Patients with prostate stones can have symptoms of hematuria. Prostate stones can be simply classified as exogenous, endogenous, or primary, forming within the prostate cells and acini. Many patients experience local pain, and some also suffer from urinary symptoms such as dysuria, urgency, and frequency. Hematuria is the presence of abnormal red blood cells in urine, visible under high magnification with more than or equal to three red blood cells, qualifying as hematuria. Some patients may find blood in their urine during the second urination after experiencing colic pain, attributed to red blood cells that have not yet entered the bladder after the first passage of stones. Patients with prostate stones may experience urinary tract irritation signs, along with urgency, dysuria, and possibly hematuria.