Should a prostatic cyst be operated on?

Written by Wang Shuai
Urology
Updated on September 13, 2024
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Whether prostate cysts require surgical treatment mainly depends on the size of the cyst. If the cyst is small and the patient does not experience discomfort, there is no need for special treatment. However, if the cyst is large, compressing the urethra, or even causing urinary retention, it is advisable to undergo surgery as soon as possible to remove the cyst, relieve the pressure on the urethra, and restore smooth urination. However, most prostate cysts do not cause any discomfort and generally do not require special treatment. If there are symptoms such as frequent urination, urgency, or incomplete urination, local physiotherapy can be performed, such as warm water sitz baths, or taking oral tamsulosin hydrochloride sustained release tablets to improve urinary discomfort.

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Written by Wang Shuai
Urology
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Can a prostate cyst be a tumor?

Prostate cysts are a benign condition of the prostate and are not malignant tumors. The appearance of prostate cysts is mainly due to blockage of the prostate ducts, which gradually form over time. Most patients do not experience discomfort, and prostate cysts are generally discovered during ultrasound examinations in physical check-ups. Prostate cysts without symptoms do not require special treatment. If a patient experiences symptoms such as frequent urination, urgency, and incomplete bladder emptying, improvements can be made through warm water sitz baths or local massage. If the cyst is large enough to compress the urethra, causing urinary retention, surgery is recommended to remove the cyst and restore the flow of urination.

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Written by Wang Jian
Urology
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Can a prostate cyst cause lower abdominal pain?

Simple prostate cysts generally have no symptoms. Larger prostate cysts may compress the urethra, causing difficulty in urination, and pressure on the rectum may cause difficulty in defecation. If prostate cysts are accompanied by prostatitis, this can cause lower abdominal pain. Pain may not only be in the lower abdomen, but can also occur in the lumbosacral area, perineum, groin area, and testicles, presenting symptoms of discomfort. There may also be abnormalities in urination, such as increased frequency of urination, urgency, incomplete urination, increased nocturia, split stream, difficulty urinating, and waiting for urine flow, among other symptoms. Therefore, if lower abdominal pain occurs with a prostate cyst, it is worth considering its association with prostatitis, and treatment can be administered accordingly based on methods used for prostatitis.

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Written by Wang Shuai
Urology
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Can prostate cysts affect fertility?

Prostate cysts do not affect male fertility issues, as the major factor influencing male fertility is sperm quality. If you are concerned about fertility, it is advisable to visit the urology department of a hospital for a routine semen analysis to ensure there are no issues with sperm quality. As long as the sperm quality is fine, there is no need to worry about fertility. Most patients with prostate cysts do not experience any discomfort and do not require special treatment. However, some larger prostate cysts may compress the urethra, leading to symptoms such as frequent urination, urgency, incomplete urination, or complete blockage of the urethra causing urinary retention. In such cases, surgery to remove the cyst may be considered to restore normal urine flow.

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Written by Wang Shuai
Urology
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What department should I go to for a prostate cyst?

The appearance of prostate cysts is primarily due to the gradual formation after the blockage of the gland's small tubes. If diagnosed with a prostate cyst, it is necessary to visit the urology department of a hospital promptly. Most patients with prostate cysts do not experience discomfort, and these cysts are generally discovered during ultrasound examinations in physical check-ups. For such small cysts without any discomfort, special treatment is usually not necessary. If symptoms like frequent urination, urgent urination, or incomplete bladder emptying occur, improvements can be made via local hot compresses or warm sitz baths. If the cyst is large and compresses the urethra, causing urinary retention, it is advisable to consider surgery as soon as possible to remove the cyst and restore the flow of urination.

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Written by Gao Tian
General Surgery
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What is inside a prostate cyst?

Cysts are generally benign, possibly containing fluid and cystic fluid, etc. Therefore, if symptoms occur, it is recommended to visit the urology department for further examinations. When necessary, a biopsy through aspiration might be needed. Subsequently, follow-up plans should be based on the results. If confirmed, it is advisable to have surgical removal. Regular rest and attention to diet, avoiding spicy and irritating foods, avoiding overwork, reducing activity, especially strenuous activity, and making necessary adjustments are recommended. However, if there is suspicion of malignancy, active surgical intervention is needed to prevent further harm.