Prostatitis treatment stones in 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.

Symptoms of stones in the prostate and their treatment with folk remedies and removal

Stones (calculi) in the prostate are crystalline formations of various composition, shape, size. They have an organic and inorganic origin, are formed in the excretory ducts of the prostate gland during unfavorable moments: hormonal failure, chronic infection and stagnation of the prostatic secretion. They cause calculous prostatitis, are found in 30% of men after 50 years. Possible treatments for prostate stones - more.

Stones in the prostate gland: causes

The primary mechanism for the formation of calculi is due to the accumulation of prostate juice due to a violation of the architectonics of the prostatic ducts. Promotes the deposition of insoluble salts:

Chronic infection leads to the appearance of degenerative-dystrophic foci in the gland, the formation of amyloid bodies, on which insoluble salts are easily deposited. Stagnant phenomena in iron contribute to the further formation of sediment into crystalline conglomerates of various densities and parameters.

The thickening of the secret is often due to a change in its chemical composition, in particular, a deficiency in the production of citric acid. The formation of calculi may be the result of uro-prostatic reflux. Solid inclusions cause inflammation and obstruction of the ducts, which favorably affects their further growth. Reasons for the formation of stones in the prostate gland:

• Chronic prostatitis of any etiology (bacteria, viruses, fungi).
• Irregular sex life.
• BPH, a malignant tumor.
• STDs (sexually transmitted diseases).
• Stones in the urinary organs.
• Urine reflux into the prostate (stones in the prostatic urethra).
• Frequent sitting on hard surfaces (sedentary work).
• Uncontrolled treatment with drugs of the sulfonamide group.
• Unbalanced monotonous diet.

Provoke stones in the prostate hypothermia, stress, smoking, alcohol, addiction to pharmacological stimulants. Hereditary predisposition is not excluded.

Varieties of pathology

Stones in the prostate distinguish between true - initially formed in one place or another of the gland, or false - trapped in the gland from the urinary organs (kidney and bladder stones). According to the composition of the calculi are:

• Oxalates are derivatives of oxalic acid, dense, prickly.
• Urate is uric acid and is relatively easy to dissolve in water.
• Calcinates are calcium stones, hard and insoluble.
• Phosphates - salts of phosphoric acid, friable, easily crushed, grow quickly.
• Mixed stones.

The calculi in the prostate gland are complex structural formations, which are a mixture of salt crystals, proteins and necrotic masses of the epithelium. Dead cells and protein compounds are an ideal breeding ground for bacteria. Against the background of stagnation and the presence of solid sediment in the excretory ducts and asinuses, inflammation occurs, which contributes to the further growth of calculi. Under such conditions, calculous prostatitis develops - chronic prostatitis with stones.

Symptoms of the disease

Signs of the presence of stones in the prostate are specific and general, characteristic of most pathologies of the genitourinary system in men. The manifestations of calculous prostatitis depend on:

• Volume and composition of petrificates.
• Shapes, quantities and localizations.
• Duration of the inflammatory process.
• Concomitant diseases.

General signs of inflammation in the prostate gland. Prostatitis with stones is always accompanied by:

• Weakness, reduced efficiency.
• Appearance of subfebrile temperature.
• Problems with urination and defecation.
• Decreased potency, difficulty with erection.

Specific symptoms of calculous prostatitis. The severity depends on the size of the calculi and their localization.

• Pain in the lower abdomen, perineum and penis.
• A paroxysmal pain radiating to the scrotum, penis.
• Increased pain after prolonged sitting and exertion.
• Sharp pain during ejaculation, the presence of blood in the semen.
• Impaired urination (oliguria).

The appearance of the above signs is a good reason to contact a specialist. Identification of small petrifications reduces the likelihood of complications and speeds up recovery.

How stones are diagnosed

Diagnosis of stones in the prostate gland is not satisfied with one anamnesis, examination and biochemical tests. Instrumental research methods play the main role in determining the presence of stones in prostatic tissues. Sigmoidoscopy can determine the presence of small stones that are close to each other - characterized by compaction in the prostate wall and crepitus (with accumulation of small stones). The disadvantage is that quite voluminous stones can be felt through the rectum.

