Patient's question:
Expert, I would like to consult you about how to treat my husband's prostatic cyst. Around March 20, 2008, he noticed a sense of weakness and lack of strength when finishing urination quickly, and the penis felt sore. There were no symptoms of frequent urination, urgent urination, or painful urination. He went to the hospital for a check-up on March 27. A B examination of the prostate was performed. The ultrasound findings: Prostate: 3.52.53.0cm, regular outline, clear edges, and uneven internal echoes. A 1.00.8cm anechoic dark area was displayed internally, with clear edges. Suggestion: Prostatic cyst. At that time, we asked the doctor, and the doctor said it was a minor problem and there was no need to worry, just check again after some time.Doctor's answer:
Smaller, asymptomatic cysts generally do not require treatment unless they are complicated by infection. Dynamic observation of their changes is usually sufficient. Larger cysts or symptomatic small cysts can be treated surgically. There have been reports of cyst puncture and aspiration under ultrasound guidance, followed by the injection of a coagulant. However, due to incomplete or intermittent obstruction of the acini, recurrence is still common even after such procedures, as local glandular secretion can easily lead to cyst formation. Surgical treatment for prostatic cysts primarily involves drainage, such as perineal incisional drainage or transurethral prostatectomy drainage. The treatment of acute prostatitis includes improving overall condition and local therapy. The most important aspect is to address the underlying cause with radical treatment. Generally, the prognosis is favorable.