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Wang Jian
Urology
About me
Male, associate chief physician, doctoral student, graduated from Harbin Medical University, specializes in the diagnosis and treatment of common and complex diseases in urology, especially in minimally invasive urology. Proficient in procedures such as transurethral plasma prostatectomy, transurethral resection of bladder tumors, percutaneous nephroscopy, and ureteroscopy.
Proficient in diseases
Diagnosis and treatment of urological tumors, stones, and other urinary tract diseases, as well as the diagnosis and treatment of male diseases such as erectile dysfunction, premature ejaculation, and prostatitis.
Voices
Does prostate cyst affect sexual life?
Prostate cysts do not affect sexual life. If the prostate cyst is relatively small, it has no impact on the body and may not require treatment, as it shows no symptoms. However, if the cyst is large, it may compress the urethra, resulting in difficulty urinating, frequent urination, urgency, hesitancy, incomplete bladder emptying, and even acute urinary retention. Sometimes, a large prostate cyst may also compress the rectum, causing difficulty in defecation. If the cyst is large and causes a series of compressive symptoms, surgical treatment may be considered. The surgery generally involves a transurethral resection of the prostate cyst, which is a minimally invasive surgery and also has no impact on the body.
What effects do prostate cysts have?
Prostate cysts are caused by either congenital or acquired factors leading to cystic changes in the prostate. If a prostate cyst becomes infected, it can press on the urethra, causing difficulty in urination. The most common symptoms include frequent urination, urgent urination, straining during urination, and hesitancy. In severe cases, urinary retention may occur, generally seen in larger prostate cysts or cysts that grow towards the neck of the bladder. Generally, smaller prostate cysts do not cause a series of symptoms, and those causing symptoms are usually larger than 3 centimeters. Upon the occurrence of a prostate cyst, a urinary system ultrasound examination should be performed. Cysts without symptoms do not require treatment, while symptomatic cysts can be managed through cyst aspiration or transurethral resection surgery.
How to deal with prostate stones?
Smaller prostate stones generally do not impact the human body and do not cause noticeable symptoms. However, if prostate stones are accompanied by prostatitis and prostate enlargement, they can lead to symptoms such as frequent urination, urgent urination, incomplete urination, painful urination, difficulty urinating, and waiting for urination. For these symptoms, symptomatic treatment is sufficient, following the treatment methods for prostatitis and prostate enlargement. If prostate stones are large enough to affect urination, causing difficulty in urination or even urinary retention; if large prostate stones protrude into the bladder causing difficulty in urination, then surgery is required to treat this condition. The surgery generally involves minimally invasive transurethral prostate stone surgery or open surgery.
How is a prostatic cyst treated?
Prostate cysts are cystic changes occurring in the prostate gland, usually detected through ultrasonic examination of the urinary system. Most prostate cysts are small and asymptomatic, thus requiring no treatment. Larger cysts are less common and may compress the urethra, causing difficulty urinating, frequent urination, urgency, strained urination, thinning of the urine stream, and even acute urinary retention. For symptomatic prostate cysts, treatment options include ultrasound-guided transrectal or perineal prostate cyst aspiration followed by the injection of a sclerosing agent. Another surgical option is transurethral resection of the prostate cyst, which is a minimally invasive surgery.
What does lower abdominal pain due to a prostate cyst mean?
If the prostate cyst is very small, there are no symptoms. However, sometimes a prostate cyst may be accompanied by prostatitis, presenting symptoms such as frequent urination, urgent urination, incomplete urination, and pain in the bladder area, perineum, or sacral region. If the prostate cyst is relatively large, it can compress the internal opening of the urethra, causing difficulty in urination, and even acute urinary retention. During acute urinary retention, the patient may also experience abdominal pain. When the prostate cyst is large, it can also compress the rectum, causing difficulty in defecation. Therefore, lower abdominal pain is not necessarily caused by a prostate cyst, and it is best to undergo further examination to determine the specific cause.
