Is a prostate cyst serious?

Written by Wang Shuai
Urology
Updated on March 23, 2025
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Prostate cysts are not severe; they are a type of benign lesion primarily formed due to the blockage of prostate ducts. Most patients with prostate cysts have small cysts and do not experience any discomfort, and thus do not require treatment. Regular follow-up appointments to monitor changes in the size of the cyst are sufficient. It is advisable to maintain a light diet, avoid spicy and stimulating foods, and abstain from smoking and drinking, as these measures generally prevent the cyst from enlarging further. Of course, some patients may have larger cysts that could press on the urethra, leading to symptoms such as frequent urination, urgency, incomplete urination, and even difficulty in urination or urinary retention. In these cases, the cysts can be surgically removed proactively.

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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 Wang Shuai
Urology
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Prostate cyst surgery or

Whether prostate cysts require surgical treatment depends on the specific size and location of the cyst, as well as whether it causes significant discomfort or impacts the patient. If the cyst inside the prostate is relatively small and the patient does not experience discomfort, no special treatment is necessary for this type of cyst. If the cyst causes symptoms such as frequent urination, urgent urination, or incomplete bladder emptying, warm sitz baths or localized physical therapy may be used for treatment. If the cyst is large and compresses the urethra, leading to urinary retention, it is recommended to surgically remove the cyst as soon as possible to restore the patency of the urethra.

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Written by Wang Jian
Urology
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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 Gao Tian
General Surgery
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Can a prostate cyst heal by itself?

For prostate cysts, they generally cannot heal on their own. Although the cysts are benign, active treatment is still necessary. It's recommended to visit the urology department to complete relevant examinations, such as a biopsy to clarify the diagnosis. If there are no symptoms, conservative treatment may be sufficient. However, if there are severe symptoms like frequent urination, painful urination, or the presence of blood in urine, active surgical intervention is required to prevent other discomforts. Additionally, rest, diet, keeping the area clean and dry, changing dressings regularly, and taking antibiotics if necessary to control infections are important.

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Written by Wang Jian
Urology
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What does lower abdominal pain due to a prostate cyst mean?

If the prostate cyst is very small, there are no symptoms. However, sometimes a prostate cyst may be accompanied by prostatitis, presenting symptoms such as frequent urination, urgent urination, incomplete urination, and pain in the bladder area, perineum, or sacral region. If the prostate cyst is relatively large, it can compress the internal opening of the urethra, causing difficulty in urination, and even acute urinary retention. During acute urinary retention, the patient may also experience abdominal pain. When the prostate cyst is large, it can also compress the rectum, causing difficulty in defecation. Therefore, lower abdominal pain is not necessarily caused by a prostate cyst, and it is best to undergo further examination to determine the specific cause.