Patient's question:
My husband has been finding it particularly difficult to urinate recently, and he also experiences frequent urination. He previously had prostatitis. What factors could be causing a prostatic cyst?Doctor's answer:
Congenital Cyst: It is formed by the abnormal development of the mesonephric duct and the paramesonephric duct, with partial expansion of the lumen to form a cyst. Cysts originating from the paramesonephric duct are commonly located in the midline posterior to the prostate, while cysts originating from the mesonephric duct are situated on both sides. These cysts are not actually derived from the prostate and are often adherent to the posterior wall of the bladder. Their size can often grow very large, compressing the bladder neck to cause urinary difficulties; compressing the rectum to cause a sense of rectal fullness and defecation difficulties. Congenital prostate cysts are often associated with other congenital diseases such as hypospadias, cryptorchidism, and renal hypoplasia.