How to treat benign prostatic hyperplasia with calculi?

Jul 19, 2024 Source: Cainiu Health
Disease description:

Two days ago, I went to the hospital for an examination, and the doctor diagnosed me with benign prostatic hyperplasia (BPH) with stones. How is benign prostatic hyperplasia with stones treated?

Doctor's answer (1)
Dr. Cao Zhiqiang

Prostate enlargement with stones typically requires a treatment plan tailored to the patient's specific circumstances. Common treatment methods include:

1. Medication: Alpha-1 receptor blockers can relieve tension in the smooth muscles of the urethra and improve difficulty in urination; 5-alpha reductase inhibitors can reduce prostate volume and are suitable for patients with early-stage or mild symptoms.

2. Surgical treatment:

Transurethral resection of the prostate (TURP): This is currently the most commonly used surgical method, involving the insertion of instruments through the urethra to remove the enlarged prostate tissue.

Transurethral laser enucleation of the prostate: This technique uses laser technology to remove prostate tissue, offering advantages of minimal bleeding and faster recovery.

Percutaneous transvesical prostatectomy: Suitable for high-risk patients or those who cannot tolerate general anesthesia.

Treatment decisions should be made by the physician based on the patient's age, severity of symptoms, comorbidities, overall health status, and the size and location of the stones.