Patient's question:
All symptoms Abdominal pain, testicles, thigh root, waist are the same, and the testicles are drooping. It has been since 2005.Doctor's answer:
Medical Analysis: Hello, in your case, it is still necessary to follow the doctor's advice for treatment, and surgery should be considered if necessary!Guidance: The decision should be based on the size of the cyst, clinical symptoms, and the presence of complications.
1. Conservative treatment is suitable for smaller cysts, mild symptoms, and younger patients, with regular follow-up. For patients with infection or hematospermia, oral antibiotics and hemostatic agents should be administered. When necessary, 5-alpha-reductase inhibitors can be used: Proscar 5mg once daily, or Dutasteride 5mg twice daily, with a course of 1 to 3 months.
2. Surgical treatment is suitable for larger cysts, complications with stones, significant symptoms that are difficult to cure. Methods include cystectomy or ipsilateral seminal vesicle resection, suprapubic "pouch suture" surgery, and transurethral cyst decortication.
3. Injecting absolute alcohol or tetracycline solution into the cyst can make it shrink.
4. Transurethral surgery should be performed for patients with seminal vesicle cysts caused by strictures or obstructions of the ejaculatory duct, including transurethral incision of the ejaculatory duct or resection of the verumontanum.