Name of the Condition

• Calculus of Prostate
• Prostatic stones, Prostatic calculi

Summary

Calculus of prostate refers to the formation of small stones in the prostate gland. These stones may not cause any symptoms, but in some cases, they can lead to discomfort, urinary issues, or contribute to other prostate conditions.

Causes

• Prolonged inflammation of the prostate (chronic prostatitis)
• Blockage of ducts in the prostate
• Infection by certain bacteria
• Aging, contributing to calcification within the prostate

Risk Factors

• Age, especially men over 50
• Prior episodes of prostatitis
• History of urinary tract infections
• Sedentary lifestyle

Symptoms

• Difficulty urinating or weak urine stream
• Frequent urination, particularly at night
• Painful ejaculation
• Discomfort or pain in the lower back or pelvic area

Diagnosis

• Digital rectal examination (DRE)
• Transrectal ultrasound (TRUS)
• Computed tomography (CT) scan
• Magnetic resonance imaging (MRI)

Treatment Options

• Medications, such as antibiotics if infection is present
• Minimally invasive procedures to remove stones
• Surgery (rarely needed unless significant blockage or persistent symptoms)

Prognosis and Follow-Up

• Often, this condition remains asymptomatic and may not require treatment.
• Regular monitoring by a healthcare provider is advisable, especially if symptoms develop.
• Outcomes are generally positive with proper management if symptoms occur.

Complications

• Recurrent urinary tract infections
• Increased risk of prostatitis
• Potential contribution to urinary obstructions

Lifestyle & Prevention

• Maintaining a healthy diet and weight
• Regular physical activity
• Staying hydrated to reduce the risk of urinary stone formation
• Timely treatment of urinary infections

When to Seek Professional Help

• Experiencing persistent urinary problems
• Noticeable pain in the pelvic area or lower back
• Signs of infection, such as fever or chills

Additional Resources

• American Urological Association: AUA Website
• Prostate Cancer Foundation: PCF Website
• National Institute of Diabetes and Digestive and Kidney Diseases: NIDDK Website

Tips for Medical Coders

• Confirm the presence of calculi via diagnostic imaging before coding.
• Ensure to differentiate from other prostate-related conditions, such as prostatitis or benign prostatic hyperplasia.
• Double-check for any related secondary codes to provide a full picture of the patient’s status and comorbidities.