What is inside a prostate cyst?

Written by Gao Tian
General Surgery
Updated on September 15, 2024
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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.

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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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How to treat prostatic cysts?

Prostate cysts are benign lesions of the prostate, and most patients do not experience any symptoms. They are generally discovered during ultrasound examinations at medical check-ups. For these asymptomatic prostate cysts, no special treatment is necessary; monitoring the cyst size through ultrasound every six months to a year is sufficient. However, some patients may experience recurrent prostatitis due to the presence of the cysts, and even develop prostate stones. If symptoms are not severe, oral traditional Chinese medicines can be taken, or local heat application, warm water sitz baths can be used to alleviate urinary discomfort. If the cyst is large enough to compress the urethra, causing urinary retention, early surgical intervention to remove the cyst is recommended.

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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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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.

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Written by Wang Shuai
Urology
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Can prostate cysts turn into cancer?

Prostate cysts and prostate cancer are not causally related. The causes, clinical manifestations, and prognoses of these two diseases are completely different. Prostate cysts are benign and generally do not significantly affect the patient; most patients do not have any discomfort, so prostate cysts will not turn into prostate cancer. If a prostate cyst is diagnosed, regular follow-up ultrasound examinations to monitor the specific size and changes of the cyst are sufficient; there is no need to worry about the cyst transforming into cancer. If the cyst is large and presses against the urethra, causing urinary discomfort, local heat application or warm water sitz baths can be considered to alleviate the symptoms.