Ultrasound examination (abdominal ultrasound) - determines relatively large stones, gives approximate results. TRUS (transrectal ultrasound) is a more accurate method that does not require filling the urea before the examination.

The diagnosis of prostate calculosis, if necessary, is expanded by radiography and cystography of the bladder. If calculous prostatitis is suspected, prescribe:

• Full detailed analysis of the ejaculate - spermogram.
• Culture of semen and prostatic secretion.
• Biochemical analysis of blood and urine.
• Biopsy and histological test.

CT (computed tomography) and MRI (magnetic resonance imaging) of the pelvic organs are the most high-precision instrumental research methods. They give an accurate layer-by-layer image of the organ in different projections and allow you to detect small petrifications.

How to treat

Therapy of prostate calculosis is aimed at getting rid of calculi, relieving inflammation and preventing recurrence of the disease. The method of removing stones from the prostate is determined by the urologist on the basis of a complete examination. The method of treatment depends on the volume, chemical composition, shape, location and number of petrificates, as well as complicating factors (presence of inflammation in the prostate).

The effectiveness of therapeutic measures is determined by the effectiveness of the chosen technique, correct drug therapy and conscientious fulfillment of medical prescriptions. Small single stones, discovered by chance on ultrasound during a routine examination, are not treated, they are monitored in dynamics. Concern should be caused by the progressive growth of stones.

If stones are found in the prostate, the treatment will not always be surgical. In many cases, stones are disposed of by more gentle methods:

• Conservative - dissolution of stones with drugs.
• Physiotherapeutic procedures (electrophoresis, magnetotherapy).
• Laser contact lithotripsy - crushing stones with a laser.
• UHT - destruction of stones by an acoustic wave.
• Surgical intervention is a radical measure used when other methods are ineffective.

It is advisable to get rid of stones while they are few in number and small in size. A timely solution to the problem will avoid the consequences of prostate calculosis: adenoma, reduced sexual strength and infertility.

Folk remedies

Treatment of prostatitis with stones with folk remedies is of secondary importance. Some herbal teas can reduce inflammation and reduce the viscosity of prostatic juice. These include:

Contribute to the removal of small calculi of grass with diuretic properties (broths of corn stigmas, rosehip root, birch leaves). Parsley (root and leaves) and foods high in Omega-3 (salmon, fish oil) have a beneficial effect on the prostate gland.

Medicines

Conservative treatment consists in eliminating inflammation in the prostate gland, improving the passage of secretions, urination, dissolving stones with medicines and then removing them from the body. Prescribed drugs:

• Antibiotics (Ofloxacin, Unidox).
• Alpha-blockers (Omnic, Doxazosin, Alfuzosin).
• Analgesics of the NSAID group (Imet, Diklak, Movalis).
• Phytolytics (Cystone tablets, Prolit capsules).
• Drugs that improve the blood supply to the prostate (Aescusan, Trental).
• Suppositories with Trilon B (1000 mg) + Dimexide (200 mg) - as prescribed by a doctor.
• Suppositories Longidase - proteolytic, enzymatic agent.

Complex drug therapy is individual and is prescribed depending on the situation. The regimen and dosage of pharmacological drugs is selected by the doctor. Treatment of calculous prostatitis with medication, as a rule, takes a long time. You need to be patient to dissolve the stones and do without surgery.

In the absence of the effectiveness of drug therapy, stones from the prostate are surgically removed.It is unrealistic to dissolve large calculi in the prostate, bulky petrificates have to be crushed with a laser, and then removed through the urethra.

Laser fragmentation

Laser removal of stones from the prostate has a number of advantages compared to UHT-crushing. Using this method, it is difficult to grind solid calcifications, which, under the action of ultrasound, crumble into sharp fragments and, when released, scratch the tissues and mucous membrane of the urethra.

The crushing of stones with a laser is not painful, minimally invasive and takes an average of 20 minutes. Laser radiation, which acts as a non-contact scalpel, grinds the stone to the state of grains of sand, it is easier to remove them naturally. An endoscopic instrument is used, which is advanced along the ureter directly to the calculus. A laser device is turned on, which melts the stone into small particles, which either come out on their own or are removed along with the endoscope.

