Should a prostatic cyst be operated on?

Written by Wang Shuai
Urology
Updated on September 13, 2024
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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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How to treat prostatic cysts?

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 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 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.

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Written by Wang Shuai
Urology
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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.

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Written by Wang Jian
Urology
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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.