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

Calculus prostatitis is a rare form of the disease that requires specific treatment. Therefore, it is important to know how it is formed and what signals accompany it. In this article you can learn all the features of the disease. As well as methods of diagnosis and treatment.

Calculus prostatitis is characterized by an inflammatory process in which densely structured conglomerates are formed. In other words, these are the stones found in the prostate. They consist of elements that enter the human body. In the secretion of the prostate gland, pathological disorders develop in the background of the chronic course of prostatitis.

Causes of occurrence

Calculus prostatitis can be caused by:

1. Infection of the urogenital system. These can be diseases such as chlamydia, gonorrhea, trichomoniasis, ureaplasmosis and so on. In the process of multiplication and activation of pathological microorganisms, blockage is observed in the channels of the prostate gland, in the background of which the secret is given a thick and viscous structure. Thus, bacteria create a favorable environment for the formation of stones, and prostatoliths contribute to an increase in inflammatory processes, leading to prostate congestion.
2. Stagnation of all glandular processes, which occurs for various reasons - the presence of adenoma (benign tumor) in the prostate, inactivity, the effects of harmful foods, alcohol consumption, smoking. But the reason most often lies in the lack of regular sexual activity, as in this case the glands are usually unable to empty the tartar, so stagnation occurs.
3. Urethral prostate reflux. In this disease, urine fluid is thrown into the prostate in small doses during urination. With the accumulation of urine, crystallized salts are released, which over time grow and thicken, becoming stone. Urethral prostate reflux can cause urethral injuries, prostate atony, prostate resection, and so on. It develops because of.
4. Disruption of 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 calcular prostatitis.
7. Old age. This is due to the fact that a kind of phosphoric acid and limestone plaque is formed on the thickened epithelial and amyloid bodies.

The stone shapes are yellow and spherical. The minimum size of prostatoliths is 0, 25 cm, the maximum is 0, 4 cm. They are formed singly or in multiples, mainly of the following types: phosphate stones, oxalate or urate stones.

Symptoms

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

• dull and painful pain in the perineum, groin, coccyx, scrotum;
• increased pain syndrome physical actions, bowel movements, sexual intercourse, prolonged sessions in one position;
• sharp pain when urinating;
• intermittent beam;
• frequent urge to hold urine;
• blood particles in urine and semen;
• premature ejaculation;
• weakening of potency;
• increased body temperature;
• insomnia;
• decreased appetite;
• psycho-emotional instability.

Stages of bacterial prostatitis

• Primary or catarrhal.In the primary form, stones are formed in the acinar of the prostate or ducts. Catarrhal symptoms are poorly expressed, the symptoms are reminiscent of catarrhal pathologies. If you consult a urologist in time and start proper treatment, you can get rid of the disease in a week.
• Secondary or follicular.In a secondary form, prostatoliths penetrate the organ in the background of urolithiasis from the kidneys, bladder, and other parts of the body. After untreated catarrhal type, a follicular appearance may develop. Manifestations are acute, with increasing body temperature and bloating, the duration of therapy is long.
• Third or parenchymal.In the tertiary form, the prostate gland parenchyma is affected and is therefore called a parenchyma (diffuse). This is the last stage of the acute course in which the symptoms are very severe. Purulent discharge is formed in the inflamed area. The treatment process is long and tolerance is difficult.

Possible complications of calculous prostatitis

What complicates untreated calcareous prostatitis:

• abscesses in the prostate underlying the accumulation of purulent fluid in the tissues;
• poisoning of the body with purulent formations and further development of sepsis, which is fatal;
• atrophy of the prostate gland and consequent impotence;
• vesiculitis in acute or chronic form, characterized by vasodilation in the spermatozoa, leading to impotence and infertility;
• cystitis and urinary incontinence.

To prevent such consequences, when the first signs are detected, go to the clinic and undergo a comprehensive examination.

How to alleviate the attack at home?

It is completely understandable to any sane person that it is necessary to call a rescue team during an attack. But before you arrive, you can take your usual painkiller. If you have propolis-based rectal suppositories in your home doctor's office, follow the appropriate procedure. Relieves pain and laxative pills.

Which doctor treats you?

A urologist (or andrologist) deals with the treatment of any form of prostatitis. Other highly specialized physicians — nephrologists, infectious disease specialists, and others, depending on the cause of the formation of the stones — are also involved in the process of diagnosis and selection of treatment tactics.

