The presence of stones in the prostate gland is a rare disease. It occurs mostly in old age. Predisposing factors for the formation of stones are primarily developing inflammatory processes of the posterior urethra and prostate. For example, in the elderly, as a result of longer retention of prostatic secretion, prostatitis develops. It, in turn, causes inflammatory-necrotic changes with the appearance of amyloid degeneration of the formed and unformed elements that serve as the core of the stone on which salts are deposited. Stones can be true (primary) and false (secondary). Primary ones are formed in the prostate gland itself. They are multiple with small sizes. They are brownish, black or yellow in color. Secondary stones are formed in the urinary tract (kidney, bladder or urethra). From there they enter the prostate. In the presence of an inflammatory process, it is possible to form an abscess, which sometimes opens in the bladder, urethra or colon with the formation of fistulas. When the stone is located near the seminal duct (ductus ejaculatorius), they can mechanically hinder the outflow of the seminal fluid and cause the formation of cysts or vesiculitis. NEWS_MORE_BOX Symptoms Primary stones are usually asymptomatic. And their discovery is often accidental. In the presence of an inflammatory process, complaints are similar to those of prostatitis. Hemospermia, hematuria, pollakiuria can be observed. Some patients experience sexual disturbances with decreased sexual arousal and pain during sex. Treatment In the presence of mild complaints, symptomatic treatment of urination disorders, pain, sexual disturbances and anti-inflammatory therapy is carried out if prostatitis is also present. In case of unbearable pain and the presence of a large stone and formed purulent foci, it is possible to require surgical intervention.