Prostatic cyst


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.


Can a prostate cyst be a tumor?
Prostate cysts are a benign condition of the prostate and are not malignant tumors. The appearance of prostate cysts is mainly due to blockage of the prostate ducts, which gradually form over time. Most patients do not experience discomfort, and prostate cysts are generally discovered during ultrasound examinations in physical check-ups. Prostate cysts without symptoms do not require special treatment. If a patient experiences symptoms such as frequent urination, urgency, and incomplete bladder emptying, improvements can be made through warm water sitz baths or local massage. If the cyst is large enough to compress the urethra, causing urinary retention, surgery is recommended to remove the cyst and restore the flow of urination.


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.


Is a prostate cyst a serious issue?
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.


Is there a treatment method for prostate cysts?
Prostate cysts are a benign condition of the prostate, generally discovered during ultrasonic examinations of the urinary system. The treatment for prostate cysts primarily depends on the size of the cyst and whether it can cause related symptoms. If the prostate cyst is small and asymptomatic, it may not require treatment. However, if the cyst is large, it can compress the bladder, leading to urethral blockage, and cause symptoms like difficulty urinating, frequent urination, urgency, or even urinary retention, and can also compress the rectum causing difficulty in defecation. In such cases where these symptoms are present, surgical treatment is needed. There are two types of surgeries: one is the percutaneous treatment of the prostate cyst and the other is transurethral resection of the prostate.


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.


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.


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.