Do prostate stones need treatment?

Prostate stones mainly occur in middle-aged and elderly men over 40 years old. Most patients do not have obvious symptoms and generally do not need to consider surgical treatment. However, some patients have a series of symptoms due to high complications of prostatitis, prostatic hyperplasia, urethritis and other diseases. Since the symptoms of prostate stones have already affected the patient's normal daily life and work, surgical treatment is necessary.

Can prostate stones be treated with surgery?

Prostate stones can be treated surgically, but it depends on the patient's health condition. Therefore, before surgical treatment, it should be clear whether the patient has heart disease, diabetes, renal insufficiency and other symptoms. Therefore, before surgical treatment of prostate stones, it is necessary to check whether the patient has any contraindications to surgical treatment.

How many times does prostate stones require surgery?

If prostate stones develop to the point where the patient experiences pain, frequent and urgent urination, inability to hold urine, hematuria, difficulty urinating, radiating pain in the waist, perineum, and vagina, loss of libido, painful ejaculation in men, bleeding during ejaculation, and many other symptoms, surgery is necessary. If prostate stones expand to 1 cm, immediate surgical treatment should also be considered.

What are the effects of surgical treatment of prostate stones?

1. Bleeding: Bleeding after prostate stone surgery usually occurs within a week, mostly due to the ligation of the bladder meridian or the prostate fossa, the blood circulation intestinal line falling off or infection, necrotic tissue falling off or excessive force. 2. Urinary fistula: After prostate stone surgery, the ureter will be left in place for a period of time. A very small number of patients will suffer from urinary fistula due to poor urinary catheter drainage or poor systemic nutritional composition. To put it simply, urinary fistula is an abnormal passage between a certain point in the reproductive system and the urogenital system or the stomach. 3. Acute epididymitis: Patients with prostate stones may develop acute epididymitis within a few days to a few weeks after surgery. Acute epididymitis is often caused by postoperative urethritis, prostatitis and seminal vesiculitis, which are caused by infection along the ejaculatory duct. 4. Metatarsal osteomyelitis: It may be related to periosteum damage and infection of the posterior metatarsal space. The patient's ischial tuberosity area is red, swollen and painful. Partial acupuncture and moxibustion therapy can be given, and reasonable antibiotics can be used for treatment.

Surgical treatment of prostate stones

1. Patients with prostate stones larger than 1 cm and with a rough surface that cannot be discharged spontaneously; 2. Patients with prostate stones and complications of ureteral stenosis and infection; 3. Patients whose prostate stones have caused urethral obstruction and even affected kidney function or failed surgical treatment; 4. Patients with prostate stones who cannot undergo shock wave lithotripsy should also consider surgical treatment.

Prostate stone surgery

1. Transurethral prostate and stone removal is mostly used for younger patients because it can preserve male sexual function. It can also be used for elderly patients who are too weak to undergo surgery. 2. Transurethral prostate and stone removal is suitable for patients with large and multiple stones and prostate hyperplasia. However, sometimes due to inflammation, the male prostate outer membrane and the middle of the glandular duct are adhered and difficult to separate, making surgical treatment difficult. 3. Transperineal prostatectomy is suitable for shallow stones or multiple stones. 4. Minimally invasive surgery for removing the male prostate through various methods, which is widely used in clinical medicine at this stage, is also suitable for surgical treatment of prostate stones. It has the advantages of less trauma, less pain for patients, faster recovery, and a wide range of indications.