How to treat prostatic cysts?

Written by Wang Shuai
Urology
Updated on September 26, 2024
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Prostate cysts are benign lesions of the prostate, and most patients do not experience any symptoms. They are generally discovered during ultrasound examinations at medical check-ups. For these asymptomatic prostate cysts, no special treatment is necessary; monitoring the cyst size through ultrasound every six months to a year is sufficient. However, some patients may experience recurrent prostatitis due to the presence of the cysts, and even develop prostate stones. If symptoms are not severe, oral traditional Chinese medicines can be taken, or local heat application, warm water sitz baths can be used to alleviate urinary discomfort. If the cyst is large enough to compress the urethra, causing urinary retention, early surgical intervention to remove the cyst is recommended.

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Written by Wang Jian
Urology
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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.

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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 Jian
Urology
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Is there a problem with a prostatic cyst?

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 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.