Is there a problem with a prostatic cyst?

Written by Wang Jian
Urology
Updated on September 28, 2024
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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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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 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 Gao Tian
General Surgery
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Difference between prostate cyst and hyperplasia

The distinction between prostate cysts and hyperplasia lies in the fact that the former is a benign tumor and pathological, while the latter is physiological.With increasing age, particularly in elderly individuals, hyperplasia can occur. Therefore, it is essential first to determine the cause before treatment, such as undergoing an ultrasound, and in severe cases, a biopsy may be required.If the cyst is benign and either asymptomatic or small, periodic observation might be sufficient. However, for hyperplasia, conservative treatment such as oral medications is recommended initially. If the hyperplasia severely affects urination, surgical intervention may be necessary.

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Written by Chen Feng
Urology
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How is a prostate cyst treated?

The treatment method for prostate cysts depends on the size of the cyst and the clinical symptoms of the patient. If the volume of the prostate cyst is relatively small and does not cause compression to the surrounding tissues, the patient's clinical symptoms will not be pronounced, and in such cases, no special treatment is required - regular follow-up examinations of the prostate cysts will suffice. For some patients with prostate cysts where the cyst is relatively large and likely to compress the surrounding tissues, symptoms such as perineal pain and discomfort may occur. In such cases, the cyst can be removed surgically. Generally, after surgery, it is advisable to drink plenty of water and urinate frequently to reduce the likelihood of prostate inflammation. Additionally, it is important to have regular prostate check-ups post-surgery.

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Written by Wang Shuai
Urology
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Prostate cyst surgery or

Whether prostate cysts require surgical treatment depends on the specific size and location of the cyst, as well as whether it causes significant discomfort or impacts the patient. If the cyst inside the prostate is relatively small and the patient does not experience discomfort, no special treatment is necessary for this type of cyst. If the cyst causes symptoms such as frequent urination, urgent urination, or incomplete bladder emptying, warm sitz baths or localized physical therapy may be used for treatment. If the cyst is large and compresses the urethra, leading to urinary retention, it is recommended to surgically remove the cyst as soon as possible to restore the patency of the urethra.