifestyle (it is necessary to remove the factors that cause the growth of crystals). Alternative treatment is allowed with the help of herbal decoctions and infusions.

The patient is treated with the growth of stones and the risk of complications. First, symptomatic drugs are taken to eliminate pain and normalize urination. Then the doctor decides how to get rid of the stones - with medications, laser, lithotripsy or prostate resection.

Folk treatment

In the early stages of calculous prostatitis (when the stones are less than 5 mm), it is allowed to carry out treatment with folk remedies. The goal is to normalize the production and excretion of prostatic secretions, eliminate small inflammations (large-scale inflammatory processes are removed with medicines, not herbs).

As a folk method for healing the prostate, doctors recommend using linseed oil with walnuts.

For problems with the prostate, it is useful to use flaxseed oil mixed with walnuts and honey. Fir water gives a good effect (with stones, drink on an empty stomach 2 times a day). If the symptoms of the pathology began to bother you, then to the medicines prescribed by the doctor, it is worth adding the daily use of a decoction of berries and rosehip root or tincture of corn stigmas. These remedies help to quickly relieve pain and improve urination.

Medicines

Without surgery, with pills alone, it is rarely possible to dissolve stones and remove them from the prostate. However, with medium-sized calculi, treatment always begins with medication. If conservative therapy does not give dynamics for 3-4 months, the patient is referred for surgical removal of stones (the period can be reduced with large-scale growth of crystals in the gland).

Doctors prescribe antibiotics, anti-inflammatory drugs, painkillers and drugs that normalize urological parameters. An example of a standard prescription for prostate stones:

• Ciprofloxacin or Norfloxacin 200mg twice daily (other antibiotic options are Ofloxacin, Erythromycin, Flobicin).
• Ibuprofen 200mg once daily (other NSAID options are Meloxicam, Nise, Imeta).
• No-shpa (for pain) 1-2 tablets.

Drug treatment of the prostate includes antibiotics, anti-inflammatory drugs, painkillers and agents that normalize urological parameters.

In addition, alpha-blockers (Terazosin, Tamsulosin, Doxazosin) are prescribed - the course is compiled depending on the severity of urinary retention. Drugs for dissolving stones (Cyston, Allopurinol, Blemaren, Prolit) are used for urolithiasis, they are ineffective in treating calculous prostatitis.

Laser crushing

The method consists in exposing prostatic stones to a low frequency laser. First, stones are crushed with a laser (the procedure lasts from 15 to 30 minutes) to the state of grains of sand, which then need to be removed from the prostate using diuretic medications (the cleaning process lasts 3-6 days).

The procedure for laser stone crushing is non-invasive, that is, it does not require surgical incisions. Through the urethra or rectum (depending on the type of device used), a special thin device is inserted that emits optical radiation (wavelength 960-1470 nm).

Laser stone removal has certain advantages over other methods of treating the disease. In the reviews, patients note:

• The speed of the procedure. There is no need to place the patient in a hospital.
• No general anesthesia is required, local anesthesia is used.
• No cut is made. The seam does not remain. Reduced risk of postoperative complications.
• Recovery after the procedure lasts no more than 5 days, bed rest is not required.
• Relapse after laser treatment is rare.

The main disadvantage is the price of laser surgery. (the cost is determined by the number, size and location of stones). The procedure is not recommended for stones larger than 15 mm - in this case, it is more efficient to resect the prostate.

Surgical removal

It is possible to completely remove large stones surgically. In most cases, a transurethral resection of the prostate is performed (using a resectoscope, a part of the gland with amyloid bodies is removed, where stones crystallize).

Surgeries to remove prostate stones can be performed laparoscopically (through punctures with a diameter of 5 or 10 mm). This is a less traumatic method for the patient, but they can remove stones less than 1 cm, large formations can be removed only through abdominal incisions.

The first 7-9 days require a sparing motor regimen, a diet, and an antibacterial course is prescribed to prevent postoperative complications. To restore the work of the prostate, physiotherapy procedures are carried out. For the purpose of rehabilitation and prevention of irreversible changes in the cavernous tissue, phosphodiesterase-5 inhibitors are prescribed.

Consequences

Calculation in the prostate can lead to infection: the sharp edges of the stones cause microtrauma, pathogens are introduced into the bloodstream. In addition, constant tissue injury and blockage of the ducts provoke the formation of abscesses. Also possible are infertility, impotence, disorders of the genitourinary system (for example, acute anuria - lack of urination, which is a threat to a man's life).

"I had stones removed from my prostate two years ago. They were large - 1-1.2 cm. I myself brought the situation to a critical point: calculous prostatitis was diagnosed 5 years ago, then the stone was scanty - 4-5 mm. find out the cause of the appearance, or take action. Then the pain began, there was blood in the urine and semen. On ultrasound, in addition to stones, cysts were found, there was still a threat of developing sclerosis and atrophy of the prostate gland. Do not repeat the mistakes - get treated as soon as possible!".

Prevention

Like any other disease, prostate stones are easier to prevent than to try to dissolve and remove them later. The following rules will help protect yourself from stones:

• Physical activity (physical inactivity is a factor in the development of most prostate diseases).
• Regular sex life (both abstinence and promiscuity are harmful to the prostate).
• No hypothermia of the lower body.
• Timely treatment of all infectious diseases.

Proper nutrition is of great importance. A diet for prostate stones and prevention does not imply fasting - you need to eat more fruits and vegetables (especially those that contain iodine, zinc, vitamins B, PP, C). Useful lean meat, hard cheeses, low-fat cottage cheese, sea and river fish, nuts, honey. Alcohol, salty and smoked dishes are contraindicated.

The calculi in the prostate do not make themselves felt for a long time, therefore it is recommended to undergo a preventive check-up by a urologist 2-3 times a year. Examination of the gland will allow not only to identify the smallest stones, but also to detect prostatitis, adenoma and other unpleasant pathologies in time.