Actuarial prostatitis is a disease in which inclusions (or stones) form in the ducts of the prostate. It occurs as a consequence of chronic prostatitis. Stones appear from lime salts, phosphates and prostate secretions. Problems faced by patients of different ages: 30 - 40 years old (due to chronic prostatitis), 40 - 60 years old (due to prostate adenoma), after 60 years old (due to functional decline)genital).
There are exogenous and endogenous stones. The composition of exogenous stones can be compared to that found in the urinary tract. They can arise from prostate adenoma and chronic inflammation and are often found in the distal part of the prostate. Patients can live with endogenous stones for many years because they do not cause inconvenience and are much less painful. Their cause is congestive prostatitis. Symptoms and treatment of stone-induced prostatitis require specialist attention.
The cause of prostatitis is due to stones
Chronic prostatitis causes inflammation and blockage in the prostate. Benign prostatic hyperplasia, abstinence from intimate or infrequent intercourse, as well as insufficient physical activity cause improper emptying of the prostate. If, in combination with these factors, an infection of the genital tract is observed, the nature of prostatic secretions will gradually change.
It can also be caused by urethral-prostatic reflux, in which when urinating from the urethra, a small amount of urine enters the prostatic duct. Salt in urine gradually turns into stones. Urethral-prostatic reflux occurs as a result of urethral trauma, as a result of transurethral prostatectomy, and urethral stricture. Urine can enter the prostate after changes that occur during surgical intervention on the genitals, the use of catheters or the presence of stones in the kidneys or bladder. Stones are mainly urate, oxalate and phosphate.
Chronic prostatitis can impair reproductive function.
Symptoms of prostatitis caused by stones
Signs of prostatitis caused by stones are pain in the lower abdomen, perineum, testicles, sacrum and scrotum. The diameter and number of stones directly affect the intensity of pain.
Often the pain becomes stronger during and after sex, after sitting on a hard object, when walking or vibrating. The pain can spread to the penis and scrotum.
Signs of prostatitis caused by stones may be the following:
- frequent urination;
- urinary incontinence;
- the appearance of a small amount of blood in the semen;
- anaphylaxis;
- erectile dysfunction.
A month after the first symptoms appear, the patient may feel a disturbance in his general condition: irritability, decreased performance, depression, irritability and a slight increase in temperature.
Diagnosis of prostatitis caused by stones
When examining a patient, a specialist can only assume that the patient has a disease. Prostate ultrasound, magnetic resonance imaging and computed tomography help detect and confirm the diagnosis of stone-induced prostatitis.
The next stage is a series of laboratory tests aimed at determining the presence of stones in the prostate, as well as the presence and extent of the inflammatory process. The following tests are most commonly requested:
- general urine test (confirms the presence of blood, a large number of leukocytes, proteins, epithelial cells);
- general blood tests (increased ESR, increased white blood cell count);
- spermatozoa (observed blood, motility and reduced sperm count);
- determine prostate-specific antigen levels for the purpose of detecting cancerous tumors;
- Examine prostate secretions (notice amyloid bodies, many leukocytes, and epithelium).
Then, during the instrumental examination, certain signs can confirm the diagnosis:
- You can find out if there are stones directly in the prostate by doing an ultrasound;
- A CT scan of the prostate will help determine location and size;
- With magnetic resonance imaging of the prostate, information about the method of stone formation can also be obtained.
Treatment of prostatitis caused by stones
Treatment of prostatitis caused by stones is prescribed and performed by a specialist, using surgery or medication.
Doctors often choose medication methods to treat prostatitis caused by stones provided that the size of the stone is not more than 4 mm. Patients take anti-inflammatory drugs, antibiotics and drugs that normalize blood circulation orally and parenterally. Herbal medicines are also used. During drug treatment, constant monitoring by the attending physician is very important.
Physical therapy is effective, in many cases facilitating the process of stone migration. For example, magnetic therapy is successfully used, which significantly improves blood microcirculation and has analgesic and soothing effects. Ultrasound therapy is often prescribed; during the procedure, the emitter comes into contact with the skin through a special gel.
Good results are shown by drug electrophoresis, in which the drug is delivered through the surface of the skin or mucous membrane using an electric current. In this case, you need to abandon the prostate massage procedure, in contrast to the effective treatment of chronic prostatitis.
Recently, in combination with medication, the use of low-frequency laser treatment of the prostate has begun. When performing this therapy, the stones are gradually crushed and excreted through urine.
For large stones, drug treatment does not bring results, surgical intervention is performed to treat stone-induced prostatitis. The surgeon will remove the stone through an incision in the perineum or suprapubic area.
Actuarial prostatitis often accompanies BPH. With this option, prostatectomy, prostatectomy or TUR of the prostate is chosen.
Prostatectomy refers to the removal of the prostate, performed under general anesthesia. During surgery, the seminal vesicles are also removed. The operation may be abdominal. In this case, the perineum or anterior abdominal wall is dissected. Once removed, sutures are applied.
Surgery can also be performed using an endoscope by making several punctures in the abdominal cavity. In this case, recovery is faster.
Adenectomy is used for large adenomas. The entrance is through the abdominal cavity. Surgery can have some complications: bladder fistula, genital infection, urinary incontinence, etc. v.
Transurethral prostatectomy involves removing a hyperplastic area of the prostate through the urethra using a cystoscope. This operation causes fewer side effects and shorter recovery times.
A proper diet is important not only for prevention purposes but also in the treatment of chronic stone-induced prostatitis. The diet is prescribed by the attending physician, based on various criteria and factors. Basically, meat, fish and mushroom broths as well as sauces, spicy dishes, spices, garlic, onions, and radishes are all eliminated from the daily diet. Limit consumption of beans, white cabbage, whole milk and other foods that cause bloating. Doctors advise drinking lots of water.
The sooner a patient consults a specialist, the more favorable the prognosis for treating this disease. If prostatitis caused by stones is not treated, there may be loss of reproductive function, erectile dysfunction, urinary incontinence, sclerosis or abscess of the prostate, and damage to tissues located near the stones.
Prevention of prostatitis caused by stones
Prevention of this disease is relevant for men of all ages and includes:
- preventive examination, lack of self-medication;
- Eliminate nicotine from your life and drink alcohol sensibly;
- maintain an age-appropriate sex life;
- prevention of genital infections;
- physical activity;
- Carry out treatment of infectious diseases.