Prostate stones are a rare health problem, more common in older men. In this disease, inorganic layers form in the prostate gland around a limited nucleus. Depending on the place of their formation, the stones are divided into primary (true) and secondary (false). Primary deposits are formed in the prostate gland itself, and secondary deposits are formed outside the gland (most often in the urinary tract) and from there fall into it through inflamed cavities communicating with the posterior urethra. One of the most common causes of sediment formation in the gland is past prostatitis, which was not treated properly and adequately. During the inflammatory process, the inflammatory exudate and desquamated epithelial cells from the ducts of the gland form the organic nuclei of the stones, around which mineral deposits accumulate. Another prerequisite for the formation of stones in the prostate is the retention of prostate secretion, which is often observed in older men, as well as reduced muscle tone (atony) of the prostate. The size of the stones is usually 4-5 mm, but they can be larger. Stones in the prostate are usually located near the exit ducts of the gland, they are rarely single, and their number can even exceed 100. Although at the beginning the stones in the prostate are very small and do not cause any symptoms, gradually their size increases and solid sediment can traumatize the gland, cause atrophy, and even cause an abscess. If one of the stones blocks a duct of the prostate gland, the swelling of the secretion becomes difficult, and this can cause stagnant vesiculitis affecting even the seminal vesicles, as well as a retention cyst. In the initial stages, the disease usually occurs without symptoms, which makes it difficult to diagnose it early and treat it quickly. In the event that sediments in the gland cause inflammatory changes, pain in the prostate, difficulty and discomfort during urination, dull pain in the perineal area and anus, which intensifies during defecation, may appear. Although less common, difficulties during intercourse, pain during urination, hemospermia (presence of blood in the semen) and decreased libido can be observed. Stones in the prostate, combined with other diseases of the gland can cause difficulty in retaining urine and even involuntary discharge. Stones in the prostate gland are most often found incidentally during prophylactic examinations of the gland by rectal douching, or during X-ray or ultrasound examination of the bladder. In cases where the disease occurs without the manifestation of unpleasant symptoms, treatment is not carried out. In case of mild subjective complaints, symptomatic therapy is prescribed to eliminate the discomfort. Most often, anti-inflammatory (uro-antiseptics and antibiotics) and pain-relieving (analgesics) preparations are used. According to specialists, it is necessary to treat the underlying disease that led to the formation of stones.Densely fixed stones located near the wall of the bladder and blocking the urinary channel are surgically removed.
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