Is a prostate cyst a serious issue?

Written by Wang Shuai
Urology
Updated on September 08, 2024
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Prostate cysts are a benign condition that generally do not significantly affect the patient. Most cases are found during ultrasound exams at physical check-ups. Such small or asymptomatic prostate cysts do not require special treatment. Some patients have larger prostate cysts that can press on the prostate and urethra, leading to symptoms such as frequent urination, urgent urination, and incomplete bladder emptying. In these cases, local heat application, warm sitz baths, and other methods can be used to alleviate urinary discomfort. If necessary, prostate cyst aspiration may be performed. If the cyst is large enough to compress the urethra and cause urinary retention, surgery to remove the cyst is recommended.

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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 does prostate cyst mean?

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.

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Written by Wang Shuai
Urology
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Prostate cysts should be seen in the urology department.

Prostate cysts are a benign lesion of the prostate, and if one has a prostate cyst, it is necessary to seek treatment in the urology department of a hospital. In the case of prostate cysts, if no discomfort symptoms are caused, there generally is no need for special treatment. However, some patients might experience symptoms similar to those of prostatitis due to the presence of cysts, such as frequent urination, urgent urination, and a feeling of incomplete bladder emptying. For such cases, local hot compresses can be applied, or oral medications like Prostakang tablets and Tamsulosin Hydrochloride Controlled Release Tablets may be used to improve symptoms of urinary discomfort. If the cyst is large and compresses the urethra, even causing urinary retention, it is recommended to opt for surgery as soon as possible. (Medications should be used under the guidance of a clinical doctor, according to the specific situation.)

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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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Is a 6mm prostate cyst considered large?

A prostate cyst with a diameter of 6mm is generally not serious, and most patients do not experience discomfort. For such cases, there is no need for special treatment; it is only necessary to recheck the ultrasonography every six months to a year to monitor any changes in the size of the cyst. If the cyst continues to grow and presses on the urethra, causing symptoms such as frequent urination, incomplete bladder emptying, or urgency, warm water sitz baths or local physiotherapy can be used for improvement. If the cyst is large enough to block the urethra, causing urinary retention or severe difficulties in urination, it is recommended to undergo surgery as soon as possible to remove the cyst and restore urinary flow.