Can prostate cysts heal by themselves?

Written by Wang Jian
Urology
Updated on September 01, 2024
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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.

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Written by Wang Jian
Urology
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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.

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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 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 Jian
Urology
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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.

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Written by Wang Shuai
Urology
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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.