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

Calculous prostatitis is a rare form of the disease that requires specific treatment.Therefore, it is important to know how it happens and what signs it is associated with.From this article you will learn about all the features of the disease.As well as diagnostic and treatment methods.

Calculous prostatitis is characterized by an inflammatory process in which conglomerates of a dense structure are formed.In other words, these are stones located in the prostate.They consist of elements that enter the male body.They arise in the secretion of the prostate gland against the background of chronic prostatitis and pathological disorders.

Causes

The cause of calculous prostatitis can be as follows:

1. Infection of the genitourinary system.These can be diseases such as chlamydia, gonorrhea, trichomoniasis, ureaplasmosis, etc.In the process of reproduction and activation of pathological microorganisms, obstruction is observed in the channels of the prostate gland, against the background of which the secretion acquires a thick and viscous structure.Thus, bacteria create a favorable environment for the formation of stones and prostatolites contribute to an increase in inflammatory processes, which causes the development of congestion in the prostate.
2. Stagnation of all processes in the gland, which occurs for various reasons - the presence of an adenoma (benign tumor) in the prostate, inactivity, the influence of unhealthy foods, abuse of alcoholic beverages, smoking.But most often the reason lies in the lack of a regular sexual life, since in this case the glands cannot empty the stones normally, which is why stagnation occurs.
3. Urethro-prostatic reflux.With this disease, small doses of urinary fluid are thrown into the prostate during urination.With the accumulation of urine, crystallized salts are released, which over time enlarge and thicken, turning into stones.Urethro-prostatic reflux develops due to injuries of the urethra, with prostate atony, resection of the prostate gland, etc.
4. Impaired blood circulation in the pelvic organs also leads to stagnation.
5. Frequent hypothermia of the body and genitals.
6. Failure to observe personal hygiene causes infection, which leads to calculous prostatitis.
7. old age.This is due to the fact that a kind of coating of phosphoric acid and lime forms on the condensed epithelium and amyloid bodies.

The stone formations have a yellow hue and a spherical shape.The minimum size of prostatoliths is 0.25 cm, the maximum is 0.4.They are formed single or multiple and are mainly of the following types: phosphate stones, oxalate stones or bridge stones.

Symptoms

The presence of prostatitis in the prostate is indicated by the following signs:

• dull and painful pain in the perineum, groin, tail, scrotum;
• increased pain after physical activity, bowel movements, sexual intercourse, prolonged sitting in one position;
• severe pain during urination;
• life interruption;
• frequent urge when urine is retained;
• blood particles in urine and semen;
• premature ejaculation;
• weakening of power;
• 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 or ducts of the prostate.Symptoms of the catarrhal type are mild, the signs resemble a cold.If you consult a urologist at the right time and start adequate treatment, you can get rid of the disease within a week.
• Secondary or follicular.In the secondary form, prostatolites penetrate the organ from the kidneys, bladder and other elements of the body against the background of urolithiasis.Follicular type may develop after untreated catarrhal type.Manifestations are acute, with increased body temperature and suffocation, the duration of therapy is long.
• Tertiary or parenchymal.In the tertiary form, the parenchyma of the prostate is affected, therefore it is called parenchymal (diffuse).It is the last stage of the acute course, in which the 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 are the complications of untreated calculous prostatitis:

• abscesses in the prostate due to the accumulation of purulent fluids in the tissues;
• intoxication of the body with purulent formations and the further development of sepsis, which leads to death;
• atrophy of the prostate gland and, as a result, impotence;
• vesiculitis in acute or chronic form, which is characterized by the expansion of blood vessels in the spermatic cord, which leads to impotence and infertility;
• cystitis and urinary incontinence.

To prevent such consequences, when you notice the first signs, you should go to the clinic and undergo a comprehensive examination.

How to relieve an attack at home?

It is quite clear to any reasonable person that during an attack it is necessary to call an ambulance.But before its arrival, you can take regular sedatives.If you have propolis-based rectal suppositories in your home medicine cabinet, perform the appropriate procedure.Pain relievers and laxative tablets.

Which doctor is treating you?

A urologist (or andrologist) treats prostatitis of any form.In the process of diagnosis and selection of treatment tactics, other highly specialized doctors are also involved - nephrologist, infectious disease specialist and others, depending on the cause of stone formation.

Diagnosing

During the initial visit to the urology office, the doctor performs a palpation and visual examination, after which he collects an anamnesis.One must take into account the way of life, the presence of certain pathologies and the nature of the symptoms that appear.The following diagnosis is performed:

• collection of blood and urine for general analysis to identify the quantitative number of structural units (composition of biological fluids);
• accumulation of seminal fluid (sperm in the calculous type of prostatitis is characterized by an increased amount of epithelial tissue and amyloid bodies);
• the spermogram allows you to study the degree of motility and the number of sperm;
• prostate x-ray;
• ultrasound examination of the prostate gland;
• computed tomography or magnetic resonance.

