Crushing stones in calculous prostatitis

How to remove stones in the prostate? Question from Sergey.

Content:

There are stones in the prostate. No matter how much he turned to urologists, none of them said about any possibility of removing stones in a non-surgical way. I read it on your site (more precisely, I read it on your site too). It turns out - in theory, everything is completely different. And what opinion of practical your urologist? Sergey

Calculated prostatitis is a complicated form of chronic prostatitis, characterized by the formation of calcifications in the gland tissue. With long-term inflammation in the gland tissue, the pH changes, the secret stagnates, microcirculation is disturbed, calcium salts from the blood serum precipitate, binding to proteins and forming precipitates - microclusters of calcium salts.

Over time, microprecipitates merge into stones up to 2-3 cm in diameter. Stones are most often calcium, which can only be removed surgically or using ultrasonic crushing (they are insoluble), sometimes phosphate, oxalate / oxaloacetic, urate / urinary. The last three types of stones are dissolved by local administration of solutions or by oral administration.

Symptoms of calculous prostatitis

Small stones do not manifest themselves in any way, large and uneven ones can give severe pain during urination, orgasm and ejaculation, blood in the urine and semen, frequent and painful urination.

Long-term stones in the prostate lead to its fibrosis, bedsores, purulent complications (abscesses), cysts. Often, due to the presence of stones, prostatitis is poorly treated and often aggravated, so stones in the prostate, especially large ones, must be treated.

Methods of treating prostatic stones

• Conservative: antibiotics, herbal medicine, antispasmodics and painkillers, acidic and alkaline solutions inside and locally to dissolve stones. Prostate massage is strictly prohibited due to possible trauma!
• Physiotherapy: therapeutic laser and ultrasound, electrophoresis, currents and magnet;
• Operative techniques: endoscopic removal with resection of abscesses and cysts.

Minimally invasive techniques

Of effective low-traumatic methods of treating prostate stones, laser therapy and Shock wave therapy can be noted.

A therapeutic laser through the perineum or urethral endoscope destroys stones, relieves inflammation and activates regeneration. 8-15 therapy sessions are enough to crush the stones and improve the condition, however, not all clinics are equipped with a laser device, and not all urologists undertake such treatment of stones.

Shock wave therapy (SWT) with ultrasound is a fairly popular method of crushing stones in the genitourinary tract, performed without anesthesia through the perineum. The method is combined with all others, it is almost 100% effective (relief occurs after the second or third procedure in almost all patients), in total up to 6-7 sessions are needed with an interval of a week. SWT stimulates the growth of new capillaries, reduces the intensity of pain by 40 times, promotes the disappearance of stones and fibrosis.

As a side effect, the method causes only pain and hematomas in the perineum, it is not associated with invasion into the body, injuries, painful massage and long courses of drugs. The technique is carried out on the device ESWLT (remote shock wave lithotripsy) for kidney stones, on the basis of large urological departments and in private clinics.

Depending on the chemical composition of the stones, their size and the history of the disease, stones can be removed without surgery - drugs, laser and ultrasound (SWT). The issue is decided by the attending physician, if necessary (the impossibility of non-surgical treatment in the regions), you can consult a private clinic or a large regional center. SWT is preferable, but endoscopic stone removal is also less traumatic and allows you to remove stones, abscesses and fibrosis without traumatic interventions, through the urethra.

Prostate stones: how to treat?

A complication of chronic prostatitis is calculous prostatitis, in which calcifications form in the tissues of the prostate gland. From the microscopic deposits of calcium salts, stones gradually develop, causing the patient sharp pain and discomfort.

How stones are formed

Bacteria and infections are the main cause of the development of inflammatory processes in the prostate. Sometimes the cause of inflammation can be the reflux of urine into the ducts of the prostate gland.

In the prostate, dense structures are formed that are deposited around inflammation. The human body is able to independently fight long-term inflammatory processes, forming defense frameworks around the foci of inflammation. It is in these frameworks that microelements are deposited, compacting their structure. The material for deposits are:

• lime salts;
• prostate secret;
• phosphates;
• necrotic masses;
• Inflammatory exudate.

Most often, calcium stones are formed that are not amenable to drug treatment. To dissolve and remove calcifications, UVT, ultrasonic crushing, and surgical intervention are used.

Less often, iron-urinary, oxalate and phosphate formations appear in the prostate, which dissolve well. For their treatment, local administration of special saline solutions or medication is used

Types of stones in the prostate

Depending on the incoming deposits, two types of stones develop, different in size and symptomatology.

