Treatment for large prostate stones

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 gland and how to get rid of them (with photo)

1 878 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 parenchyma of the prostate.

What to do

If you find stones in the prostate, but they are small and there are no symptoms, then it is not necessary to remove the formation. In the early stages, it is sufficient to identify and eliminate the cause, as well as the normalization of lifestyle (it is necessary to remove the factors causing growth of crystals). Petrol treatment is allowed with herbal decoctions and info.

Treat the patient with the growth of the concrections and the hazard appearance of complications. First, symptomatic preparations are taken to eliminate pain and normalization of urination. The doctor then decides how to get rid of stones - medicines, laser, lithotripsis or prostate resection.

Folk treatment

In the early stages of calculous prostatitis (when stones less than 5 mm) are allowed to conduct treatment with folk remedies. The goal is to normalize the development and excavation of the prostatic secret, the elimination of small inflammations (large-scale inflammatory processes are removed by medicines, not herbs).

As a popular method of improving prostate, doctors recommend to use linseed oil with walnuts.

When problems with prostate useful to use linseed oil, mixed with walnuts and honey. A good effect gives fir water (with stones to drink an empty stomach 2 times a day). If the symptoms of pathology began to bother, then to medicines appointed by the doctor, it is worth adding the daily use of a berry from berries and a rose rose or tincture of corn fishing. These tools help raise pain and improve urination.

Medicines

Without surgery, one pills, it is rarely possible to dissolve stones and output them from the prostate. However, with the average size of the counters, the treatment is always starting with a medication reception. If conservative therapy does not give dynamics over 3-4 months, the patient is directed to the surgical removal of the concrections (the term can be reduced with the large-scale growth of crystals in the gland).

Doctors prescribe antibiotics, anti-inflammatory drugs, painkillers and normalizing urological indicators. An example of a standard destination with stones in a prostate:

• Ciprofloxacin or Norfloxacin of 200 mg 2 times a day (other antibiotics options - offloxacin, erythromycin, flobicin).
• ibuprofen 200 mg times a day (other options for NSPIDs - Meloxicam, Naz, Host).
• but-shpa (with pain) 1-2 tablets.

Medical treatment of prostate includes antibiotics, anti-inflammatory drugs, painkillers and normalizing urological indicators.

Alpha-adrenoblays (Terasozin, Tamsulosin, Doxazozin) are appointed additionally (Terasozin) - the course is prepared depending on the severity of urination delay. Preparations for dissolving stones (cyston, allopurinol, briemagne, stroke) are used in urolithiasis, treat calculous prostatitis them inefficient.

Laser crushing

The method is to exposed to prostatic stones with low frequency laser. First, the laser will crush the concrections (the procedure lasts from 15 to 30 minutes) to the state of the sands, which then it is necessary to derive from the prostate with diuretic medicines (the cleaning process lasts 3-6 days).

The laser crushing procedure of stones refers to non-invasive, that is, not requiring surgical cuts. Through the urethra or the rectum (depending on the type of unit used), a special thin device emitting optical radiation (wavelength is 960-1470 nm).

Laser removal of stones has certain advantages in front of the rest of the treatment methods. In response, patients say:

• speed of the procedure. No need to place a patient in the hospital.
• does not require the use of common anesthesia, local anesthesia is used.
• no incision is done. The seam does not remain. Reduced the risk of postoperative complications.
• Recovery after the procedure lasts no more than 5 days, the beddown is not required.
• recurrences after treatment with a laser rarely happen.

The main minus is the price of a laser operation. (The cost is determined by the number, dimensions and features of the location of the concrections). The procedure is not recommended for stones more than 15 mm - in this case it is more effective to make prostate resection.

Surgical Removal

Completely remove large stones is possible in a surgical way. In most cases, transuretral resection of the prostate is carried out (by means of a resectoscope, a part of the gland with amyloid vents is removed, where the crystallization of the concrections).

Premium stones removal operations can be carried out by a laparoscopic method (through punctures with a diameter of 5 or 10 mm). This is a less traumatic method for the patient, but they can eliminate the concrections less than 1 cm, the big formations can be removed only through the stripes.

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. Infertility, impotence, disorders of the genitourinary system (for example, acute anuria - lack of urination, which is a threat to a man's life) are also possible.

"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.

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.