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.