What is the difference between prostate and urinary stones? Finally I know the answer!

What is the difference between prostate hyperplasia and urinary tract stones? Finally I know the answer

A few days ago, Mr. Wang was admitted to the Urology Department because of frequent urination, urgent urination, and difficulty urinating for 3 days. On this day, Mr. Li was admitted to the next bed, also with symptoms of frequent urination and urgent urination. Unexpectedly, the doctor diagnosed them with prostate hyperplasia and urinary stones respectively. Why?

1. Different influencing factors

Prostatic hyperplasia: Advanced age and sex hormones are important causes of prostatic hyperplasia, and the older you are, the higher the incidence rate. Hypertension, diabetes, obesity, and unhealthy lifestyles are also closely related to the occurrence and development of benign prostatic hyperplasia.

Urinary tract stones: Abnormal body metabolism, urinary tract obstruction, infection, foreign bodies and drug use are common causes of stone formation.

(Prostatic hyperplasia: advanced age, sex hormones Urinary tract stones: metabolism, obstruction)

2. The location of the disease is different

Prostatic hyperplasia: usually refers only to the hyperplasia of the prostate.

Urinary tract stones: According to the different locations, they are divided into kidney stones, ureteral stones, bladder stones, urethral stones, etc.

(Prostatic hyperplasia: prostate Urinary tract stones: kidney, ureter, bladder, urethra)

3. Different symptoms

Prostatic hyperplasia: Mainly characterized by lower urinary tract symptoms, including frequent urination, urgency, urinary incontinence, increased nocturia, dysuria, intermittent urination, incomplete urination, and dripping after urination.

Urinary tract stones: Pain and hematuria are the main symptoms, and sudden interruption of urination, frequent urination, urgency, and difficulty urinating may also occur.

(Prostatic hyperplasia: frequent urination, urgency; Urinary tract stones: pain, hematuria)

4. Different treatments

Prostatic hyperplasia: It progresses slowly, and you can choose to change your lifestyle habits, take medication, or undergo surgery depending on the specific situation.

Urinary tract stones: In case of acute attack, stone removal, extracorporeal shock wave lithotripsy and surgical stone removal can be selected according to the specific situation.

(Prostatic hyperplasia: medication Urinary tract stones: extracorporeal lithotripsy)

5. Different water intake

Prostate hyperplasia: Drinking water properly and limiting water intake appropriately can relieve symptoms of frequent urination, such as at night and before going to bed.

Urinary tract stones: Drink more water and keep the daily urine volume above 2.0~2.5 liters to facilitate the excretion of small stones.

(Prostatic hyperplasia: drink water properly; urinary tract stones: drink more water)

However, some patients may have complicated conditions such as prostate hyperplasia and stones. Therefore, if you have symptoms such as difficulty urinating, you must seek medical attention in time.

References

[1] Chinese Association of Integrated Traditional Chinese and Western Medicine, Andrology Committee. Guidelines for the diagnosis and treatment of benign prostatic hyperplasia with integrated traditional Chinese and Western medicine (trial version)[J]. Chinese Journal of Andrology, 2017, 23(03):280-285.

[2] Developed by the Urology Committee of the Chinese Association of Integrated Traditional Chinese and Western Medicine. Standards for the diagnosis and treatment of urolithiasis with integrated traditional Chinese and Western medicine (trial version)[J]. Chinese Journal of Integrated Traditional Chinese and Western Medicine Surgery, 2008, 014(004):433-436.

[3] Ren Hu. What are the main symptoms of urinary tract stones? [J]. Guide to Happy Life, 2019(10):1.

Sudden urination interruption, microscopic hematuria, and obvious urinary pain should be considered as complications of bladder stones. Bladder stones associated with BPH are secondary stones caused by bladder outlet obstruction, and the complication rate can reach more than 10%. Therefore, elderly men who come to the doctor for bladder stones should undergo non-invasive examinations such as rectal digital examination and B-ultrasound to exclude the possibility of bladder stones secondary to BPH.

There is a certain relationship between prostatic hyperplasia and urethral stones.

Patients with prostatic hyperplasia have difficulty urinating because the gland blocks the posterior urethra. The urine in the patient's bladder cannot be discharged smoothly every time, resulting in a large amount of urine retention in the bladder. If this continues for a long time, it will cause stones to grow in the bladder.

When there are stones in the bladder, when the patient urinates, the stones will enter the urethra along with the urine, forming urethral stones. Some urethral stones will become lodged in the urethra, causing the patient to have urination pain, urination interruption, or even inability to urinate.

Therefore, patients with prostatic hyperplasia or urethral stones should receive treatment as early as possible.