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What is calculous prostatitis? Symptoms and treatments

Often, formations up to 2.5 cm in size are detected in older men with chronic prostatitis. These stones, when they are small in size, sometimes behave latently; they are discovered by chance during examination before being drafted into the army, during examination by a general practitioner with a different diagnosis, and as a preventive measure in older patients. A digital study determines tuberosity, densification of the prostate gland, which indicate calculous prostatitis.

Prostatitis is a generic term for prostate disease. Depending on the cause that caused it, pathology is divided into several forms. Acute infectious prostatitis occurs suddenly, it is noted by high temperature indicators, pain in the groin, back, impaired urination, ejaculation, and an admixture of blood in the urine. In severe cases, it sometimes requires hospitalization.

Chronic prostatitis caused by bacterial microflora is characterized by the same symptoms, but their manifestation is not so pronounced. Hematospermia, nocturia are observed. Under such conditions, calculous prostatitis is formed.

Chronic nonspecific prostatitis is the most common variety that has a characteristic diagnostic feature: there are no bacteria in the secretion of the prostate gland.

This form of the disease is difficult to treat, help is more likely to relieve symptoms than to complete healing. The reasons for its occurrence are not completely clear.

Features of calculous prostate damage

A calculous variety of prostatitis is characteristic of men of advanced age. No solid calculi typical of the kidneys are found in the prostate gland. Prostate stones are fibrous deposits in its tissues with calcium cations. Stagnant secretions in the ducts stimulate the adhesion of epithelial cells and lymphocytes to form amyloid bodies. With inflammation of the prostate, they tend to grow, pain, impaired urination, and other symptoms characteristic of infection join. Blockage of the ducts, damage to the mucous membranes require immediate intervention by a urologist.


A calculous lesion is a neglected form of chronic prostatitis, the treatment of which the man carried out on the principle of "pass itself." The cause of the development of inflammation of the prostate gland is an infection that enters this organ from the bladder, urethra, rectum, and blood and lymph vessels. The stones themselves have 2 ways of occurrence:

  • congestion (violation of the outflow of prostate secretion),
  • casting urine from the urethra into the ducts of the prostate gland.

Violation of the outflow of secretion during normal production accompanies diseases such as adenoma, prostate cancer, acute, chronic prostatitis (uninfected and bacterial). As a result of injuries, surgical damage to the genitals, catheterization of the bladder, ICD, frequent inflammation of the genitourinary system, the urethral sphincter can be disturbed. The muscle ring weakens at the junction of the prostate duct into the urethra, urine is thrown, and as a result, calculous prostatitis occurs.


The disease manifests itself in each man individually.

However, the primary and secondary initial symptoms of calculous prostatitis are often similar.

Pain in the lower abdomen, irradiation into the scrotum, back, legsIrritability is growing
Urinary incontinence, burning in the urethra, perineumFrequent headaches
Pain after exertion, intercourse, urinationInsomnia
Decreased sex driveGeneral weakness
Semen bloodThe temperature rises to 37.5, chills
Frequent urinationDisability reduction
Long night erection, its absence, accelerated ejaculationDepressiveness


Treatment of pathology should be carried out after diagnosis by a specialist - urologist. The most significant, long-proven method is a digital examination of the prostate.

There are a number of more modern instrumental methods:

  • CT (computed tomography),
  • Ultrasound (diagnosis using ultrasound),
  • MRI (magnetic resonance imaging).

Through all types of diagnostics, the doctor determines the presence of conglomerates, their number, size, possible origin.

Laboratory tests will help to identify signs, the degree of inflammation:

AnalysisCharacteristic indicators
General blood analysisIncreased ESR, leukocytosis
Prostate Secret AnalysisThe appearance of amyloid bodies, leukocytes, increased epithelium
General urine analysisThe amount of protein, white blood cells, epithelial cells, red blood cells, and salts is increased.
SpermogramDecreased sperm activity, their number. Blood in the analysis
PSAIncreased prostate specific antigen

It is convenient if the examination is carried out in a clinic that has at its disposal everything necessary for diagnosis and treatment.

