Patient's question:
How to treat small prostatic cystsDoctor's answer:
Hello! What are your symptoms? Prostatic cyst is a cystic change of the prostate gland caused by congenital or acquired reasons. Congenital cysts result from incomplete regression of the mesonephric ducts, which fuse in the midline and form a deep diverticulum or cyst under the bladder, opening posterior to the prostatic urethra. Acquired cysts are due to incomplete or intermittent obstruction of the acini by the tough prostatic stroma, gradually thickening the acinar epithelium until a retention cyst develops. These cysts can be located anywhere within the prostate or protrude into the bladder neck, with a diameter of 1–2 cm. Prostatic cysts can be complicated by infection and stones. Larger cysts may compress the urethra, causing urinary difficulties. Common symptoms include urinary urgency, frequency, difficulty urinating, thin urine stream, and urinary retention. Congenital prostatic cysts are often associated with other congenital conditions such as hypospadias, cryptorchidism, and renal agenesis. When the cyst is large, a rectal examination may detect the cyst in the prostate, urethral contrast may reveal an arcuate impression in the posterior urethra, and ultrasound and CT can clearly determine its location. Smaller, asymptomatic cysts may not require treatment, while larger cysts or symptomatic smaller cysts can be treated surgically. Wishing you good health! 13