Is a 6mm prostate calculus serious?

Written by Wang Shuai
Urology
Updated on September 18, 2024
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A 6mm prostate stone is not severe. Typically, patients with such stones do not experience discomfort, and most cases are discovered during ultrasound examinations at physical check-ups. These asymptomatic prostate stones do not require special treatment. However, some patients may experience recurrent prostate inflammation due to the presence of stones, or symptoms such as a feeling of heaviness in the anus or lower abdomen. These conditions require timely anti-inflammatory treatment. If necessary, medications like Prostakor tablets or Prostasure capsules can be taken orally to alleviate symptoms. Treatments like warm water sitz baths or localized therapy can also be administered. (Please use medications under the guidance of a doctor.)

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Written by Wang Jian
Urology
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How to deal with prostate stones?

Smaller prostate stones generally do not impact the human body and do not cause noticeable symptoms. However, if prostate stones are accompanied by prostatitis and prostate enlargement, they can lead to symptoms such as frequent urination, urgent urination, incomplete urination, painful urination, difficulty urinating, and waiting for urination. For these symptoms, symptomatic treatment is sufficient, following the treatment methods for prostatitis and prostate enlargement. If prostate stones are large enough to affect urination, causing difficulty in urination or even urinary retention; if large prostate stones protrude into the bladder causing difficulty in urination, then surgery is required to treat this condition. The surgery generally involves minimally invasive transurethral prostate stone surgery or open surgery.

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Written by Wang Jian
Urology
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Can prostate stones be removed?

Prostate stones are typically very small and do not cause any discomfort to the patient. However, if accompanied by conditions such as prostate enlargement or prostatitis, urinary abnormalities such as frequent urination, urgency, terminal hematuria, and difficulty urinating may occur. In the usual treatment of prostate stones, if symptoms are present, they are mostly caused by prostatitis. Treating the prostatitis is sufficient, and it is not necessary to remove the stones. However, if the prostate stones are very large, traditional open surgery, which involves the removal of prostate stones through the urethra, can be used. This is generally suitable for younger patients. It is often difficult to remove prostate stones, but a similar effect can generally be achieved through minimally invasive surgery.

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Written by Wang Shuai
Urology
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How are prostate stones formed?

The formation of prostate stones is mainly due to prostatic calcification. Prostatic calcification generally occurs after an individual has suffered from prostatitis. During the healing process of prostatitis, fibrosis and calcium deposits occur in the local prostatic tissue forming calcification foci, which gradually develop into stones. In some patients, stones form gradually due to the blockage of the prostatic ducts. Many patients with prostate stones do not experience discomfort, and for those without symptoms, special treatment may not be necessary. However, some patients may experience symptoms such as frequent urination, urgency, and incomplete voiding due to the presence of prostate stones. For such cases, local physiotherapy and warm sitz baths can be used to alleviate the symptoms.

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Written by Wang Jian
Urology
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Can prostate stones be eliminated?

Prostate stones are stones formed in the ducts or acini of the prostate, and their occurrence is somewhat related to the blockage of these ducts. Prostate stones generally do not exhibit obvious symptoms. However, accompanying conditions such as prostate hyperplasia or prostatitis can lead to abnormal urination. The main clinical symptoms include frequent urination, urgent urination, incomplete emptying, increased nocturia, and difficulty urinating. Accompanied by chronic prostatitis, there may also be discomfort in the lumbar and perineal regions, potentially leading to sexual dysfunction in patients. Larger prostate stones can cause urinary retention and press on the rectum, resulting in difficulty defecating. In general, prostate stones are difficult to expel from the body. Symptomatic treatment is usually sufficient, but surgical treatment might be considered for particularly large stones.

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Written by Guan Hai Fang
Urology
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Can prostatic calculi cause hematuria?

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.