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.