Complex treatment

When, after carrying out all the necessary studies, the diagnosis is established, treatment is expected aimed at all parts of the pathological process.

Edema, inflammation, congestion in the pelvis, nervous, erectile disorders are treated simultaneously, eliminating discomfort, pain.

Therapy with antibacterial agents with correction of intestinal microflora (Linex) is indicated. In case of allergy, the prescription of drugs from the antihistamine group (Cetrin). The doctor treats prostatitis, taking into account concomitant pathologies, individual compatibility for successful surgical recovery or prolonged remission.

Attention! If the process is chronic, treatment of calculous prostatitis excludes massage of the prostate gland.


The drug approach involves the use of effective drugs. Someone buys an expensive dietary supplement "Cat's Claw" from the bark of a tropical palm. Ichthyol candles, suppositories and bottles with pumpkin seed oil are safe, affordable.

The treatment of calculous prostatitis includes therapy aimed at eliminating inflammation, reducing prostate hyperplasia with traditional drugs, as well as medicines prepared from plants, homeopathic remedies:

  • sulfonamides (Biseptolum, Bactrim),
  • antibiotics (Ciprolet, Ceftriaxone),
  • homeopathic medicines ("Gentos", "Solidago compositum"),
  • drugs that reduce hyperplasia (Prostaplant, Prostamol Uno),
  • preparations with acids (Gramurin, Palin, Pimidel, Negram),
  • alpha-adrenergic blockers ("Tamsulid", "Omnic"),
  • candles and tablets of the Vitaprost line (received good reviews from patients and doctors),
  • pain relievers (Dicloberl, Nurofen).

How to treat calculous prostatitis, what effective remedy to use, how long to use the right drug, only a specialist knows. The chronic process can be cured to a state of prolonged remission with the right approach, without interrupting treatment at the first sign of subsidence of symptoms.


What should be done when conservative methods of therapy do not bring the desired remission for two to three months? As with ICD (urolithiasis), calculi of the prostate gland are different in nature, structural features. If chronic calculous prostatitis is represented by calcium stones, which must be eliminated, hospitalization is indicated, surgery in the form of:

  • prostate resection
  • prostatectomy.

With this diagnosis, drug treatment is accompanied by exposure to a low-frequency laser on the prostate gland. Oxalate, phosphate, urate elements are crushed. The procedure is safe, painless. Stones are destroyed, gradually removed in the form of sand from the body. Laser therapy is a convenient, relatively new method.


An integrated approach to the treatment of prostate disease involves folk methods. Anti-inflammatory suppositories from propolis extract are anally used.

Under the supervision of a doctor, they use course food for eating watermelons, melons, and taking rose hips to remove sand from the urinary tract. To prevent the formation of calculi, the patient can take fresh asparagus, carrots, beets and cucumbers, helping to remove excess protein from the body.

Recipes of water extracts of St. John's wort, calamus, motherwort herb will increase potency. Male desire, general tone stimulates vodka infusion of Eleutherococcus roots, zinc-rich pumpkin seeds, mangoes.

Prevention of calculous prostatitis

Everyone should remember that health is largely dependent on lifestyle. Following the proposed recommendations will allow the man to maintain good health and old age.

  1. Rejection of bad habits.
  2. Full night rest.
  3. Regular workouts with sedentary work.
  4. Compensation of an imbalance of vitamins, minerals in the body, the intake of antioxidants.
  5. Stable sex with a constant partner.
  6. Cabbage, legumes, horseradish, onions, radishes should be excluded from food.

After forty years, about once a year, a urologist is recommended to detect signs of a genitourinary disease, including calculous prostatitis. Inspection can take place both at the place of residence and at the patient’s choice.

Ignoring the body's alarm signals suggests complications:

  • erectile disfunction,
  • the impossibility of conception,
  • prostate tissue abscess
  • paraproctitis.

