Prostatic cyst


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.)


Does prostate cyst affect sexual life?
Prostate cysts do not affect sexual life. If the prostate cyst is relatively small, it has no impact on the body and may not require treatment, as it shows no symptoms. However, if the cyst is large, it may compress the urethra, resulting in difficulty urinating, frequent urination, urgency, hesitancy, incomplete bladder emptying, and even acute urinary retention. Sometimes, a large prostate cyst may also compress the rectum, causing difficulty in defecation. If the cyst is large and causes a series of compressive symptoms, surgical treatment may be considered. The surgery generally involves a transurethral resection of the prostate cyst, which is a minimally invasive surgery and also has no impact on the body.


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.


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.


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.


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.


What is inside a prostate cyst?
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.


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.


What department should I go to for a prostate cyst?
The appearance of prostate cysts is primarily due to the gradual formation after the blockage of the gland's small tubes. If diagnosed with a prostate cyst, it is necessary to visit the urology department of a hospital promptly. Most patients with prostate cysts do not experience discomfort, and these cysts are generally discovered during ultrasound examinations in physical check-ups. For such small cysts without any discomfort, special treatment is usually not necessary. If symptoms like frequent urination, urgent urination, or incomplete bladder emptying occur, improvements can be made via local hot compresses or warm sitz baths. If the cyst is large and compresses the urethra, causing urinary retention, it is advisable to consider surgery as soon as possible to remove the cyst and restore the flow of urination.


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.