Prostate Issues and Kidney Stones: Treatment and Management

Prostate and Urinary Tract Stones

Hello, Dr.
Hsu.
About 7 to 8 years ago, I had a urinary stone episode that woke me up in the middle of the night due to pain.
The doctor treated me with medication for the stones, and I haven't had that issue since.
However, a few years later, I developed benign prostatic hyperplasia (BPH).
I've seen doctors for several years, but they only prescribed medication, stating that it can only be managed, not cured.
Is that really the case? I have my doubts! In recent years, my condition has been fluctuating.
Sometimes it takes a long time to urinate, or I experience post-void residual urine, feeling like I haven't completely emptied my bladder, among other symptoms.
I haven't seen a specialist in this field for two years.
Recently, it takes me 1 to 3 minutes to urinate, which is quite distressing.
Today, I suddenly felt unusual pain in my left flank, making me concerned about the possibility of a recurrence of urinary stones.
Can this condition be treated and cured? I plan to go to the hospital for an examination, but I wanted to consult you first to get a more comprehensive and reassuring response.
Could you please clarify my concerns and guide me on related health care and treatment methods? Thank you.

Bu Fu Lao, 60~69 year old female. Ask Date: 2012/10/30

Dr. Xu Weikai reply Urology

1.
The prostate gland tends to enlarge with age, and symptoms may become increasingly severe.
Generally, there are two treatment options: medication and surgical intervention.
Both are quite effective.
Note: Medication requires lifelong adherence, while surgery may have a possibility of recurrence after several years, depending on the individual’s constitution.
Some may experience recurrence in 3-5 years, while others may remain symptom-free with just one surgery for a lifetime.
2.
Urinary tract stones typically present with hematuria and pain, with urinary obstruction symptoms being rare.
Surgical treatment is usually the primary approach.
After thorough examination, appropriate surgical intervention can lead to complete resolution.

Reply Date: 2012/10/30

More Info

When it comes to managing prostate issues and kidney stones, it is essential to understand the nature of these conditions, their treatment options, and the importance of regular medical follow-ups.

Prostate Issues: Benign Prostatic Hyperplasia (BPH)
Benign Prostatic Hyperplasia (BPH) is a common condition in older men, characterized by the enlargement of the prostate gland. This enlargement can lead to urinary symptoms such as difficulty starting urination, a weak urine stream, frequent urination, and a sensation of incomplete bladder emptying. While BPH is not cancerous, it can significantly affect quality of life.

The treatment for BPH typically involves medication aimed at relieving symptoms. Common medications include alpha-blockers (which relax the muscles of the prostate and bladder neck) and 5-alpha-reductase inhibitors (which can shrink the prostate over time). While these medications can effectively manage symptoms, they do not cure BPH. Surgical options, such as transurethral resection of the prostate (TURP), may be considered for patients with severe symptoms or complications.

It is crucial to have regular follow-ups with a healthcare provider to monitor the condition and adjust treatment as necessary. If you are experiencing worsening symptoms, such as prolonged urination times or a feeling of incomplete emptying, it is advisable to consult a urologist for a thorough evaluation.

Kidney Stones: Recurrence and Management
Kidney stones can recur, and the likelihood of recurrence can be as high as 50% within five to ten years after the first occurrence. Factors contributing to the formation of kidney stones include dehydration, dietary habits, and certain medical conditions.
If you have a history of kidney stones and are experiencing pain in the left flank, it is essential to seek medical attention promptly. Symptoms such as severe pain, hematuria (blood in urine), or changes in urination patterns may indicate a recurrence of kidney stones or other complications, such as an obstruction or infection.

The treatment for kidney stones depends on the size and location of the stones. Small stones may pass on their own with increased fluid intake, while larger stones may require interventions such as:
1. Extracorporeal Shock Wave Lithotripsy (ESWL): A non-invasive procedure that uses shock waves to break stones into smaller pieces that can be passed in urine.

2. Ureteroscopy: A minimally invasive procedure where a thin tube is inserted through the urethra to remove or break up stones.

3. Percutaneous Nephrolithotomy: A surgical procedure for larger stones, where a small incision is made in the back to remove the stone directly.

Preventive Measures
To reduce the risk of recurrence for both BPH and kidney stones, consider the following lifestyle modifications:
- Hydration: Drink plenty of water to help dilute substances in urine that lead to stone formation.

- Diet: Limit salt and animal protein intake, and consume a balanced diet rich in fruits and vegetables.

- Regular Exercise: Maintain a healthy weight and engage in regular physical activity.

- Medication Adherence: If prescribed medications for BPH or kidney stones, take them as directed and discuss any concerns with your doctor.

Conclusion
In summary, while BPH is a manageable condition, it requires ongoing treatment and monitoring. Kidney stones can recur, and prompt evaluation of any new symptoms is crucial. Regular check-ups with a urologist will help ensure that both conditions are managed effectively. If you have not seen a urologist in two years, it would be wise to schedule an appointment for a comprehensive evaluation and to discuss your symptoms and treatment options.

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