The cost of lithotripsy depends on the clinical case, region and hospital rating

Operation (removal)

In cases where it is impossible to crush and remove the calculus from the prostate with little blood, classical surgical intervention is indicated. Operations to remove prostate stones are performed on an emergency or planned basis in a specialized department under general anesthesia. Only by such a radical method is it possible to remove a large accumulation of stones from the prostate.

Indications for urgent surgery:

• Acute urinary retention.
• Pain not relieved by analgesics.
• Renal failure.

The clinical situation determines the scope of the operation. Usually, a partial resection of the gland (the area where most of the calculi are located) is performed. Radical removal of the prostate is carried out with an aggravating malignant process.

What threatens the presence of stones in the body

Belated detection of stones has dangerous consequences:

• Development of bacterial recurrent prostatitis.
• Tissue abscess due to chronic trauma of the gland.
• Sexual disorders (decreased erection, pain during ejaculation).
• Impaired urination (painful urination, oliguria).
• Reduced fertility, infertility.

I had stones removed from my prostate, two oblong oxalates. I found it in time, crushed it with a laser, the sand came out without problems. They prescribed a diet, followed it for 3 months, then switched to my usual diet - smoked fish, beer, chips. Two years later, long-forgotten symptoms appeared - pain in the perineum, problems in bed. Ultrasound showed a 2 mm stone, I am being treated again.

Preventive measures

The presence of even small stones in the prostate is a reason for examination, revision of the diet and lifestyle. Complete elimination of all stones is not a guarantee of the absence of recurrence.

Stones in the prostate: treatment and removal of stones

Prostate stones are a serious disease that has a second name - calculous prostatitis. It usually occurs as a complication of the chronic form of prostatitis. Men over 50-55 years old who have had prostatitis for more than 10 years are susceptible to this disease.

Stones form in the ducts of the prostate gland, lead to narrowing and blockage of the ducts, which makes it difficult for the normal discharge of prostate secretion and leads to disruption of its work.

Causes of stones in the prostate

As a rule, the main reason for the appearance of stones in the prostate gland is a violation of the outflow of prostate secretion from the ducts of the organ. Experts name several factors in the development of calculous prostatitis:

• excess weight and metabolic disorders;
• lack of regular sexual activity;
• adenoma and prostate cancer;
• inflammatory processes and infections affecting the prostate;
• taking certain medications, such as sulfinilamide drugs;
• chronic lack of sleep, stress and overwork;
• Urolithiasis;
• traumatic injuries in the genital area;
• a sedentary lifestyle leading to stagnant processes in the pelvic organs;
• smoking and drinking alcohol;
• non-compliance with the rules of genital hygiene;
• hypothermia.

An unbalanced diet, which contains a lot of fast food and other products with synthetic additives, as well as spicy and salty foods, can also lead to the formation of stones in the prostate.

Symptomatics

Usually, the symptoms of stones in the prostate do not appear immediately. But over time, as solid formations in the ducts grow, the symptoms intensify and prevent a person from leading a normal life.Among the signs of the disease, it is worth noting such:

• painful sensations of various characters and intensities that manifest themselves in the field of groin, crotch, the bottom of the abdomen, as well as amplifying when urination and ejaculation;
• Students of urination, after which there is often a feeling of a filled bladder;
• presence in the blood and sperm of blood impurities or pus;
• weakening erection and libido, as well as their complete loss;
• Worstification of the quality of sperm and reduce the chances of conception of the child;
• Weakness, reduction of workability, constant fatigue;
• Frequent aggravation of prostatitis.

Symptoms of stones in the prostate gland is similar to the signs of prostatitis. But when calculating prostatitis, painful sensations are enhanced if a person sit on the World Security Council, as well as during ejaculation, defecation, urination and a gland massage.

What are the stones in the prostate gland

In its composition, stone formations in the prostate may be different. Most often, they contain such components:

Sometimes formations have a mixed composition, contain proteins, the secret of prostate, dead tissue particles, hydrochloric crystals. The easiest and difficult to eliminate are Calcinates.

