What is calculous prostatitis: why it develops, how to determine treatment methods

Calculating prostatitis is a rare form of the disease that requires specific treatment. Therefore, it is important to know how it arises and what are the signs that accompany it. With this article, you will learn about all the characteristics of the disease. As well as diagnostic and treatment methods.

In calculous prostatitis, an inflammatory process is characteristic, in which conglomerates with a dense structure are formed. In other words, they are stones located in the prostate. They consist of elements that enter a man's body. They arise in the secretion of the prostate in the context of the chronic course of prostatitis, pathological disorders.

Occurrence causes

Calculated prostatitis can be caused by the following:

  • Infection of the genitourinary system. They can be diseases like chlamydia, gonorrhea, trichomoniasis, ureaplasmosis and so on. In the process of reproduction and activation of pathological microorganisms, there is an obstruction in the ducts of the prostate, at the bottom of which the secret acquires a thick and viscous structure. Thus, bacteria create a favorable environment for the formation of stones and prostatolites contribute to the increase of inflammatory processes, which leads to prostate congestion.
  • Stagnation of all gland processes, which occurs for various reasons - presence of adenoma (benign tumor) in the prostate, sedentary lifestyle, influence of harmful foods, alcohol abuse, smoking. But most of the time the reason lies in the absence of regular sexual activity, since in this case the glands normally cannot empty the stones and therefore stagnation occurs.
  • Urethroprostatic reflux. In this disease, urinary fluid in small doses during urination is released into the prostate. As urine accumulates, crystallized salts are released, which over time swell and thicken, turning into stones. Urethroprostatic reflux develops due to lesions of the urethra, atony of the prostate, resection of the prostate, etc.
  • Impaired blood circulation in Organs pelvic organs also leads to stagnation.
  • Frequent hypothermia of the body and genitals.
  • Failure to observe personal hygiene causes infection, which leads to calculous prostatitis.
  • Old age. This is because a sort of plaque of phosphoric acid and lime forms in the thickened epithelium and amyloid bodies.
  • Rock formations are yellowish and spherical. The minimum size of prostatolites is 0. 25 cm, the maximum is 0. 4. They are formed individually or in multiples, they are mainly of the following types: phosphate stones, oxalate or urate stones.

    Symptoms

    The following signs indicate the presence of prostatoliths in the prostate:

    • dull, painful pain in the perineum, groin, coccyx, scrotum;
    • increased pain syndrome after physical actions, bowel movements, sexual intercourse, prolonged sitting in one position;
    • acute pain when urinating;
    • intermittent jet;
    • frequent need for retention of urine;
    • blood particles in urine and semen;
    • premature ejaculation;
    • power weakening;
    • increase in body temperature;
    • insomnia;
    • decreased appetite;
    • psycho-emotional instability.

    Stages of bacterial prostatitis

    • Primary or catarrhal.In the primary form, stones form in the acini of the prostate or in the ducts. Symptoms of a catarrhal type are poorly expressed; the symptoms resemble catarrhal pathologies. If you consult a urologist in a timely manner and start the proper treatment, you can get rid of the disease within a week.
    • Secondary or follicular.In the secondary form, prostatoliths enter the organ from the kidneys, bladder and other body elements in the context of urolithiasis. A follicular appearance may develop after an untreated catarrhal type. The manifestations are acute, with an increase in body temperature and suppuration, the duration of therapy is long.
    • Tertiary or parenchymal.In the tertiary form, the prostate parenchyma is affected, which is why it is called parenchymal (diffuse). It is the last stage of the acute course, in which symptoms are very acute. A purulent exudate forms in the inflamed area. The treatment process is long, tolerance is difficult.

    Possible complications of calculous prostatitis

    What complicates untreated calculous prostatitis:

    • prostate abscesses in the context of the accumulation of purulent fluid in the tissues;
    • intoxication of the body with purulent formations and later development of sepsis, which is fatal;
    • prostate atrophy and, as a result, impotence;
    • vesiculitis in the acute or chronic form, which is characterized by vasodilation in the spermatic cord, which leads to impotence and infertility;
    • cystitis and urinary incontinence.

    To prevent such consequences, it is necessary, as soon as the first signs appear, to go to the clinic and undergo a complete examination.

    How to relieve an attack at home?

    It is perfectly understandable to any sane person that during an attack it is necessary to call an ambulance brigade. But before it arrives, you can take the usual pain relievers. If your medicine cabinet contains propolis-based rectal suppositories, perform the appropriate procedure. Alleviate pain and laxative pills.

    Which doctor are you treating?

    The urologist (or andrologist) treats the treatment of prostatitis in any way. Other highly specialized physicians—a nephrologist, an infectious disease specialist, and others, depending on the cause of the stones' formation—are also included in the process of diagnosing and selecting treatment tactics.

    Diagnosis

    On the first visit to the urological office, the doctor performs a palpation and visual examination, after which an anamnesis is collected. Lifestyle, the presence of certain pathologies and the nature of the manifest signs are necessarily taken into account. In addition, the following diagnoses are performed:

    • collection of blood and urine for general analysis to identify the quantitative number of structural units (composition of biological fluids);
    • semen collection (sperm with calculous prostatitis is characterized by an increased number of epithelial tissues and amyloid bodies);
    • the spermogram allows to study the degree of motility and sperm count;
    • Prostate X-ray;
    • prostate ultrasound examination;
    • magnetic or computerized resonance imaging.

