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

Calculous prostatitis is a rare form of the disease that requires specific treatment. Therefore, it is important to know what it looks like and what signs are accompanied. From this article you will learn all the features of the disease. As well as the methods of diagnosis and treatment.

For calculous prostatitis, an inflammatory process is characteristic, 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 a man's body. They arise in the secretion of the prostate gland against the background of the chronic course of prostatitis, pathological disorders.

Causes of the event

Calculated prostatitis can be caused by the following:

1. Infection of the genitourinary system. These can be diseases such as chlamydia, gonorrhea, trichomoniasis, ureaplasmosis and so on. In the process of reproduction and activation of pathological microorganisms, obstruction in the ducts of the prostate gland is noted, against the background of which the secret acquires a thick, viscous structure. Therefore, bacteria create a favorable environment for the formation of stones, and prostatoliths contribute to an increase in inflammatory processes, which lead to prostate congestion.
2. Stagnation of all processes in the gland, which occurs for various reasons: the presence of adenoma (benign tumor) in the prostate, inactivity, the influence of harmful foods, alcohol abuse, tobacco smoking. But very often the reason lies in the absence of regular sexual activity, since in this case the glands cannot normally empty the stones and therefore stagnation occurs.
3. Urethro-prostatic reflux. In this disease, the urinary fluid during urination in small doses is thrown into the prostate. As urine accumulates, crystallized salts are released, which over time increase and thicken and turn into stones. Urethro-prostate reflux develops due to lesions of the urethra, atony of the prostate, 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 provokes infection, which leads to calculous prostatitis.
7. Elderly age. This is due to the fact that a kind of plaque of phosphoric acid and lime is formed on the thickened epithelium and amyloid bodies.

The rock formations are yellowish and spherical. The minimum size of prostatoliths is 0. 25 cm, the maximum is 0. 40. They are formed singly or in multiples, they are mainly of the following types: phosphate, oxalate or urate stones.

Symptoms

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

• dull, aching pain in the perineum, groin, coccyx, scrotum;
• increased pain syndrome after physical actions, bowel movements, sexual intercourse, prolonged sitting in one position;
• sharp pain when urinating;
• intermittent jet;
• frequent stimulation with retention of urine;
• blood particles in urine and semen;
• premature ejaculation;
• weakening of potency;
• 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 begin adequate treatment, you can get rid of the disease in a week.
• Secondary or follicular.In the secondary form, prostatoliths enter the organ from the kidneys, bladder and other elements of the body against the background of urolithiasis. A follicular appearance can develop after an untreated catarrhal type. Manifestations are acute, with an increase in body temperature and suppuration, the duration of therapy is long.
• Tertiary or parenchymal.With the tertiary form, the parenchyma of the prostate gland is affected, so 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 on the inflamed area. The treatment process is long, tolerance is difficult.

Possible complications of calculous prostatitis

What complicates untreated calculous prostatitis:

• abscesses in the prostate against the background of the accumulation of purulent fluid in the tissues;
• intoxication of the body with purulent formations and further development of sepsis, which is fatal;
• atrophy of the prostate gland and, as a result, impotence;
• vesiculitis in 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, when the first signs are found, to go to the clinic and undergo a comprehensive examination.

How to relieve an attack at home?

It is quite understandable for every 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 home medicine cabinet contains propolis-based rectal suppositories, perform the appropriate procedure. Relieves pain and laxative tablets.

Which doctor is he treating?

The urologist (or andrologist) deals with the treatment of prostatitis of any form. Other highly specialized doctors - a nephrologist, an infectious disease specialist and others, depending on the cause of stone formation - are also included in the process of diagnosing and selecting treatment tactics.

Diagnostics

At the first visit to the urological office, the doctor conducts a palpation and visual examination, after which he collects an anamnesis. Lifestyle, the presence of certain pathologies and the nature of the signs that occur 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 calculosus type of prostatitis is characterized by an increase in the number of epithelial tissues and amyloid bodies);
• the spermogram allows to study the degree of motility and the number of spermatozoa;
• X-ray of the prostate;
• ultrasound examination of the prostate;
• magnetic or computerized resonance.

