How to treat prostatic cyst

Patient's question:

Recently, I've been experiencing uncomfortable urination, symptoms such as urgency, frequency, and difficulty urinating. After examination, it was found that I have a prostatic cyst. What should I do if I have a prostatic cyst? What should I do if I have a prostatic cyst?

Doctor's answer:

Smaller, asymptomatic cysts generally do not require treatment unless they are complicated by infection, and only need to be monitored closely for any changes. Larger cysts or symptomatic small cysts can be treated with surgery. There have been reports of cyst puncture and aspiration under ultrasound guidance, followed by the instillation of a coagulating agent. However, due to incomplete or intermittent glandular obstruction, even after such puncture and aspiration, the cysts are still prone to recurrence due to local glandular excretion. Surgical treatment for prostatic cysts primarily involves drainage, such as perineal incision drainage or transurethral resection of the prostate. The treatment of acute prostatitis includes stabilizing the overall condition and local therapy.

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