Can prostatic calculi cause hematuria?

Written by Wang Shuai
Urology
Updated on September 08, 2024
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Prostate stones can cause hematuria, but this is relatively rare. Typically, a small amount of blood flows from the urethral opening after urination, but most patients with prostate stones do not experience discomfort and do not require special treatment. If prostate stones occasionally cause hematuria, it is generally not a serious issue and does not require special treatment. If hematuria occurs frequently and is accompanied by prostate pain, frequent urination, urgency, or other symptoms that significantly impact the patient's life, surgical treatment may be considered. During the treatment period, it is important to maintain a light diet, avoid spicy and irritating foods, and refrain from smoking and drinking.

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Written by Wang Shuai
Urology
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Prostate Calculi Causes and Symptoms

The appearance of prostate stones is mostly due to previous prostate calcifications or calcification spots that gradually form prostate stones. The formation of prostate calcifications and calcification spots is directly related to prostatitis. Most patients with prostate stones do not experience discomfort. For those prostate stones that do not cause symptoms, no special treatment is necessary. However, some patients may experience frequent urination, urgency, incomplete voiding, and even recurring attacks of prostatitis due to the presence of prostate stones. In such cases, active anti-inflammatory treatment is required. When necessary, warm sitz baths can be taken, or oral medications that improve urinary discomfort can be used for treatment.

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Written by Sun Chun
Urology
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Do prostate stones need treatment?

Prostate stones do not require treatment. Prostate stones refer to a hard or slightly black and hard substance similar to stones found inside the prostate gland during surgery. If a stone analysis is conducted, it indeed contains calcium. Generally, the formation of prostate stones may be due to previous episodes of prostatitis. After an episode of prostatitis, there may be some calcification and deposits of calcium in the prostate, and over time, an accumulation of calcium in this area may form a small stone. Additionally, the prostate is a gland that has a secretory function, and in such cases, some impurities may accumulate inside it and eventually could also become a stone. Generally, prostate stones are not very large, and usually, they do not cause any clinical symptoms. If prostate stones are only discovered during a physical examination and are very small with no clinical symptoms, then no special treatment is required, and observation is sufficient.

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Written by Wang Shuai
Urology
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What are the symptoms of prostate calcification stones?

The prostate may have calcifications, calcification spots, or stones, and most patients do not have any discomfort symptoms, making it difficult to detect. Generally, prostate calcifications, spots, or stones are discovered during ultrasound examinations in routine physical check-ups. For patients without any symptoms, no special treatment is required. Some patients may experience perineal or lower abdominal distension and heaviness, and some may exhibit symptoms similar to prostatitis, such as frequent urination, urgent urination, and a sensation of incomplete bladder emptying. In such cases, symptomatic treatment with medications to improve urinary discomfort may be sufficient; no special treatment is needed.

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Written by Wang Jian
Urology
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Is prostatic calculus easy to treat?

Prostate stones are formed in the prostate acini and ducts. Most patients with prostate stones do not have any symptoms. Some patients may have concurrent prostatitis or prostate hyperplasia, resulting in abnormal urination. The main symptoms include frequent urination, urgent urination, difficulty urinating, hematuria, residual urine, along with discomfort in the lumbar and sacral regions, perineal discomfort, and sexual dysfunction. If prostate stones are asymptomatic, treatment is not required. However, if there are symptoms like abnormal urination or pain, treatment can be administered through medications. Broad-spectrum antibiotics such as levofloxacin are commonly used for about four weeks. Additionally, it is advisable to adhere to warm water sitz baths daily for 20 minutes to accelerate blood circulation in the prostate and improve symptoms. It is also recommended to avoid spicy and irritating foods, refrain from prolonged sitting, avoid holding in urine, and maintain a regular sexual life.

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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.