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 Shuai
Urology
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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.

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Written by Wang Shuai
Urology
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Is a prostate cyst serious?

Prostate cysts are not severe; they are a type of benign lesion primarily formed due to the blockage of prostate ducts. Most patients with prostate cysts have small cysts and do not experience any discomfort, and thus do not require treatment. Regular follow-up appointments to monitor changes in the size of the cyst are sufficient. It is advisable to maintain a light diet, avoid spicy and stimulating foods, and abstain from smoking and drinking, as these measures generally prevent the cyst from enlarging further. Of course, some patients may have larger cysts that could press on the urethra, leading to symptoms such as frequent urination, urgency, incomplete urination, and even difficulty in urination or urinary retention. In these cases, the cysts can be surgically removed proactively.

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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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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.

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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.