The prognosis is comforting for those who understand: treatment of the prostate gland will be long and difficult.

The use of preventive measures will help to avoid the disease. If the examination still reveals this problem, doctors have a wide range of knowledge, the ability to conduct a comprehensive diagnosis, determine the type of treatment for each particular case. The launched version is also not a reason for panic, rather a signal for urgent appeal for qualified help.

Calculous prostatitis: what is it?

Calculous prostatitis is a rare form of inflammation that can develop as a result of chronic prostatitis and other diseases.

Its essence is that dense neoplasms begin to appear in the prostate gland - conglomerates, the more common name for the disease is stones in the prostate. This is the pathology of the secretion of the gland - it incorporates everything that the body is rich at this stage.

Such a disease is divided into true (stones are formed precisely in the prostate - often phosphate, calcium, oxolate) and false (formations enter the prostate from other internal organs, stones in such cases are formed from urea salts - urate).

Stones can be different in size and quantity.

The conglomerates are small in size and do not cause severe discomfort.

They are the cause of stagnation of substances of secretion of the prostate gland, are called endogenous stones.

Their antipode is exogenous stones, the cause of which is untreated or chronic inflammatory diseases of the genitourinary system.

Chronic calculous prostatitis - what is it?

Chronic calculous prostatitis is a complication of chronic prostatitis.

Chronic prostatitis does not have pronounced symptoms in the form of acute pain, fever, therefore, most often it is not treated, which leads to complications. The formation of stones in the prostate leads to complications throughout the body - a general negative state, the development of other inflammatory processes.

How to relieve an attack at home?

For severe pain in the perineum and lower abdomen, No-Shp tablets are used, they reduce spasms, rectal suppositories containing propolis or honey are also very good (suppositories with propolis can be made independently. More about this here).

To relieve pain during bowel movements, laxatives are used. Anti-inflammatory drugs are also used.

Chronic calculous prostatitis

Calculous prostatitis is a chronic inflammatory disease of the prostate gland in which stones (stones) form. The disease always occurs against the background of prolonged and sluggish chronic prostatitis and very often is its complication.

According to statistics, the disease is detected in about 8% of all men who turned to a urologist or andrologist for advice. Calculous prostatitis occurs in patients older than 40 years. At this age, the disease is associated with STIs, after 50 years, the pathology manifests itself against the background of prostate adenoma, and after 70 years against the background of male menopause.

The calculous form of prostatitis is considered the most severe. It is poorly tolerated by patients, causes many inconveniences and at the same time is quite difficult to treat. And all because stones appear in the excretory ducts, consisting of lime salts, phosphates and other dense elements.


After receiving all the tests and examinations, the urologist can prescribe additional examinations by a therapist, immunologist (will prescribe certain medications to raise the level of the immune system), an endocrinologist (to restore the hormonal background), a psychotherapist (to exclude or treat a depressive state, nervousness).

Next, the urologist will prescribe a suitable treatment for calculous prostatitis based on the results of the examination.


How to treat calculous prostatitis? Calculous prostatitis is treated only with the use of antibacterial drugs - antibiotics.

To achieve the effect of antibiotics, it is necessary to take a course (usually 2 weeks), if you take less, there will be no result.

In addition, with an unchanged state, after a while, other antibiotics are prescribed.

Prescribe drugs grinding, dissolving or eliminating stones.

Enodrostatic therapy is effective - a special substance, Trilon B + hydrocortisone, is introduced into the layers of the prostate through the urethra.

Other solvents are also used. Dissolved or crushed stones come out naturally.

Also with this disease, drugs common for all types of prostatitis are used:

  • anti-inflammatory - to relieve inflammation and reduce pain,
  • immunoregulators - restoration of the immune system,
  • vitamins (mainly zinc) - to strengthen the body,
  • prebiotics - to solve problems with the body after antibiotics,
  • alpha blockers - to improve the passage of urine.

