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Stones of prostate
Last reviewed: 23.04.2024
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Prostate stones are classified into primary (true) and secondary (false). Those. Migrated to the prostatic section of the urethra and kidneys and bladder. At the moment, this classification of prostate stones is practically not used. However, the rational grain in this classification is undoubtedly present: if the first condition is chronic, then false concrements are urgent, leading to acute retention of urination.
Fifty years ago, true prostate stones were rare, but now the situation is reversed, which is the "merit" of modern medicine.
[What causes prostate stones?
Normally, the secretory sections of the prostate are lined with a single-layered smooth or cylindrical epithelium (depending on the stage of secretion). The inferior ducts are lined with multi-row plasma epithelium, which in the distal sections becomes transitional. When obstructed in men (mostly elderly), it is possible to find concrements (spherical shape, up to 2.5 mm in diameter) consisting of proteins and calcium salts in the secretory parts of the prostate.
The reason for the violation of the passage of the secretion of the prostate gland can be caused both by the development of the nodes of the prostate adenoma, and also due to inflammation. In the presence of an infectious agent, concrements can be an ideal protection for a microorganism, sometimes completely unavailable for antibacterial drugs.
When examining the composition of prostate stones, their identity is noted for the concrements of the bladder. Such prostate stones are formed in the distal parts of the gland (lined with transitional cell epithelium) due to urine reflux into the prostate (often after interventions - TUR or prostatic incision, trauma). Such concrements are also often colonized by microorganisms, covered with biological film and become a source of chronic infection.
Where does it hurt?
Diagnosis of prostate stones
Stones of the prostate are well visualized with ultrasound, CT, sometimes with a survey urography. In combination with anamnestic data, results of microscopic and bacteriological study of the secretion of the prostate gland and ejaculate, Doppler mapping of pelvic organs, histological examination of biopsy specimens, the presence of a bacterial inflammatory process can be diagnosed.
It is important to note that the volume of the prostate gland and the level of PSA in the blood serum are not distinguishable in patients with asymptomatic prostate stones and without them.
What do need to examine?
How to examine?
What tests are needed?
Who to contact?
Treatment of prostate stones
The TOUR of the prostate gland is anatomically impossible to eliminate all concrements. If prostate stones are present in combination with IVO before TUR, adjuvant antibiotic treatment is advisable.