Can prostate cysts affect fertility?

Written by Wang Shuai

Urology

Updated on September 15, 2024

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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 Wang Shuai

Urology

47sec

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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 Jian

Urology

58sec

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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 Shuai

Urology

50sec

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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 Wang Jian

Urology

59sec

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Can a prostate cyst cause lower abdominal pain?

Simple prostate cysts generally have no symptoms. Larger prostate cysts may compress the urethra, causing difficulty in urination, and pressure on the rectum may cause difficulty in defecation. If prostate cysts are accompanied by prostatitis, this can cause lower abdominal pain. Pain may not only be in the lower abdomen, but can also occur in the lumbosacral area, perineum, groin area, and testicles, presenting symptoms of discomfort. There may also be abnormalities in urination, such as increased frequency of urination, urgency, incomplete urination, increased nocturia, split stream, difficulty urinating, and waiting for urine flow, among other symptoms. Therefore, if lower abdominal pain occurs with a prostate cyst, it is worth considering its association with prostatitis, and treatment can be administered accordingly based on methods used for prostatitis.

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Written by Wang Shuai

Urology

49sec

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Is a 6mm prostate cyst considered large?

A prostate cyst with a diameter of 6mm is generally not serious, and most patients do not experience discomfort. For such cases, there is no need for special treatment; it is only necessary to recheck the ultrasonography every six months to a year to monitor any changes in the size of the cyst. If the cyst continues to grow and presses on the urethra, causing symptoms such as frequent urination, incomplete bladder emptying, or urgency, warm water sitz baths or local physiotherapy can be used for improvement. If the cyst is large enough to block the urethra, causing urinary retention or severe difficulties in urination, it is recommended to undergo surgery as soon as possible to remove the cyst and restore urinary flow.