Patient's question:
The rigid body was carefully checked and found to have a prostatic cyst, measuring 0.8 cm. There are no significant symptoms, but the person feels somewhat down and experiences mild depression. The person has a habit of sexual intercourse and does it quite frequently. Is it related to this?Doctor's answer:
Smaller and asymptomatic cysts may not require treatment, while larger cysts or symptomatic small cysts can be treated surgically. Surgical approaches include transurethral, extravesical, perineal, and transrectal methods, among others. Poor exposure often leads to incomplete cyst removal, resulting in a high recurrence rate and numerous complications. For cysts near the perineum, perineal approach surgery is more likely to cause erectile dysfunction (ED), so it should be used with caution in young patients. There have been reports of cyst puncture and aspiration under ultrasound guidance via the perineal or transrectal route, followed by the injection of a coagulant, but this method is prone to complications.