Can prostate cysts heal by themselves?

Written by Wang Jian
Urology
Updated on September 01, 2024
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Prostatic cysts generally cannot heal on their own. They are cystic expansions within the prostatic ducts or acini. If a prostatic cyst is small, it typically does not cause any symptoms or harm to the body, and regular follow-up is sufficient. However, if a prostatic cyst is large, it can compress the urethra, leading to difficulty urinating or even urinary retention. If it presses on the rectum, it can also cause difficulty defecating. Larger prostatic cysts that cause symptoms may require surgical treatment, which can be done through open surgery or transurethrally to remove the cyst. Therefore, if a prostatic cyst is asymptomatic, it does not need treatment; if it is large and symptomatic, surgical treatment can be considered.

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Written by Wang Jian
Urology
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Is there a problem with a prostatic cyst?

Smaller prostate cysts generally do not affect the body or urine excretion, and treatment may not be necessary in such cases. However, if a prostate cyst becomes infected, develops stones, or is large enough to compress the urethra or bladder neck, it can obstruct urine flow, commonly causing difficulty urinating or even urinary retention. Compression of the rectum can also lead to difficulties in both urination and defecation. Therefore, small prostate cysts may not require intervention, but larger ones with compressive symptoms need surgical treatment. In cases of infection, symptomatic treatment is sufficient. The diagnosis of prostate cysts is usually confirmed through ultrasound examination of the urinary system. For larger cysts, typical surgical options include ultrasound-guided puncture or transurethral resection of the prostate cyst.

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Written by Wang Jian
Urology
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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.

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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 Jian
Urology
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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.

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Written by Wang Shuai
Urology
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Is a prostate cyst serious?

Prostate cysts are not severe; they are a type of benign lesion primarily formed due to the blockage of prostate ducts. Most patients with prostate cysts have small cysts and do not experience any discomfort, and thus do not require treatment. Regular follow-up appointments to monitor changes in the size of the cyst are sufficient. It is advisable to maintain a light diet, avoid spicy and stimulating foods, and abstain from smoking and drinking, as these measures generally prevent the cyst from enlarging further. Of course, some patients may have larger cysts that could press on the urethra, leading to symptoms such as frequent urination, urgency, incomplete urination, and even difficulty in urination or urinary retention. In these cases, the cysts can be surgically removed proactively.