Prostate stones
Introduction
Introduction to prostate stones Prostatic stones are true stones formed in the prostate acinus and glandular ducts. They can be as small as corn, as large as peas, and can be round or oval, or they can be multi-faceted. The number can be one or several hundred. Generally brown, dark brown or black, small stones are often smooth, large stones or multiple stones can occupy the entire gland cavity, the texture is hard. basic knowledge The proportion of illness: 0.001% - 0.002% Susceptible people: male Mode of infection: non-infectious Complications: uremia premature ejaculation
Cause
Prostate stone cause
Self-factor (50%):
The formation of stones mainly comes from prostatic fluid. It is believed that gland blockage associated with prostate gland hyperplasia is the main risk factor for stone formation. Stones vary in size and are generally hard but can be crushed.
Urine reflux (30%):
The formation of exogenous stones is related to the reflux of urine in the prostate. The stones are often accompanied by focal chronic inflammation of the prostate. There are round cells infiltrating the acinus filled with shed epithelial cells and debris. The larger the stone, the prostate tube and acinus may expand.
Prevention
Prostatic stone prevention
Prevent prostatic stones, do not eat spicy food, do not smoke and drink, do not stand for a long time, do not over-sex life, do not masturbate, etc., eat more apples, tomatoes and other foods, do more sports such as jogging. It is estimated that it is about ten points:
1. Don't drink alcohol: Even if you are on holidays or when you have to socialize, don't drink alcohol, or just drink a small amount of low-alcohol.
Second, do not eat chili and other irritating foods, please refer to our recipes, arrange three meals a day, to achieve a balanced diet.
Third, drink plenty of water: drink at least 7 glasses of water a day (about 2000 ml), drink a glass of water (70 ml) every morning after getting up, it is more suitable for the elderly and the elderly who have poor urination.
Fourth, sit soon: sit for about an hour to stand up and activities.
5. Moderate exercise: achieve "five three seven", five; exercise at least 5 times a week; three: each exercise for more than 30 minutes; seven: after each exercise, the actual number of heart beats plus age to reach 170 per minute Times.
Sixth, pay attention to personal hygiene, wash the lower body every night.
Seven, do not overwork, avoid cold, adjust the work, life rhythm, work and rest, to avoid excessive fatigue. It is necessary to increase or decrease clothes according to changes in temperature to avoid cold.
Eight, keep the stool smooth: regular bowel movements every day, eat more vegetables in the daily diet. Eat moderate amounts of fruit and moderate activities, and treat them promptly when constipation occurs.
Nine, keep a good mood, be optimistic and open-minded, and promptly resolve their bad feelings.
X. A regular and responsible sexual life should not be over-frequency, but it is not necessary. Generally, it is better to have no fatigue on the second day after sexual life. The frequency of reference by age group is as follows: 30 years old, 2 times a week. ~3 times; 31~50 years old, 1~2 times a week; 51~60 years old, 2~3 times a month; 60 years old or older, once a month or twice every 3 months.
Complication
Prostatic calculus complications Complications uremia premature ejaculation
1. Lead to the development of chronic nephritis as uremia.
2, affecting the function of prostate stones easily lead to impotence, premature ejaculation.
3, infected spouse caused by gynecological inflammation of prostate inflammation.
4. Affecting normal life affects work and life.
Symptom
Prostatic calculus symptoms Common symptoms Male abdominal pain, occult blood, dysuria, nodular abscess, urinary blood and abdominal pain with hematuria, prostate stones
Most patients have no specific symptoms, often manifested as benign prostatic hyperplasia, urethral stricture or chronic prostatitis symptoms, some small stones can be discharged with the urine, some patients may have lumbosacral, perineal or penile pain, and some have sexual dysfunction, Patients with prostate abscess may have pain in the deep part of the perineum and scrotum, aggravation of stool, accompanied by fever and systemic symptoms, and obvious tenderness of the prostate.
Rectal examination, urethral exploration, cystoscopy and X-ray examination can confirm the diagnosis, no abnormal findings can be found during rectal examination, but 70% of patients have enlarged prostate and hardened, but active, the prostate surface is smooth and the edges are clear. %~22% of the prostate surface is nodular, and some parts can be as hard as stones.
Examine
Prostate stone examination
Bladder urethroscopic examination only shows swelling of the prostatic urethra, sometimes when passing through the prostate urethra, there is a sense of friction. At this time, rectal examination, there may be a squeaking sound (large and multiple stones), small stones can protrude into the urethra.
X-ray inspection has three kinds of performance:
1. Dense and dense shadows in the prostate.
2. A horseshoe-shaped or circular shadow centered on the urethra.
3. Isolated stones or the entire prostate is occupied by stones.
Diagnosis
Diagnosis and diagnosis of prostatic calculi
diagnosis
Diagnosis is performed according to clinical manifestations and examinations.
Differential diagnosis
The disease needs to be differentiated from prostate cancer and prostate tuberculosis. Prostate cancer can be found to be hard, ultrasound, Prostatic Specific antigen (PSA), acid phosphatase and rectal biopsy can be identified. Tuberculosis is often a young patient, often accompanied by epididymal tuberculosis.
