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 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.

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Written by Chen Feng
Urology
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How is a prostate cyst treated?

The treatment method for prostate cysts depends on the size of the cyst and the clinical symptoms of the patient. If the volume of the prostate cyst is relatively small and does not cause compression to the surrounding tissues, the patient's clinical symptoms will not be pronounced, and in such cases, no special treatment is required - regular follow-up examinations of the prostate cysts will suffice. For some patients with prostate cysts where the cyst is relatively large and likely to compress the surrounding tissues, symptoms such as perineal pain and discomfort may occur. In such cases, the cyst can be removed surgically. Generally, after surgery, it is advisable to drink plenty of water and urinate frequently to reduce the likelihood of prostate inflammation. Additionally, it is important to have regular prostate check-ups post-surgery.

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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.

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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 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.