    Blood collection for PSA is mandatory, which allows the identification of a specific prostate antigen (a kind of prostate tumor marker).

    Treatment of calculous prostatitis

    The duration of therapy and the selection of therapeutic measures depend on the degree of negligence of the disease, as well as on the form, cause of development and presence of complications.

    drug treatment

  • Fluoroquinolone group for the destruction of pathogenic microbes, which are most often the cause of prostatitis. These are antibiotics that can easily handle many pathogens.
  • Penicillin group of antibacterial agents.
  • Tetracycline group of antibiotics. However, tetracyclines have a large number of side effects, so they are less frequently prescribed than other groups.
  • Cephalosporins are administered intramuscularly.
  • Nonsteroidal anti-inflammatory drugs alleviate the pain syndrome and eliminate inflammation.
  • The patient must take vitamin complexes to strengthen the immune system.
  • taking pills for calculous prostatitis

    Surgical intervention

  • Transurethral electroresection allows you to remove stones and cauterize blood vessels. For this, a high-frequency electrical current and a resectoscope are used, which is inserted by the urethral light. The operation is painless, but there is a possibility that prostatolite particles will remain.
  • Transurethral surgery with ultrasound guidance. Unlike the previous method. Thanks to increased ultrasound tracking, all calculations are removed.
  • Strip prostatectomy (stones are removed by dissection) and endoscopic (using an endoscope that is inserted into the prostate). Along with the stones in a neglected form, resection of the prostate, lymph nodes and seminal vesicles is performed.
  • Lithotripsy involves using a laser to crush the stones, after which they are excreted naturally. For this, an endoscope is used.
  • Physiotherapy

    • exposure to ultrasound reduces the level of inflammation, removes pain;
    • laser therapy speeds up prostate metabolic processes, relieves discomfort;
    • magnetic therapy restores blood circulation, counteracts swelling.

    Massage normalizes the patency of the ducts, speeds up the blood supply, which is considered effective for prostatitis, but calculatingly is strictly prohibited. The reason is that prostatolites can move around the body.

    If you don't have the opportunity to have physiotherapy procedures, you can do them at home with special equipment. But remember that physical therapy is only effective in remission - when prostatitis is in the exacerbation phase, the use of devices is prohibited.

    diet therapy

    The patient diagnosed with calculous prostatitis is required to follow a special diet, which is developed by a nutritionist at the individual level, according to the severity of the pathology.

    The basis of dietary nutrition is the rejection of alcoholic and carbonated beverages, fried, smoked, salty and spicy foods. It is not desirable to use broths based on fatty meats and fish, mushrooms. Horseradish, radish, radish, garlic, cabbage, beans and onions should be excluded from vegetables. And the rest of the products leading to gas formation.

    Physiotherapy

    It is always used for prostatitis, but calculatingly, the exercises should be light to avoid rock movement. Gymnastics should stretch the muscles of the perineum. To do this, you can do the following exercises at a slow pace:

  • Stand in a chair and place your hands behind your back. Move one leg to the side, lifting it as much as possible. Lower the member. The same actions are performed with the other leg. The number of approaches is 8-10.
  • Stand with your back to the chair and support yourself. Alternately lift your legs toward your stomach, bending them at the knees.
  • Spread your legs more than your shoulders, sit down and hold the position for a few seconds. Stand. When doing the exercise, try to make flexible movements in a squatting position. Repeat maximum 5 times.
  • exercises for the treatment of calculous prostatitis

    folk remedies

  • Eat 25-30 pumpkin seeds daily, raw and always on an empty stomach.
  • Herbal decoction. You will need in equal proportions a naked ostudnik and a black card. Set aside 1 tbsp. me. herbs, pour 0, 5 liters of boiling water "cold", let it ferment. Take 3 times a day, 100 mg, half an hour before meals.
  • Ferment the brown rose roots according to the recipe indicated on the pharmacy package. Drink it as tea, three times a day.
  • Pour 2 tablespoons into a cup of boiling water. me. parsley seeds and cook for 10-15 minutes over low heat. Insist on time. Drink up to 6 times a day, one tablespoon.
  • Drink 600-1000ml of freshly squeezed asparagus juice daily.
  • Other natural juices are also useful - carrots, beets, cucumbers.
  • Prediction

    In the treatment of calculous prostatitis, conservative therapy is initially used, the result of which is usually favorable. In neglected forms and in the absence of positive dynamics of drug therapy, surgery is used. In this case, the prognosis is also favorable. However, special attention must be paid to the rehabilitation period in order to prevent infections and other complications.

    Prevention measures

    To prevent the development of calculous prostatitis and prevent relapse, follow simple rules:

    • eliminate bad habits;
    • seek timely medical help for any pathological disorders;
    • strictly follow the urologist's instructions;
    • don't cool too much;
    • use condoms to prevent infections;
    • have an active sex life with a partner.