Features of the disease

Chronic calculous prostatitis is an inflammatory pathology of the prostate in which stones form in the ducts of the gland. The disease is characterized by a pronounced clinical picture. A calculous form of prostatitis can provoke infertility, in the most severe cases - lead to the death of the patient.

Stagnation and inflammatory processes create the conditions for the formation of calculi, which contribute to a change in the structure, shape and consistency of the prostate gland.

The calculi localized in the ducts of the prostate can be single and multiple. Most often, a large number of stones are identified, the diameter of which is 1-4 mm. They have an ovoid shape and a brownish-gray color.

The urologist andrologist of the highest category, Soloviev Nikolay Konstantinovich, will talk about the causes of the formation of stones in the prostate gland:

Stones in the prostate are characterized as either true or false. In the first case, we are talking about primary formations that formed directly in the ducts of the prostate gland. Secondary or false stones move to the prostate from the kidneys or bladder.

The disease manifests itself in disorders of urination, the appearance of severe pain in the perineum, erectile dysfunction.

Most often, the calculous form develops against the background of prostate adenoma, chronic or congestive prostatitis.

Treatment of calculous prostatitis can be conservative or surgical.

Surgical and non-surgical intervention

Drastic measures are used in the presence of stones in the prostate of large sizes that cannot be removed in another way.

Surgical intervention (excision of tissues, direct removal of formations) is used quite rarely, now many other methods have been developed.

The most common method of treating chronic calculous prostatitis is laser crushing, without using a scalpel and is bloodlessly cut with a special tumor laser.

Magnetowave - the effect on stones of magnetic fields, waves. Also a bloodless method.

In the radio wave method, an electric current is used as a scalpel. After such operations, crushed stones leave the body naturally.

Manifestations of pathology

Characteristic signs that indicate the presence of prostatolitis in the ducts of the gland are:

  1. Aching, dull pains in the perineum, coccyx, scrotum and above the pubis, which are exacerbated by physical exertion, defecation, sexual intercourse, prolonged sitting or walking,
  2. Pain and discomfort during urination. The jet may be intermittent. Urination is repeated frequently, although urine retention is sometimes observed. To empty the bladder, a man has to strain the abdominal muscles. Even after the completion of the act, the feeling of a full bladder does not disappear,
  1. Traces of blood in urine and seminal fluid,
  2. Decreased libido, erectile dysfunction,premature ejaculation

One of the signs of pathology is the appearance of blood in urine. In the photo, the color of urine depending on the volume of blood in it

  1. Fever
  2. Loss of appetite,
  3. Headache
  4. Sleep disturbances
  5. Irritability,
  6. Lethargy.

In the presence of these symptoms, the patient should immediately consult a doctor, since calculous prostatitis causes dangerous complications.


With the disease, you need to reconsider your taste preferences.

What is the diet for calculous prostatitis? It is necessary to eat plant foods. Forbidden dishes containing hot seasonings, large amounts of salt.

Do not eat foods that result in constipation, bloating. Do not drink caffeinated, alcoholic beverages. It is necessary to choose teas with a diuretic effect. Onions, garlic, fruits with high acidity are strictly prohibited.


The following physiotherapeutic procedures are used as an adjunct to treatment:

  • EHF therapy - irradiation with low frequencies,
  • electrophoresis - current exposure,
  • magnetotherapy - exposure to a magnetic field,
  • laser therapy - laser help,
  • inductothermy - high-frequency electromagnetic field,
  • shock wave therapy.

The advantages of such methods are that they do not cause almost any sensations, act beneficially on the body.

Effective method

The most effective treatment for this disease will be laser crushing of dense formations. In a few sessions (depending on the amount) it is possible to completely get rid of stones in a natural way.

With a calculous form of the disease, exercises are prescribed by the doctor.

During classes, do not overburden the body. You can do morning exercises from the head - down. Kegel exercises, contraction and relaxation of the anal muscles are relevant.

