From the Guidelines
Prostate calcifications in a 34-year-old male are typically caused by previous inflammation or infection of the prostate gland, and rarely indicate cancer. These small calcium deposits form when minerals crystallize in the prostate tissue, often as a consequence of past prostatitis (prostate inflammation) or a urinary tract infection 1. In younger men, these calcifications usually don't require specific treatment if they're not experiencing symptoms. However, if symptoms such as pain during urination, difficulty urinating, or pelvic discomfort are present, consultation with a urologist is necessary. Some key points to consider include:
- The condition is often self-limiting and idiopathic in nature, with infections of the urogenital tract being the most common identifiable cause 1.
- Imaging, such as transrectal ultrasound (TRUS), can be used to detect abnormalities, including calcifications or calculi in the prostate, ejaculatory ducts, or seminal vesicles, but is not typically necessary in asymptomatic patients 2.
- Treatment would focus on addressing any underlying infection with antibiotics or managing inflammation with anti-inflammatory medications and alpha-blockers to improve urinary flow.
- Staying well-hydrated and regular ejaculation may help prevent further calcification formation, as inflammatory processes can leave behind cellular debris that serves as a nidus for calcium deposition over time 1, 2.