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.