Disease characteristics

Started prostatitis gradually leads to serious problems with the genitourinary system. Against the background of inflammatory processes in the prostate, albeit sluggish, particles of the epithelium and salt deposits accumulate, which form small seals of different consistencies. Over time, they harden, increase in size and clog the ducts, because of which the man experiences excruciating pains. Specialists call such formations calculi, while people say they are like stones in the prostate. It is this condition that is chronic calculous prostatitis, requiring immediate treatment.

This disease is characteristic of men of mature age, it is rare in young people. The disease itself does not go away, and if nothing is done, the person’s condition will deteriorate more and more. Most of all this affects the urinary system and sexual functions, in the most serious cases it provokes the development of malignant tumors. In the early stages of the pathology, conservative methods give a good effect, but when calculi reach large sizes, an operation cannot be dispensed with.

How is the disease manifested?

It is not easy to independently determine calculous prostatitis, since its symptoms are very similar to the typical manifestations of chronic prostatitis. At an early stage, when the formations in the gland have a loose consistency, the severity of symptoms is rather weak, but as the stones harden and increase, it becomes stronger.

The possible development of chronic calculous prostatitis is indicated by:

  • painful, frequent urination,
  • the occurrence of sharp cutting pain during bowel movements, ejaculation, after sex,
  • unpleasant, painful sensations in the perineum, often giving to the sacrum and aggravated by shaking, prolonged stay on the legs, sitting on a hard surface,
  • decreased attraction and problems with erection.

In the later stages, an additional sign is the presence of blood impurities in the urine or semen. Moreover, even if all of these symptoms are observed, without examination in the clinic, it cannot be argued that calculous prostatitis is clearly the cause of the malaise. Similarly, an adenoma or prostate cancer, urolithiasis, and other pathologies can manifest itself.

Types of stones

Calcinates formed from prostatic juice are called primary. Secondary are formed in the prostate due to regular urine reflux. According to the localization of education can be true and false. The first arise directly in the body of the prostate, the second clogs the mouth of the ducts opening into the urethra, getting into them from the kidneys or bladder.

The stones formed in the prostate vary in composition and structure. The analysis is performed using an X-ray microanalyzer and an electron microscope. For example, in case of hyperplasia, the stones include the following elements: zinc, magnesium, aluminum, phosphorus, calcium (phosphates and oxalates), sulfur.

Laboratory diagnostics

Methods of laboratory diagnosis of calculous prostatitis:

  1. General analysis of urine and blood. With inflammation of the prostate in the urine, the permissible level of leukocytes, bacteria, red blood cells and protein is exceeded. In this case, a diagnosis of the bladder and kidneys, an analysis for genital infections are prescribed.
  2. Analysis of prostate secretion. With calculous prostatitis, leukocytes, macrophages, red blood cells are found in it. The number of lecithin grains, which are an indicator of the functioning of the gland, decreases. If bacteriosis shows the presence of any strain of uropathogenic bacteria in a volume of more than 10 ^ 3 CFU / ml, then antibacterial drugs are necessary.
Prostate secretion (click on image to enlarge)
  1. Blood PSA (prostate tumor marker) for men over 40 years. Hand over no earlier than 10 days after palpation of the prostate or 10 days before the study (PSA standards for prostatitis).
  2. Tests for tuberculosis: bacterial cultures of urine for the presence of bacillus, Mantoux test, Diaskin test.

Antibiotics are prescribed according to the results of sowing prostate secretion on the flora and determining its sensitivity to antibacterial drugs.

Instrumental diagnostics

The primary and most informative type of instrumental examination for calculous prostatitis is transrectal ultrasound of the gland. Echo signs: calcifications are defined as hyperechoic areas - too dense, not transmitting rays. Such inclusions create the so-called acoustic shadow - a zone inaccessible to ultrasound rays. With calculous prostatitis, the iron looks enlarged, diffuse changes are present in its tissues - a structural disorder caused by the penetration of lymphocytes, macrophages, and the formation of products of inflammatory decay (dead cells due to inflammation).