Endogenous stones

The processes occurring during congestive prostatitis form seals, and stones up to 4 mm in size are formed in them. The deposition of stones occurs asymptomatically, which allows the disease to remain hidden for a long time.

Exogenous stones

Due to the penetration of a small amount of urine into the ducts of the prostate, stones of an exogenous type are formed in its distal sections. With a decrease in chronic inflammation, the tone of prostate tissues decreases, which weakens the valves of the ducts. The inflammatory process is supported by urine, which greatly complicates the course of the disease.

In the same way, stones are deposited in benign hyperplasia - a manifestation of adenoma. The composition of stones in the urinary tract and distal sections is similar.

Symptoms of the disease

With the formation of stones in the prostate gland, the patient feels severe pain in the perineum after intercourse and during bowel movements. Drops of blood appear in the secreted seminal fluid. A man's libido decreases, erection and pain appears during ejaculation.

Signs indicating the appearance of a stone in the prostate:

Methods of treatment

When contacting a specialist, the patient undergoes a comprehensive examination, takes tests to accurately determine the type of stones formed and their chemical composition. From the history of the disease, the size of each stone and its constituent elements, a course of treatment is prescribed.

In order to break stones in the prostate and painlessly remove them from the body, it is necessary to use a complex treatment consisting of physiotherapy, drug therapy, the use of traditional medicine, diet, surgical techniques, laser, ultra-wave therapy. When using standard methods, it will take a long time to heal.

Conservative treatment

It is possible to remove stones from the prostate with the help of drug treatment and simultaneous physiotherapy. The patient's condition is improved with the help of alpha-blockers, anti-inflammatory non-steroidal and antibacterial drugs. After local administration of drugs, the stone is gradually destroyed.

Ultrasound is used for physiotherapeutic procedures. The result after the sessions is to stop the growth of the calculus, but not to remove it.

Attention! If stones are found in the prostate, massage sessions are strictly prohibited.

Surgical intervention

If conservative methods do not give a positive result, and the patient feels severe pain and needs emergency help, the doctor recommends surgery. During the operation, diseased gland tissues are cut out or the organ affected by the disease is completely removed.

In transurectal resection, a resectoscope is used, introducing it through the urethra. The device allows the laser to remove diseased tissues without external incisions.

In a prostatectomy, the prostate is removed through external incisions. In some cases, laparoscopic techniques are used.

Shock wave therapy

To treat chronic calculous prostatitis and remove calcifications, the SWT method is successfully used today. As prescribed by a urologist, complex therapy with the inclusion of SWT or monotherapy with SWT only is used. To obtain a good result, you will need a minimum of 4 or a maximum of 7 sessions lasting up to 20 minutes. The procedure is carried out once a week. During treatment, the patient's skin remains intact. The patient can go about his business after the session.

SWT makes it possible to remove calcifications from the prostate gland by a non-surgical method, destroying calculous formations with an acoustic wave. During the UVT session, the stone dissolves. Crushed calcifications are removed naturally without irritating the canal mucosa. Discomfort and pain disappear almost immediately, because SWT during a session improves blood circulation by almost 40 times. Only 7 procedures, after which a man will be able to return to a normal lifestyle, forgetting about problems with prostatitis.

In the shortest possible time, the patient, without numerous lengthy physical procedures, painful massages and a large number of medications, will get rid of stones in the prostate and prostatitis itself only with the help of UVT.

To stop the growth of stones in the prostate, the patient is prescribed a strict diet.The diet must include:

• fermented milk products - kefir, sour cream, cottage cheese;
• oatmeal, wheat, buckwheat porridge;
• chicken, turkey, beef, boiled veal;
• vegetable oils;
• vegetable soups;
• seafood and lean fish;
• vegetables and fruits;
• greens;
• honey, dried fruits, nuts.

Products must be low in fat. It is necessary to refuse rich products, spices, smoked meats, preservation, radish, fatty meat.

Prostate stones must be removed to avoid the consequences of prostate cancer, infertility, impotence and adenoma.

Treatment of calculous prostatitis

Calculated prostatitis is characterized by the formation of calculi in the ducts of the prostate gland and is the result of long-term chronic inflammation of the prostate. This disease is diagnosed on average in every tenth patient of an andrologist, which indicates the relative prevalence of such a pathology.

