"Prostatic cyst" - does it need treatment?

Written by Wang Shuai
Urology
Updated on May 25, 2025
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Prostate cysts are a type of benign lesion, mainly due to a tendency in the prostate or blockage of the prostate ducts, gradually forming a cystic lesion. Most prostate cysts are quite small and generally do not cause any discomfort to the patient. For such cases, no special treatment is required. Regular ultrasonographic follow-ups to monitor changes in the size of the cysts are sufficient. If the cyst becomes larger, it could cause pain in the lower abdomen and perineum or press on the urethra, leading to difficulty urinating. In such cases, considering cyst aspiration, drainage, or surgical removal of the cyst may be considered for treatment. After the surgery, the relief of the cyst pressure on the urethra and prostate can gradually alleviate the symptoms.

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Written by Wang Shuai
Urology
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How does a prostate cyst heal itself?

Prostate cysts, belonging to cystic lesions of the prostate, are currently considered a benign condition, generally not malignant and do not heal on their own. If the cyst is small, patients generally do not have any discomfort, and it is usually discovered during a medical examination through ultrasound. If the cyst is large, it may compress the prostate and the urethra, causing symptoms such as frequent urination, urgent urination, and incomplete bladder emptying. If these symptoms occur, consider taking warm sitz baths or orally administering medications that improve urinary discomfort for treatment. If the cyst is very large and compresses the urethra, causing urinary retention, it is advised to consider prostate cyst puncture or surgical intervention. (Medication should be taken under the guidance of a professional doctor.)

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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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Can prostate cysts heal by themselves?

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 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 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.