Calculous prostatitis in men: causes, symptoms, diagnosis and treatment

Diseases of the prostate often affect men of elderly and middle age. In addition, inflammatory processes can occur even in young people and children. With acute prostatitis, the problem can be solved by prescribing antibacterial drugs. But getting rid of chronic inflammation is not so easy. Especially if calculous prostatitis developed. This disease often leads to a violation of the outflow of urine. In addition, a man does not have the opportunity to lead a normal sexual life, since the liquid of the prostate gland (sperm) also does not pass through the ducts. The result is pain and difficulty urinating. All this delivers to the man not only physical inconveniences, but also psychological discomfort.

What is calculous prostatitis?

Inflammation of the prostate gland in the elderly often has a chronic course. Due to the long-term pathological process, the functions of the organ are disrupted. This leads to the formation of stones (stones). Similar complications occur more often in old age. Calculous prostatitis is a pathology in which stones form in the gland itself or its ducts against the background of chronic inflammation. This problem is very disturbing to the stronger sex. After all, immediately violate 2 functions - urinary and sexual. As a result, many men experience apathy, irritability and aggression. Because of such violations of the psycho-emotional background, some patients do not seek medical help. This may also be due to the embarrassment or erroneous opinion that this condition is the norm in the elderly. It should be remembered that stones in the prostate can be removed. In this case, not all cases require surgical intervention.

Causes of stones in the prostate gland

Naturally, concrements do not appear in the prostate gland just like that. This is preceded by an inflammatory process. The reasons for which there are signs of calculous prostatitis are divided into 2 groups:

1. Endogenous factors. It is understood that the formation of concrements contributed to violations in the work of the body.
2. Exogenous factors. It is meant that the pathology is caused by external causes (not because of disorders occurring in the body).

Endogenous factors include various harmful effects. Among them: smoking, alcoholism, drug addiction. Also the development of prostatitis is facilitated by irregular sexual life (too frequent sexual contacts, rare connections or masturbation). For exogenous reasons include various organ damage (trauma, complications after surgery). In addition, this group includes inflammation of the prostate gland, caused by the penetration of microbes into it.

There are 2 main pathological mechanisms, which cause the formation of stones in the prostate and its ducts. These include stasis of the secretion of the prostate and the transfer of urine into the cavity of the organ.

Calculous prostatitis: symptoms of pathology

Symptoms of calculous prostatitis resemble signs of chronic inflammation of the prostate, but are more pronounced. The main clinical manifestations are painful and difficult urination in men. Unlike non-calculous prostatitis, the disease we are considering is characterized by the fact that the symptoms disturb the patient at any time of the day, and not mainly at night. This clinical picture arises from a violation of the outflow of the secretion of the prostate and urine. The reason for such a sign of the disease is a partial or complete obturation of the duct with a stone. In addition, there are other symptoms of calculous prostatitis. Among them:

1. Painful sensations in the pelvic region. May occur not only during urination. Men complain of pain in the perineum, coccyx, in the lower abdomen.
2. Erectile disfunction. Because of the closure of the duct of the prostate gland, the seminal fluid can not flow normally from the organ. As a result, the sexual intercourse can not be completed. In severe cases, there is a decrease in libido, the absence of an erection.
3. Painful urination in men - often accompanied by false urges. With this, the pain in the perineal region is intensified. In most cases, little or no urine is released.
4. Appearance of pathological impurities in the sperm. The most commonly observed spotting. Sometimes in the seminal fluid you can notice an admixture of pus (rarely).

What to do with calculous prostatitis in men?

Clinics, where they treat calculous prostatitis, are available in any city. In rayon centers there may be no hospitals with urological department, nevertheless the general surgeon can provide medical assistance in this issue. If there is a suspicion of inflammation of the prostate gland, you should contact the local doctor at the polyclinic. He will prescribe the necessary examination. If a stone is found in the prostate ducts, the patient is referred to an outpatient surgeon. He assesses the situation and decides whether conservative treatment is possible, or planned surgical intervention is required. Symptoms that require you to seek medical help are difficult and painful urination in men, pain with ejaculation, blood in the semen.

Diagnosis of calculous prostatitis

When appointing the examination, the expert is primarily based on the patient's complaints. The most characteristic of them is the appearance of blood in the seminal fluid, pain during sexual intercourse. These clinical signs are caused by the trauma of the mucous membrane of the ducts of the prostate, which arises from the friction of the stones on the surface of the organ. Obstructed urination in men occurs with non-calculous inflammation of the prostate gland. It appears due to the compression of the urethral tracts enlarged in size by the prostate. When suspicion of the formation of stones in the prostate gland are performed laboratory and instrumental studies. General blood and urine tests can confirm the presence of an inflammatory process. Changes in UAC are characterized by an increase in the number of leukocytes and acceleration of ESR. In the urine can be present erythrocytes, protein and bacteria. It is also important to study the seminal fluid. With calculous prostatitis, there is a decrease in the activity of spermatozoa, the appearance of blood. In addition, a finger examination of the rectum is performed. When rectal examination is diagnosed an increase in the size of the prostate and a change in its shape. From the instrumental diagnostic methods used ultrasound of the prostate gland, computer and magnetic resonance imaging.

Treatment with calculous prostatitis

Treatment of calculous prostatitis must begin with the first manifestations of pathology. Some varieties of concrements can be removed from the prostate gland without resorting to surgery. These include oxalate, phosphate and urate stones. Conservative therapy is indicated if the concrements are small in size. The treatment is aimed at the removal of the inflammatory process. Antibacterial drugs are used (medicines "Tziprolet", "Ofloksatsin"). Also prescribe anti-inflammatory drugs. Among them are preparations "Voltaren", "Diclofenac". To get rid of stones, physiotherapy is recommended.

If calcium calculus is present, surgical intervention is necessary. Operative methods include:

1. Lithotripsy - crushing stones with a laser. It is an endoscopic procedure and does not leave any scars.
2. Operative intervention.

Complications of calculous prostatitis

Calculous prostatitis can lead to complications. Among them: a ruptured organ or ducts of the prostate gland, inflammation of the abdominal cavity - peritonitis, infertility. At large concrements, bleeding from the prostate or urethra is often observed.

Prophylaxis of diseases of the prostate

Prophylaxis of calculous prostatitis is a healthy way of life, performing physical exercises. It is also important to avoid unprotected sex that can lead to infectious diseases. It is necessary to visit the urologist periodically with an advisory purpose (once a year).