Prostate Traumas

Excretory urography allows a more detailed look at the structure of the prostate, the presence of foreign formations, and the causes of difficulty urinating. First, a panoramic x-ray is taken, then a contrast medium is injected into the vein, and then a few more pictures are taken at certain intervals. Minus - X-ray negative stones (for example, urate) will not be detected. To identify them, more accurate studies are needed - CT or MRI.

Uroflowmetry and cystometry are used to measure urine flow rate and pressure inside the bladder. The last study is necessary to analyze the functioning of the bladder - is it contracting properly. This is important to exclude the likelihood of urine being thrown into the prostate. The procedure is unpleasant, involves the introduction of a catheter into the bladder and balloon rectal probe into the rectum. Devices record the reaction of muscles and receptors of the bladder to filling and emptying. Uroflowmetry is much simpler - ordinary urination in a special container.

Conservative therapy

The objectives of conservative therapy of calculous prostatitis:

  1. Removal of inflammation.
  2. Prevention of the increase of existing stones and the formation of new ones.
  3. Destruction of pathogens in the prostate.

With calculous prostatitis, the following groups of drugs are prescribed:

  • Antibiotics (Augmentin, Norfloxacin),
  • Nonsteroidal anti-inflammatory drugs ("Ibuprofen", "Diclofenac"),
  • Antispasmodics (No-Shpa),
  • Vitamins (P, K, C, E), immunomodulators,
  • Alpha-adrenergic blockers (Omnic) to facilitate urination,
Omnic is a blocker of α1-adrenergic receptors, a means for the symptomatic treatment of benign prostatic hyperplasia. Price in the Russian Federation from 314 rubles.
  • Uroseptics (pipemidic acid, 5-NOC),
  • Supplements for stimulation of metabolic processes in the prostate ("Prostaklin"),
  • Enzymes With calcifications, Longidaza suppositories are prescribed. The active substance blocks fibrotic processes (calcified fibrosis is calcine), relieves inflammation, stimulates local immunity,
  • Preparations of litholytic action (candles "Trilon B" with dimexide). Application makes sense if stoned prostate cavities communicate with the urethra,
  • Peptide bioregulators (Vitaprost).

After a course of drug therapy, the stones will not disappear, but the blood flow in the gland will significantly improve, the symptoms of calculous prostatitis will disappear, there will be no prerequisites for the appearance of new formations. According to urologists, trying to dissolve calcifications with calcium-binding drugs (Na2 EDTA, Ca EDTA) is pointless. This will require too high doses of a substance that are toxic to the body.

As for physiotherapy, prostate massage and any stimulating mechanical effect with calcifications larger than 3 mm are unacceptable. The sharp edges of the stones during movement injure the tissue, their migration to the urethra may begin, which will lead to damage. Hyperthermic procedures are also not carried out, since iron with calculous prostatitis is heated unevenly.


To destroy stones inside the prostate without surgery, they are exposed to it by ultrasonic or magnetic waves, as well as by a low-intensity laser. The latter method is called contact lithotripsy. The procedure is invasive, performed by inserting an endoscopic probe into the urethra.

Many experts do not approve of the use of a laser for crushing stones in the prostate and consider this method useless and even dangerous. Calcifications disintegrate into acute-angled fragments that traumatize the seminiferous tubules, ducts, get stuck in the tissues, forming new growths around themselves.

Contraindications to remote crushing:

  1. The size of the stones is more than 10 mm in diameter.
  2. High density structure of calcine, its projection on the sacroiliac joint.
  3. X-ray negative stones, the crushing of which cannot be controlled using X-ray equipment.
  4. “Stone path” - several stones are located along the duct and do not move.
  5. Ingrown, deeply seated in the lumen of the ureter stones.

One of the methods for crushing stones with calculous prostatitis is shock wave therapy. The course consists of 4-7 sessions, lasting twenty minutes, and held once a week. The effect on the prostate is carried out remotely using a special device (the sound it emits resembles an automatic burst).

The procedure is painless, improves blood flow, relieves swelling and inflammation. However, many experts also do not recommend this method to their patients due to the multiplication of calcifications.. It is impossible to remove them from the prostate by conservative methods due to its anatomical features - too narrow ducts.