It is mandatory to collect blood for PSA, which makes it possible to identify a specific prostate antigen (a type of tumor marker of the prostate gland).

Treatment of calculous prostatitis

The duration of therapy and the choice of therapeutic measures depends on the degree of neglect of the disease, as well as on the form, the cause of development and the presence of complications.

Drug treatment

1. The fluoroquinolone group for the destruction of pathogenic microbes, which most often cause prostatitis.These are antibiotics that easily deal with many pathogens.
2. Penicillin group of antibacterial agents.
3. Tetracycline group of antibiotics.However, tetracyclines have a large number of side effects, so they are prescribed less often than other groups.
4. Cephalosporins are used intramuscularly.
5. Nonsteroidal anti-inflammatory drugs relieve pain and eliminate inflammation.
6. The patient should take vitamin complexes to strengthen the immune system.

Surgical intervention

1. Transurethral electrosection allows you to remove stones and cauterize blood vessels.For this, a high-frequency electric current and a resectoscope are used, which is inserted through the lumen of the urethra.The operation is painless, but there is a possibility that particles of prostatolite will remain.
2. Ultrasound-guided transurethral surgery.Unlike the previous method.Thanks to increased ultrasound tracking, all stone formations are removed.
3. Open prostatectomy (stones are removed by cutting) and endoscopic (using an endoscope that is inserted into the prostate).Along with advanced stones, resection of the prostate, lymph nodes and seminal vesicles is performed.
4. Lithotripsy involves the use of a laser, which crushes the stones, after which they are removed naturally.An endoscope is used for this.

Physiotherapy

• exposure to ultrasound reduces the level of inflammation, relieves pain;
• laser therapy accelerates metabolic processes in the prostate and relieves discomfort;
• magnetic therapy restores blood circulation and neutralizes swelling.

Massage normalizes the patency of the channels, accelerates the blood supply, which is considered effective for prostatitis, but is strictly prohibited for the calculous form.The reason is that prostatolites can move throughout the body.

If you are not able to follow physiotherapeutic procedures, you can do them at home using special equipment.But keep in mind that physiotherapy is effective only during remission - when prostatitis is in the acute phase, the use of equipment is prohibited.

Diet therapy

A patient diagnosed with stone prostate must adhere to a special diet, which is developed by a nutritionist on an individual level, based on the severity of the pathology.

The basis of dietary nutrition is the avoidance of alcoholic and carbonated drinks, fried, smoked, salty and spicy foods.It is undesirable to use soups based on fatty meat, fish and mushrooms.From vegetables you will have to exclude horseradish, radish, garlic, cabbage, beans and onions.And other products that lead to gas formation.

Therapeutic exercises

It is always used for prostatitis, but with the calculous form, exercises should be light to prevent stones from moving.Gymnastics should stretch the muscles of the perineum.To do this, you can do the following exercises at a slow pace:

1. Stand up in a chair and rest your hands on your back.Take one leg out to the side, lifting it as high as possible.Lower the limb.The same actions are performed with the other leg.Number of approaches – 8-10.
2. Stand with your back to the chair and lean on it.Raise your legs to your stomach one at a time, bending at the knees.
3. Spread your legs wider than your shoulders, sit down and hold the position for a few seconds.Stand up.While doing the exercise, try to make light movements in the squatting position.Repeat no more than 5 times.

Folk remedies

1. Eat 25-30 raw pumpkin seeds every day, always on an empty stomach.
2. Vegetable stew.You will need an equal percentage of bare ostudnik and initial black letter.Divide 1 tbsp.l.herbs, pour 0.5 liters of "steep" boiling water, let it brew.Take 100 mg 3 times a day half an hour before meals.
3. Make brown rose root according to the recipe shown on the pharmacy package.Drink as a tea drink three times a day.
4. Pour 2 tablespoons into a glass of boiling water.l.parsley seeds and cook for 10-15 minutes on low heat.Leave it for an hour.Drink one tablespoon up to 6 times a day.
5. Drink 600-1000 ml of freshly squeezed asparagus juice every day.
6. Other natural juices are also useful - carrots, beets, cucumbers.

PREDICTION

When treating stony prostatitis, initially conservative therapy is used, the result of which is usually favorable.In advanced forms and in the absence of positive dynamics of drug therapy, surgery is used.In this case, the prognosis is also favorable.But special attention should be paid to the rehabilitation period to prevent infection and other complications.

Preventive measures

To prevent the development of the calculous type of prostatitis and to prevent recurrence, follow simple rules:

• eliminate bad habits;
• seek medical help immediately for any pathological disorder;
• follow the urologist's instructions exactly;
• don't get too cold;
• to avoid infection, use condoms;
• Have an active sex life with a partner.