Can prostate stones be expelled?

Written by Li Yuan Wei
Urology
Updated on September 10, 2024
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Prostatic calculi generally involve two aspects of diagnosis. One part is called prostatic urethral or urethral prostatic calculi, which can be simply understood as urethral calculi located in the prostatic region. The second type is calculi inside the prostate, commonly referred to as prostatic calcification. These are most commonly seen during prostatitis and while taking medications. Typically, these calculi are asymptomatic and do not require special treatment. However, the second type, which are the calculi in the prostatic urethra (urethral calculi located in the prostatic part), usually affect urination and require removal through minimally invasive surgery.

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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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Urology
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Can prostatic calculi cause hematuria?

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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Prostate Calculus Symptoms

Most patients with prostate stones do not have any discomfort symptoms and are usually not detected. In most cases, prostate stones are discovered during physical examinations through ultrasonography. For such asymptomatic prostate stones, no special treatment is necessary. Some individuals may experience chronic prostate irritation due to the presence of prostate stones, leading to prostatitis or even hematospermia. In such cases, symptomatic treatment is recommended, and if an infection occurs, antibiotics should be used promptly for treatment. In daily life, it is advised to avoid prolonged sitting and holding urine, abstain from alcohol consumption, and engage in appropriate exercise to improve symptoms. If the prostate stones are large and symptoms are more pronounced, such as severe urinary frequency, urgency, pain, or bloody urine, surgical treatment may be considered.

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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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Can prostate stones be passed through urine?

Prostate stones cannot be excreted through urination, as they generally form inside the prostate gland. If the stones are not large, most patients do not experience any discomfort and do not require special treatment. If the presence of the stones repeatedly triggers prostate inflammation, this condition can be managed simply by using targeted antibiotics to control the infection. However, if the prostate stones are relatively large and significantly impact the patient’s life, such as causing repeated infections, hematuria (blood in urine), or hemospermia (blood in semen), then surgical intervention may be considered.