Surgical removal of stones from the prostate is used in the absence of a result from conservative therapy. The indication is a serious violation of the outflow of urine, sclerosis of the neck of the bladder or tissues of the gland itself. The surgical method is called "transurethral incision" (electroresection of the prostate). The operation is performed using a resectoscope, which is supplied to the gland through the urethra. The stones are excised together with particles of the surrounding tissue, the vessels are immediately cauterized.

Large calculi from the prostate are removed through suprapubic access. The operation is traumatic, fraught with complications in the form of impaired potency and urination. With multiple stones and extensive destruction of tissue, iron is completely removed.

According to most experts, if calcifications do not give pronounced symptoms, then they do not need to be removed. Surgery can cause serious complications and pain.

Folk methods

Plants that prevent the deposition of salts in the prostate:

  • Field sage,
  • Half a floor
  • Rose hips,
  • Ostudnik is naked.

Used for therapeutic purposes decoction: Pour a tablespoon of raw materials with a glass of water, simmer for 10 minutes, leave to cool. Take half a glass on an empty stomach. Herbs alternate daily. The broth should be drunk 10 days a month, 20 days - rest. The result can be evaluated by ultrasound in six months.

An effective remedy for calculous prostatitis is a mixture in equal parts of honey, parsley juice and lemon juice. Take fresh in a quarter cup three times a day for a month.

Before using alternative methods, it is necessary to consult a doctor, to find out the composition of calcifications in the prostate.


Without medical supervision and preventive therapy calculous prostatitis is fraught with a number of complications:

  1. Joining an infection, inflammation, pain.
  2. Microabscesses (encapsulated suppuration).
  3. Potency impairment.
  4. Infertility.
  5. Sclerosis, scarring, deformation and necrosis of prostate tissue.

Stones can clog not only the ducts of the prostate, but also the urethra, resulting in acute urinary retention, inflammation of the kidneys. The possibility of conception in chronic calculous prostatitis is, but with a neglected form, it significantly decreases due to a deterioration in the quality of the secretion. Small uninfected calcifications do not lead to impaired fertility.


Andrey, 41 years old: “Found calcifications in the prostate were treated with UVT therapy, Vitaprost suppositories and a multivitamin complex. The entire course took two months. Six months have passed since its completion, until there are no symptoms. Ultrasound showed that the prostate became smaller, the tissue structure returned to normal, but calcifications did not disappear. ”

Stanislav, 38 years old: “I got a crotch, went for examination. As a result, small inclusions in the prostate were found. The treatment consisted of a course of antibiotics and the administration of Prostasabal. I didn’t do a second ultrasound, but there is no pain and heaviness in the perineum. ”


The very presence of stones in the prostate is not yet a cause for panic. If their size does not exceed 3-4 mm, urination is normal and there is no pain, observation and prevention are enough. In men after 40 years, small calcifications can be conditionally considered age-related manifestations and prerequisites for the development of prostatitis. Doctors categorically do not recommend the use of solvents on their own on the advice from the forums in order to avoid exacerbating the situation. The best option is prescribed by a competent specialist courses of drug therapy and periodic ultrasound monitoring of the prostate.

The danger of prostatoliths

Untimely started treatment of calculous prostatitis can lead to consequences such as:

  • Abscess of the prostate. In this case, pus forms in the tissues, intoxication of the body occurs. The accumulation of purulent masses is dangerous for the development of sepsis, caused by the release of pus into the blood. This condition in most cases leads to death,
  • Atrophy of the prostate gland, irreversible changes in its structure, disrupting functioning,

What is vesiculitis? More details in the video of the doctor of urologist andrologist Soloviev Nikolay Konstantinovich:

  • Vesiculitis, vasodilation of the spermatic cord. Deviation provokes infertility
  • Urinary incontinence,
  • Recurrent cystitis
  • Impotence

Therapy for calculus calculus

Calculous prostatitis is treated with conservative drugs or by surgical intervention.

