Can prostate cysts turn into cancer?

Written by Wang Shuai
Urology
Updated on January 22, 2025
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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.

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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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Should a prostatic cyst be operated on?

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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Does a prostatic cyst require surgery?

Whether patients with prostate cysts need surgical treatment mainly depends on the specific size of the cyst and whether it causes discomfort symptoms. If the cyst is relatively small and the patient does not have any discomfort symptoms, no special treatment is necessary. However, if the cyst is relatively large, causing discomfort during urination, severely leading to difficulty in urination, or even urinary retention, surgical treatment can be considered. Generally, cyst puncture and aspiration might be performed first to relieve the pressure of the cyst on the urethra and improve symptoms. If the effects of puncture and aspiration are not satisfactory, surgical removal of the cyst may be considered.

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Written by Wang Jian
Urology
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Can prostate cysts heal by themselves?

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 Gao Tian
General Surgery
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Can a prostate cyst heal by itself?

For prostate cysts, they generally cannot heal on their own. Although the cysts are benign, active treatment is still necessary. It's recommended to visit the urology department to complete relevant examinations, such as a biopsy to clarify the diagnosis. If there are no symptoms, conservative treatment may be sufficient. However, if there are severe symptoms like frequent urination, painful urination, or the presence of blood in urine, active surgical intervention is required to prevent other discomforts. Additionally, rest, diet, keeping the area clean and dry, changing dressings regularly, and taking antibiotics if necessary to control infections are important.