Patient's question:
Patient Age: 32 yearsCurrent General Condition: Frequent urination and discomfort
Medical History: Had a history of masturbation during adolescence
Onset and Duration of Current Illness: Frequent urination for many years; previously checked at multiple hospitals with no issues. On December 15, a color Doppler ultrasound revealed the condition. The doctor recommended increasing fluid intake and no special treatment is needed, as it has little impact on daily life.
Could you please advise the experts, what should I do in my case? How should it be treated?
Doctor's answer:
Prostatic cysts are treated according to the following principles: smaller, asymptomatic cysts may not require treatment; larger cysts or symptomatic small cysts can be treated with surgery. Prostatic cysts can be treated with conservative or surgical methods depending on the situation. Conservative treatment can involve oral Chinese medicine and topical applications of patches. Surgical treatments include transurethral resection and puncture injection of sclerosants. The choice of treatment plan should be determined based on the size, location, and age of the patient. For cysts that protrude into the urethra or bladder, transurethral resection of the cyst wall is preferred. For cysts within the prostate gland or posterior to it, ultrasound-guided puncture through the perineum or rectum to aspirate the fluid and inject a sclerosant can be used. The positioning must be accurate, and the needle depth should be determined by the size of the cyst, with the tip ideally located at the center of the cyst! Of course, treatment for prostatic cysts cannot rely solely on pure puncture. The treatment plan should primarily focus on comprehensive therapy. Since I am unaware of your current condition, I recommend that you consider your specific circumstances and, if necessary, undergo a comprehensive examination at the hospital to receive symptomatic treatment according to medical advice.