Causes of calculous prostatitis

In young patients, the main etiotropic factor of this disease is the presence of sexually transmitted infections, while in older people, the appearance of calculous prostatitis may be the result of congestion associated with prostate adenoma or decreased libido. Calculi can be formed both directly in the ducts of the gland, and be a manifestation of urolithiasis and penetrate to the location from the urethral canal, kidneys or bladder. The main reasons for the formation of stones are the following factors:

• stagnation of prostatic secretion;
• acute and chronic prostatitis;
• urethro-prostatic reflux (reflux of urine from the urethral canal due to dysfunction of the sphincter of the junction of the prostate and urethra);
• benign prostatic hyperplasia;
• sexually transmitted infections: chlamydia, ureaplasmosis, gonorrhea, etc.;
• Urolithiasis;
• surgical interventions in the pelvic area;
• complete absence of sexual life;
• reduced physical activity;
• urethral canal injury.

If, for one reason or another, urine enters the ducts of the prostate gland, the stones may be crystallized salts of the biological fluid, which are most often calcium phosphates and urates. The basis of the calculus can also form dead cells of the epithelial tissue and amyloid bodies. Stones in calculous prostatitis usually do not differ in composition from calculi in urolithiasis, their number may be different.

Symptoms of calculous prostatitis

The symptom complex of the disease is similar to chronic inflammatory prostatitis and is usually manifested by a fairly intense pain syndrome in the scrotum and perineum. The main signs of the presence of stones in the ducts of the prostate:

• intensification of pain during intercourse, defecation, urination and any type of physical activity;
• frequent urge to empty the bladder, which is accompanied by the release of small doses of urine;
• feeling of a full bladder;
• blood impurities in semen;
• cloudy urine;
• pain on ejaculation;
• prostorrhea;
• violation of potency;
• reduced sex drive;
• subfebrile body temperature;
• general weakness, insomnia, irritability.

Disease diagnosis

The diagnosis and treatment of calculous prostatitis is carried out by specialists in the field of urology and andrology. At the same time, it is possible to talk about the presence of calculi only after conducting hardware diagnostic methods of research. However, the first stage of examination of a patient suffering from this pathology involves a comprehensive laboratory diagnosis.

• Complete blood count - special attention is paid to the level of leukocytes and the erythrocyte sedimentation rate (ESR), an increase in which indicates the presence of an inflammatory process in the body.
• Complete urinalysis - in the presence of calculi, the analysis shows an increased content of epithelial cells, protein and leukocytes. It is also possible to detect blood in the urine.
• Spermogram - demonstrates a significant decrease in the number and mobility of germ cells, and also contains blood.

The most informative methods for determining the presence and size characteristics of calculi are such hardware manipulations as ultrasound of the prostate, as well as computed and magnetic resonance imaging (CT and MRI).

Treatment of calculous prostatitis

If the disease is not complicated, and the stones are of moderate size, drug treatment is acceptable, which includes taking antibiotics, anti-inflammatory drugs and antispasmodics in order to reduce the severity of the pain syndrome. Sometimes it is recommended to supplement the treatment with phytotherapeutic agents. Physiotherapeutic techniques such as electrophoresis and magnetotherapy are highly effective in the treatment of calculous prostatitis. It should be remembered that prostate massage, which is often prescribed for chronic prostatitis, is strictly contraindicated if stones are found in the ducts.

One of the most atraumatic methods of getting rid of stones is a low-intensity laser exposure, which leads to crushing of stones and removing them with urine in the form of a powder.

If calculous prostatitis has a severe course or is accompanied by prostate adenoma, a surgical operation is required. In the case of an abscess, pus is drained, which is removed along with stony inclusions. Complicated calculous prostatitis associated with conditions such as prostatic hyperplasia may require resection of the prostate (partial removal) or prostatectomy (complete removal).

It should be remembered that a timely visit to an andrologist can not only save the patient from pain, but also restore the potency and fertility of a man. Our specialists have unique experience in treating even the most complicated forms of calculous prostatitis, and also have modern equipment for rapid diagnosis and treatment of the disease.

Sign up for an appointment with a urologist-andrologist of the highest category Klokov Andrey Nikolaevich today. We will do our best to accommodate you as soon as possible. Clinic Raduga is located in the Vyborgsky district of St. Petersburg, just a few minutes walk from the metro stations Ozerki, Prospekt Prosveshcheniya and Parnas. See the map.