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

Treatment of calculous prostatitis

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

Pharmacological treatment

1. Group of fluoroquinolones for the destruction of pathogenic microbes, which are most often the cause of prostatitis. These are antibiotics that can easily treat many pathogens.
2. Penicillins 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 in other groups.
4. Cephalosporins are administered intramuscularly.
5. Non-steroidal anti-inflammatory drugs relieve pain syndrome, eliminate inflammation.
6. The patient must take vitamin complexes to strengthen the immune system.

Surgical intervention

1. Transurethral electroresection 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 urethral lumen. The operation is painless, but there is a possibility that prostatolitis particles remain.
2. Transurethral surgery with ultrasound guidance. Unlike the previous method. Thanks to the increase in ultrasound tracking, all stones are removed.
3. Strip prostatectomy (stones are removed by dissection) and endoscopic (using an endoscope that is inserted into the prostate). Together with the stones in a neglected form, resection of the prostate, lymph nodes and seminal vesicles is performed.
4. Lithotripsy involves the use of a laser that crushes the stones, after which they are naturally expelled. For this, an endoscope is used.

Physiotherapy

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

Massage normalizes the patency of the ducts, accelerates the blood supply, which is considered effective for prostatitis, but with the calculated form it is strictly prohibited. The reason is that prostatolytes can move through the body.

If you do not have the opportunity to attend physiotherapy procedures, you can perform them at home using special devices. But keep in mind that physiotherapy is effective only in remission: when prostatitis is in a phase of exacerbation, it is forbidden to use devices.

Diet therapy

A patient diagnosed with calculous prostatitis is obliged to 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 rejection of alcoholic and carbonated drinks, fried, smoked, salty and spicy foods. It is not recommended to use broths from fatty meat and fish, mushrooms. Horseradish, radish, radish, garlic, cabbage, beans and onions will need to be excluded from vegetables. And the rest of the products that lead to the formation of gas.

Physiotherapy

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

1. Stand up in a chair and place your hands on the backrest. Bring one leg to the side, lifting it as high as possible. Lower the limb. The same actions are performed with the other leg. The number of approaches is 8-10.
2. Stand with your back to the chair and lean back. Raise your legs alternately to the stomach, bending them at the knees.
3. Spread your legs wider than your shoulders, sit down and fix the position for a few seconds. Standing. As you perform the exercise, try to perform springy movements in the squatting position. Repeat no more than 5 times.

Folk remedies

1. Eat 25-30 pumpkin seeds a day, raw and always on an empty stomach.
2. Herbal decoction. You will need in equal proportions a naked ostudnik and a black letter. Separate 1 tbsp. L. herbs, pour 0, 5 liters of "fresh" boiling water, let it brew. Take 3 times a day, 100 mg half an hour before meals.
3. Prepare the root of the brown rose hips according to the recipe indicated on the pharmacy packaging. Drink as a tea drink three times a day.
4. Pour 2 tablespoons into a glass of boiling water. L. parsley seeds and simmer for 10-15 minutes over low heat. Insist now. Drink up to 6 times a day, one tablespoon.
5. Drink 600-1000ml of freshly squeezed asparagus juice every day.
6. Other natural juices are also useful: carrot, beet, cucumber.

Forecast

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. Also in this case the prognosis is favorable. But special attention should be paid to the rehabilitation period in order to prevent infections and other complications.

Prevention measures

To prevent the development of the stone type of prostatitis and prevent relapses, follow simple rules:

• eliminate bad habits;
• seek medical assistance in a timely manner for any pathological disorders;
• strictly follow the instructions of the urologist;
• do not overcool;
• use condoms to avoid infection;
• having an active sex life with a partner.