Post Date December, 03 2023
Question: "Recently, a friend of mine came back from the routine physical examination of his unit and was very nervous - he found prostate calcification. He was worried: Is prostate calcification a disease? Does it need treatment? Does it affect fertility? Can it become cancerous? How much crisis does it have?"
Prostate calcification expert:
"Prostate calcification is relatively common in clinical work. Simple prostate calcification is very common in young and middle-aged people, especially in men aged 30-50. Simple prostate calcification has no symptoms, and people often find it suddenly during physical examination. Because it is usually asymptomatic, it will cause tension once it is found suddenly.
Prostate calcification is different from calculus. However, the current imaging diagnosis cannot clearly differentiate calcification and calculus. Many reasons can cause prostatic matrix fibrosis and calcification, which is a pathological outcome. Stone refers to the stone particles formed in the prostate gland cavity due to long-term calcium salt deposition.
Tuberculosis, tumor and inflammation can cause prostate calcification. For calcification caused by tuberculosis, the patient should have relevant tuberculosis contact history or tuberculosis history. Prostate tumor, common in elderly men. Early screening of tumor markers, namely prostate cancer specific antigen (PSA), should be carried out. If PSA is normal, it is not a big problem.
In patients with chronic prostatitis, the inflammatory reaction will cause fibrosis and calcification of the prostate during the development of the disease. At this time, we should first actively treat inflammation.
Prostatitis is mostly due to the special structure of the prostate - it is located in the posterior urethra, that is, the prostate gland cavity is connected with the urethral lumen. When there is resistance in the urethral lumen, part of the urine may flow up through the prostate gland and cause prostatitis.
Simple prostate calcification has no direct relationship with prostatic hyperplasia and prostate cancer. For elderly men over 50 years old who have symptoms of prostatic hyperplasia or are suspected of prostate cancer, we will conduct further tests. For simple prostate calcification, we will not over-check.
Prostate fluid is a component of semen, which is very important for sperm maturation and development. If there is chronic prostatitis, it may affect the acidity and alkalinity of prostate fluid and the ratio of specific chemical components, and may cause infertility. However, simple prostate calcification does not have a great impact on the composition of prostate fluid, so there is no need to worry about causing infertility.
Most prostate calcifications have no direct relationship with sexual life. However, a small number of people, especially young and middle-aged people, have a relatively vigorous sexual life, and the prostate is in a long-term and frequent hyperemia state, which will cause prostate fibrosis and calcification.
Prostate calcification is not a specific disease, and there is no clear prevention and treatment measures at present. However, men should pay attention to their personal living habits and eating habits to protect the prostate and promote its health. In normal life and work, don't sit too long. Sitting for a long time can easily lead to long-term blood stasis of the prostate and cause prostate disease. Eat less spicy food and reduce irritation to prostate. Eat more vegetables and fruits, supplement trace elements and vitamins. In addition, do some exercise properly. These are measures to promote prostate health. "
Literature explanation:
1. Prostate calcification is a calcified structure that occurs in prostatic acini; Prostate calculus is a kind of calculus that occurs in the prostatic acinus and the lumen of the gland, which is difficult to distinguish. Prostate calcification is a scar left by inflammation of the prostate. It also occurs in prostate lesions such as prostate tuberculosis or tumor. Of course, it is not ruled out to be a precursor of prostate calculus.
2. Middle-aged and young people are prone to prostate calcification because: the prostate is deep, the resistance of venous reflux is large, and congestion is easy to occur; Young adults are frequently sexually active, prone to sexual impulse and often in hyperemia.
3. Due to the particularity of prostate structure, there is generally no better treatment for calcification. For prostate calcification without symptoms, no special treatment is required, and regular follow-up and re-examination can be carried out; When accompanied by chronic infection or prostatic hyperplasia, those with mild obstruction can be treated as chronic prostatitis and prostatic hyperplasia; Patients with acute infection and severe obstruction accompanied by stubborn infection or repeated attacks should undergo prostatectomy as soon as possible after infection control.