Treatment of bladder cancer
For the treatment of bladder cancer, it is necessary first to confirm the diagnosis of bladder cancer through routine urine tests, ultrasonographic examination of the urinary system, cystoscopy, and imaging studies of the urinary system. It is important to determine the location, area, and malignancy of the bladder tumor. For early-stage superficial bladder tumors or tumors on the bladder wall with fewer numbers, minimally invasive surgery can be performed, followed by bladder perfusion to prevent recurrence of the bladder tumor. In the second scenario, if the bladder tumor is multiple and larger, and has a higher degree of malignancy in the bladder trigone area, then a radical cystectomy is required. Radical cystectomy involves the removal of the bladder along with the prostate in males or the uterus in females, followed by the creation of a urinary diversion, typically through these two treatment methods.
How to treat cystitis
Bladder infections are most commonly seen in female patients, as the female urethra is very close to the vagina and anus, making it easy for bacteria to cause infection. Symptoms of bladder infection generally include frequent urination, urgent need to urinate, painful urination, discomfort in the bladder area and perineum, a burning sensation during urination, and sometimes visible blood in the urine at the end of urinating. Diagnosis of bladder infection mainly involves a routine urine test, where a large number of white blood cells can be seen in the urine. In terms of treatment, antibiotics are primarily used, with quinolones such as levofloxacin being common choices, administered over three days. Another option is cephalosporin antibiotics such as cefixime, which is also used for three days. It is important to drink plenty of water, urinate frequently, avoid spicy and irritating foods, and maintain cleanliness and hygiene of the perineal area. Generally, symptoms should improve significantly within about three days, and it is advisable to recheck the routine urine test after one week.
What does prostate cyst mean?
Prostate cysts occur due to congenital or acquired cystic changes in the prostate gland. Small prostate cysts usually do not exhibit any symptoms. However, if an infection or stones are present, it can lead to symptoms such as frequent urination, urinary urgency, strained urination, and a feeling of incomplete bladder emptying. When the prostate cyst is large, it can compress the urethra or the neck of the bladder, obstructing urine flow, which may lead to frequent urination, urgency, difficulty in urinating, a thin urine stream, and even urinary retention. Additionally, it may compress the rectum, causing difficulty in defecation. If the prostate cyst is asymptomatic, no treatment is necessary. Surgical treatment may be considered for large or symptomatic prostate cysts, or treatment could be administered via transrectal prostate cyst puncture.
Is there a treatment method for prostate cysts?
Prostate cysts are a benign condition of the prostate, generally discovered during ultrasonic examinations of the urinary system. The treatment for prostate cysts primarily depends on the size of the cyst and whether it can cause related symptoms. If the prostate cyst is small and asymptomatic, it may not require treatment. However, if the cyst is large, it can compress the bladder, leading to urethral blockage, and cause symptoms like difficulty urinating, frequent urination, urgency, or even urinary retention, and can also compress the rectum causing difficulty in defecation. In such cases where these symptoms are present, surgical treatment is needed. There are two types of surgeries: one is the percutaneous treatment of the prostate cyst and the other is transurethral resection of the prostate.
What should I do if I have hematuria due to urethral stones?
For urethral stones, if hematuria occurs, the size of the urethral stones should be first considered. Generally, urethral stones are caused by kidney stones or ureter stones that move to and become lodged in the urethra, with the main symptoms being blood in the urine, difficulty urinating, and even urinary retention. If the urethral stone is relatively small, exercising more and drinking more water usually can help in expelling the stones out of the body; this generally applies to stones smaller than four millimeters. If the stone is larger and cannot be expelled, it is recommended to undergo cystoscopy to push the stone back into the bladder to be broken up and removed, or to directly remove the stone through the urethra. Additionally, if the stone is very close to the external opening of the urethra, it can also be removed using hemostatic forceps to clamp out the urethral stone.