What should I do about a recent diagnosis of a prostatic cyst?

Patient's question:

Today I went for a health check-up. During the ultrasound, the doctor said there was a prostatic cyst, measuring 1cm x 1cm. I have a history of sexual activity, so is this related to that? However, I have no problems with erections or sexual performance. I'm only 28 years old, and I feel a bit upset. Will this affect fertility? I'm also married—what should I do?

Doctor's answer:

Congenital cysts are due to incomplete atrophy of the, which fuse at the midline and form a deep diverticulum or cyst at the lower bladder, opening posterior to the prostatic urethra. Acquired cysts are caused by fibrous prostatic stroma leading to incomplete or intermittent obstruction of the acini, gradually thickening the acinar epithelium. They can be located anywhere within the prostate or extend to the weak area of the bladder neck, with a diameter of 1 to 2 centimeters. Prostatic cysts can be secondarily infected with stones. Larger cysts may compress the urethra, causing urinary difficulties. Common symptoms include urinary urgency, frequency, difficulty urinating, thin urine stream, and urinary retention.

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