Stone formation in the excretory ducts of the prostate

Chronic calculous prostatitis is one of the types of inflammatory processes in the prostate gland, which is characterized by the appearance of pathological calculi in the cavity of the excretory ducts. The formed stones have the ability to block the ducts of the gland with the subsequent disruption of its functioning. As a rule, the disease is accompanied by a violation of the act of urination and a disorder of sexual ability in men.

Such calculous prostatitis is accompanied by a pronounced pain syndrome, the severity of the condition depends on the size of such stones in diameter. If the patient has not received special treatment and the true cause of this condition has not been identified in a timely manner, calculous recurrent prostatitis develops.

Etiological pathogenetic factors that can trigger the development of this disease

All these logical factors can be roughly divided into two main groups, depending on the conditions of pathogenesis. Chronic recurrent calculous prostatitis develops as a result of 2 main reasons.

Difficulty in the outflow of glandular secretions is considered the main reason for the development of inflamed calculous prostatitis. With this pathology, the fluid secreted by the prostate for a long time stagnates, and a potential threat to bacterial infection develops here. The secret contains a large amount of mineral components, their prolonged accumulation leads to their classification and the formation of calculi.

The following diseases should be highlighted, which can provoke the development of stagnation:

• acute and chronic prostatitis of bacterial etiology;
• recurrence of chronic prostatitis of non-bacterial etiology;
• benign and malignant tumors in the glandular tissue of the prostate.

The second reason for the formation of classifications is reflux in urine from the cavity of the ureters and bladder into the water ducts of the prostate. Urine enriched with mineral salts crystallizes with the formation of stones. With this type of pathogenesis, stone formation occurs much faster, but at the same time, the inflammatory process develops less often due to the sterility of urine.

In addition to the above etiological factors, there are a number of indirect reasons that can lead to the development of calculous prostatitis:

• previous surgical interventions in order to restore or remove organs located in the pelvic cavity;
• regular recurrence of infectious processes in the pelvic cavity;
• hereditary predisposition to stone formation;
• previous traumatic effects in the pelvic region;
• mistakes made during urine outflow catheter placement.

Features of the symptomatic manifestation of the disease

Symptoms of calculous prostatitis are very similar to other forms of disease, which is why diagnosis is largely difficult. Prolonged progression of the disease without appropriate treatment can lead to severe infection of the glandular tissue.

The main systematic signs in calculous prostatitis are:

• pain syndrome during the act of urination or even defecation;
• feeling of heaviness and fullness in the lower abdomen;
• the appearance of bloody discharge in the urine;
• erectile dysfunction up to its complete absence;
• discharge of blood during ejaculation;
• frequent recurrence of chronic fatigue syndrome;
• rapid fatigability during minor physical exertion.

All of the above symptoms can characterize many diseases of the urinary system; to establish a final diagnosis, it is necessary to carry out a set of diagnostic measures.

Basic methods of definitive diagnosis and differentiation of prostate pathologies

If a person has unpleasant symptoms, which were described above, you should seek the help of a qualified urological specialist. The doctor conducts a full examination and questioning of the patient to make a diagnosis.

The following are used as differential diagnostic methods:

• Palpation of the glandular tissue of the prostate through the rectal approach, this method is more convenient for thorough palpation of calculi.
• Ultrasound examination of the structure of the prostate, when carrying out this method of instrumental diagnostics, the presence of stones and their consistency is determined.
• X-rays will also help determine the presence of stones and indicate their exact location in the excretory ducts.
• Laboratory examination of urine and semen for the presence of an inflammatory process, and identification of the pathogen that caused the infectious process.
• Magnetic resonance imaging is indicated for patients suspected of having benign or malignant neoplasms.
• Recognition of concomitant pathology is very important in making a diagnosis and determining the tactics of conducting therapeutic measures.

Any other concomitant pathology in the body of a sick person can cause further recurrence of the formation of stones in the excretory ducts of the prostate.

Peculiarities of medical treatment

With the development of such a pathology as stone formation of the excretory ducts and prostate acini, there are two main options for conducting therapeutic measures. The conservative technique implies taking a course of medication as symptomatic ideological and pathogenetic therapy.

Conservative treatments include:

• prescribing a course of antibacterial drugs in order to eliminate bacterial infection, and prevent further progression of the infectious inflammatory process;
• non-steroidal anti-inflammatory and analgesic drugs will reduce the severity of the inflammatory response and eliminate pain syndrome;
• vascular preparations will restore microcirculation, blood supply and blood flow from the affected organ;
• vitamin therapy is prescribed for the purpose of general strengthening of the body and its recovery after long-term treatment.

Surgical intervention is carried out in the presence of large calculi, also a direct indication for surgical intervention is the impossibility of treatment using conservative methods. A complex technique, which includes an operation and drug therapy, is considered relevant today. During the operation, calculi are eliminated, and drug treatment is used as symptomatic and restorative therapy. For a speedy recovery, the patient is advised to undergo a course of physiotherapy procedures that include prostate massage.

What complications can arise if the patient has not been adequately treated?

If a man has not received timely treatment for the disease, the following complications may develop:

• complete lack of male sexual ability;
• chronic disorders of the urinary system;
• infertility.

With timely medical attention, the prognosis for full recovery and recovery after conservative and surgical treatment is favorable.