Prostatic calcification refers to the formation of hardened or calcified tissue within the prostate gland. This condition can lead to various symptoms and complications, including recurrent prostatitis and urinary obstruction.

What is Prostatic Calcification?

• Precursor to Stones: Prostatic calcification often develops as a result of inflammation in the prostate gland, leaving behind scars or fibrosis. Over time, these fibrotic areas can calcify, forming stones within the prostate tissue.

• Detection: Prostatic calcification and stones can often be detected through imaging tests such as ultrasound (B-ultrasonic examination). These calcifications can contribute to chronic prostatitis syndrome and may lead to recurrent infections.

Symptoms and Complications

• Urinary and Bowel Symptoms: Prostatic calcification and stones can cause various symptoms, including urinary obstruction and bowel obstruction. This may manifest as:

  • Acute urinary retention (sudden inability to urinate)
  • Difficulty urinating
  • Dense secretion from the urethra
  • Fluctuation sensation on rectal examination

• Inflammatory Complications: In some cases, prostatic cysts may form, leading to inflammation and infection in surrounding tissues. This can result in symptoms such as fever, lower urinary tract symptoms, epididymitis, and testitis.

Treatment Options

• Surgical Drainage: Prostatic cysts and calcifications may require surgical drainage to alleviate symptoms and prevent complications. This can involve procedures such as epididymal drainage or transurethral prostate resection drainage.

• Comprehensive Evaluation: Patients with symptoms of prostatic calcification should undergo a comprehensive evaluation to determine the extent of calcification and assess for any associated complications.

• Long-Term Management: It's important to address prostatic calcification and stones promptly, as untreated calcifications can lead to persistent symptoms and recurrent infections. Long-term management may involve a combination of medication, lifestyle modifications, and follow-up evaluations.

Conclusion

Prostatic calcification can lead to various urinary and inflammatory symptoms, requiring prompt evaluation and treatment to prevent complications. With proper management, including surgical drainage when necessary, patients can alleviate symptoms and improve their quality of life.