Conservative therapy involves:

  • Introduction to the prostate of a substance that promotes the crushing of calculi ("Trilon B"). This technique is combined with prostate massage - this way you can achieve the exit of deep-lying calculi,
  • Taking broad-spectrum antibiotics,

  • The use of immunostimulants that accelerate the process of repairing damaged prostate tissue,
  • Taking alpha-blockers to normalize the process of urination,
  • Reception of analgesics to eliminate pain.

Physiotherapeutic procedures complement the effect of medications and have a beneficial effect on the general condition of the body. With calculous prostatitis, it is indicated:

  1. Shock wave therapy (exposure to ultrasound),
  2. Electrophoresis
  3. Magnetotherapy
  4. Laser treatment.

Surgical intervention is required if conservative treatment does not bring results. An operation is also necessary if a formed abscess has been diagnosed or an abscess has been identified.

With calculous prostatitis, the following types of operations can be performed:

  • Transurethral electroresection. The procedure is indicated for stones in the prostate complicated by adenoma. During the manipulation, the energy of a high-frequency electric current is used, with the help of which stones are removed, and then the vessels are cauterized. The method is not very effective, because after such an operation, relapses often occur,
  • Prostatectomy Manipulation involves the complete removal of the prostate gland,
  • Performing a crotch or suprapubic section to extract calculi.

Therapy of the disease also involves dieting. The patient should refuse fatty foods, sweets, smoked meats and salty foods. Foods with a high content of fiber, protein, and unsaturated fats should predominate in the diet.

Urologist andrologist Igor Anatolyevich Izmakin will talk about a diet for prostate diseases:

It is also important to give up bad habits.

Physical activity should be present, but in moderation: it is enough to take walks, engage in swimming, and perform exercises from the complex of therapeutic exercises.

To avoid the appearance of calculi in the ducts of the prostate gland, you should regularly visit a urologist for a scheduled examination, conduct regular sex life, protect the body from hypothermia, treat infectious and inflammatory diseases, including those that cover the genitourinary area, in a timely manner.

Calculous prostatitis is a dangerous disease that can lead to serious complications. A timely visit to a doctor and ongoing adequate treatment will help to avoid them.

Prostatitis Prevention

Currently, prostatitis is a very common disease. Every 2 men after 40-45 years of age suffer from one degree or another of the disease. Therefore, experts urge men to take responsibility for their health and prevent prostatitis from a young age.

Prevention of pulmonary prostatitis is the timely and adequate treatment of acute inflammation of the prostate gland. The following tips are also recommended:

  • Have sex regularly so that prostate juice circulates rather than stagnates.
  • Lead an active lifestyle, do exercises, exercise.
  • Dress according to the weather, do not overcool.
  • Eat right, avoid vitamin deficiency.
  • Avoid messy connections, protect yourself from STDs.

Thus, the main prevention is the maintenance of a healthy lifestyle, as well as the correct conduct of sexual activity. If a man takes care of his health, then he will probably be able to avoid chronic prostatitis.

Disease prevention

Preventing the formation of stones in the prostate is not so difficult: you need to move more, if possible, give up bad habits, eat right, and establish a sexual life. Regular sexual contacts with a regular partner allow you to maintain male health longer and have a positive effect on the psycho-emotional state. It is very important to strictly observe the hygiene of the body and especially the intimate area, because many infections penetrate the body precisely because of neglect of hygiene standards.

Do not ignore health problems, even if they seem minor. Discomfort during urination, a weak erection or slight pain in the perineum can be the first symptoms of serious illnesses that are much easier to prevent than to cure. If something bothers you, you don’t need to look for folk recipes or immediately buy advertised funds, without even knowing what caused the problem. A visit to the andrologist is the only right decision in such situations, although, unfortunately, not all follow this advice. The main thing is to remember that the sooner the problem is identified, the more favorable the forecast.

Watch the video: Benign Prostatic Hyperplasia BPH (February 2020).

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