Diagnostics

On the first visit to the urology office, the doctor performs palpation and visual examination and then collects a medical history. Lifestyle, the presence of certain pathologies, and the nature of the manifestations are necessarily taken into account. In addition, the following diagnostics are performed:

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

Blood collection for PSA is mandatory, allowing the identification of a specific prostate antigen (a type of tumor marker for the prostate gland).

Treatment of calculous prostatitis

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

Drug treatment

1. Fluoroquinolone group for the destruction of pathogenic microbes, which are the most common causes of prostatitis. These are antibiotics that can be easily treated with many pathogens.
2. Penicillin group of antibacterial agents.
3. The tetracycline group of antibiotics. However, tetracyclines have a number of side effects and are therefore less commonly prescribed than other groups.
4. Cephalosporins are administered intramuscularly.
5. Non-steroidal anti-inflammatory drugs relieve pain syndrome, eliminate inflammation.
6. The patient should take vitamin complexes to strengthen the immune system.

Surgical intervention

1. Transurethral electrosection allows removal of stones and cauterization of blood vessels. This is done using a high-frequency electric current and a resectoscope that is inserted through the lumen of the urethra. The surgery is painless, but there is a possibility that the prostatolite particles will remain.
2. Transurethral surgery with ultrasound guidance. Unlike the previous method. Thanks to increased ultrasound tracking, all tartar is removed.
3. Striped prostatectomy (stones are removed by dissection) and endoscopic (using an endoscope placed in the prostate). Together with the neglected stones, resection of the prostate, lymph nodes, and nuclei is performed.
4. Lithotripsy is the use of a laser that crushes stones and then empties them naturally. An endoscope is used for this.

Physiotherapy

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

Massage normalizes the permeability of the ducts, speeds up the blood supply, which is considered effective for prostatitis, but is strictly forbidden in calculus form. This is because prostatoliths can move through the body.

If you do not have the opportunity to participate in physiotherapy procedures, you can also perform them at home using special equipment. But keep in mind that physiotherapy is only effective in remission - when prostatitis is in an exacerbation stage, the use of devices is prohibited.

Diet therapy

A patient diagnosed with calculous prostatitis is required to follow a special diet that is developed by a nutritionist at the 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 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 other products lead to gas formation.

Physiotherapy

It is always used for prostatitis, but in calculus form, the exercises should be light to prevent the stones from moving. Exercise should stretch the muscles of the perineum. To do this, you can do the following exercises slowly:

1. Get up on a chair and rest your hands on your back. Take one foot aside and lift it as far as it will go. Lower the limb. The same steps are performed with the other foot. The number of approaches is 8-10.
2. Stand with your back to the chair and lean on it. Lift your legs alternately to your stomach, bending your knees.
3. Widen your legs at your shoulders, sit down, and fix your position for a few seconds. Stand up. During the exercise, try to perform springy movements in a squatting position. Repeat up to 5 times.

Folk remedies

1. Eat 25-30 pumpkin seeds daily, raw and always on an empty stomach.
2. Herbal decoction. You will need an equal proportion of a naked ostudnik and a black letter. Separate 1 tbsp. l. herbs, pour 0, 5 liters of "cool" boiling water, allow to cook. Take 100 mg 3 times a day, half an hour before meals.
3. Cook the brown rosehip root according to the recipe on the pharmacy packaging. Drink three times a day as a tea drink.
4. Pour 2 tablespoons into a glass of boiling water. l. parsley seeds and simmer for 10-15 minutes. Stick to the clock. Drink up to 6 times a day, one tablespoon.
5. Drink 600-1000 ml of freshly squeezed asparagus juice daily.
6. Other natural juices are also useful - carrots, beets, cucumbers.

Forecast

Conservative therapy is initially used to treat calculous prostatitis, with generally favorable results. Surgery is used in neglected forms and in the absence of positive dynamics of drug therapy. In this case, the prognosis is also favorable. But special attention should be paid to the rehabilitation period to prevent infections and other complications.

Preventive measures

To prevent the development of calculus-type prostatitis and relapse, follow these simple rules:

• eliminate bad habits;
• consult a doctor in time for any pathological disorders;
• strictly follow the instructions of the urologist;
• do not overcool;
• use of condoms to avoid infection;
• have an active sex life with a partner.