On its shape, stones are also different. But most often they have sharp edges that impede their natural excretion from the body. The main location is the location of the narrowing of the tubules and the acynes (output of the prostate gland).

Size of stones in the prostate may be different. It usually reaches 3-6 mm in diameter, but maybe more.

Diagnostics

The first thing that does a doctor makes when suspicious of the presence of stones in a prostate in a patient - conducts a palpation of glands through the rectum and anal hole. Already at this stage, a preliminary diagnosis can be made, which is then confirmed by the holding of hardware and laboratory studies. Most often, techniques are used for the diagnosis of calculation prostatitis:

• ultrasound kidneys, bladder and prostate gland;
• prostate x-ray;
• CT and MRI of the small pelvis organs (usually been carried out with suspected prostate tumor);
• clinical analysis of blood and urine;
• Study of the Secret Prostate;
• Analysis on infections that are transmitted by sex travel;
• Bakposposev Secret of the Prostate or Ejaculate.

Survey of a man in suspected of the presence of stones in the prostate is carried out by a whole complex of specialists. Often, in addition to the urologist, a person is required to consult a surgeon, a physiomyologist, endocrinologist, oncologist and some other doctors.

Treatment Ways

The treatment of stones in the prostate is similar to the therapy of chronic prostatitis. The only difference is in calculatory prostatitis, the massage of the gland is contraindicated. All methods of treating stones in the prostate can be divided into several large groups:

• medication therapy;
• lifestyle change and prophylactic measures;
• surgical intervention and other modern stones removal methods;
• Application of folk recipes.

Removal of stones from prostate using medicines

Among the basic medicines that are appointed as part of complex therapy in calculatory prostatitis:

The appointment of any medication, the selection of its application and dosage schemes should be carried out by a specialist after a careful examination of the patient. Self-meditation is fraught with complications, some of them carry a threat to human life.

Other treatments

In cases where medicines did not give the desired therapeutic effect, it may be necessary to use more complex measures: surgical intervention or the use of modern techniques.

Surgical intervention when removing stones from prostate can be carried out in several ways:

• removal of the whole gland along with stones or parts of this organ;
• manipulation of the expansion of the blade for passing around the stone;
• Drainage of the place of cluster of pus and its extraction.

Also, the treatment of stones in the prostate laser and other modern techniques is often carried out. Typically used one of the three types of laser therapy:

• work with the entire crotch when the irradiation is carried out externally;
• work only with points responsible for the state of the prostate;
• Prostinal irradiation Rectally.

Usually crushing stones in a prostate with a laser with any of their size and composition requires 8 to 12 sessions. And the duration of each procedure is only 10-20 minutes.

Folk treatments

Also the treatment of stones in the prostate folk remedies is also carried out.But natural drugs and old recipes are usually used only as a prevention of reappearance and to alleviate the human condition. The following methods are most popular

• eating raw pumpkin seeds;

• red root decoction;
• making rectal suppositories from bee products (mainly propolis) or buying them ready-made in a pharmacy;
• decoction of leaves and hazel bark;
• use of ginseng and calamus.

Herbal treatment for stones in the prostate is possible only as part of complex therapy. Not a single medicinal plant can replace drugs prescribed by a doctor.

Prognosis of the disease and methods of prevention

With timely and properly selected treatment of stones in the prostate, the prognosis is favorable in most cases. In order to avoid complications and the recurrence of formations in the tubules and ducts of the gland, you must follow simple rules:

• have a regular sexual life;
• to be less nervous and overtired;
• give up bad habits;
• eating a balanced diet;
• exercise several times a week;
• avoid hypothermia and prolonged sitting;
• To treat all diseases that have arisen in a timely manner.

Conclusion

As you can see, prostate stones are one of the complications of chronic prostatitis. It occurs in 20-30% of cases and is most often due to the fact that a person does not see a doctor for a long time or tries to be treated on his own.

Unfortunately, in this case, there is a high risk of developing irreversible pathological processes in the tissues and the need to remove the gland. And this can lead to infertility and in some cases to the impossibility of sexual intercourse. Therefore, try to see a doctor as early as possible - at the first disturbing symptoms, follow all the recommendations given by him.